European journal of internal medicine
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Eur. J. Intern. Med. · Jul 2020
Multicenter Study Observational StudyImpact of treatment strategies on long-term outcome of CTO patients.
The percutaneous coronary intervention (PCI) for chronic total occlusions (CTO) remains debated. Therefore the aim of this large-scale observational multi-center registry was to compare the long-term outcome of CTO patients undergoing different therapeutic approaches comparing successful CTO revascularization either by PCI or coronary artery bypass graft (CABG), failed CTO-PCI and optimal medical therapy (OMT) alone. ⋯ This study showed an improved long-term outcome for CTO revascularization compared to optimal medical therapy, independent from revascularization mode, with the highest survival rate in patients undergoing successful CTO-PCI.
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Eur. J. Intern. Med. · Jul 2020
Predictors of infection after "de novo" cardiac electronic device implantation.
Cardiac implantable electronic device (CIED) infection is a major complication that increases morbidity and mortality after the procedure. Several infection risk scores have been suggested to identify patients at higher pre-procedural risk of infection OBJECTIVE: this study sought to evaluate rates of infection, potential risk factors and the role of a modified "Shariff" score as predictor of infection in high-risk patients undergoing de novo CIED implantation. ⋯ a "Shariff" score > 4 is suggested as a predictor of higher risk of infection in patients after de novo device implantation. The use of an infection risk score may help to improve tailored pre-operatory strategies to prevent infection.
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Eur. J. Intern. Med. · Jul 2020
LetterProtective role of chronic treatment with direct oral anticoagulants in elderly patients affected by interstitial pneumonia in COVID-19 era.
• Elderly COVID-19 patients with chronic heart disease have a worse prognosis. • Cardio-active treatment has a protective role in COVID-19 pneumonia. • Anticoagulant chronic assumption in elderly with heart disease reduce mortality.