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2. The Prognostic Value of Troponin-T in Out-of-Hospital Cardiac Arrest Without ST-Segment Elevation: A COACT Substudy

Author

Spoormans, Eva M., Lemkes, Jorrit S., Janssens, Gladys N., van der Hoeven, Nina W., Jewbali, Lucia S.D., Dubois, Eric A., Meuwissen, Martijn, Rijpstra, Tom A., Bosker, Hans A., Blans, Michiel J., Bleeker, Gabe B., Baak, Remon, Vlachojannis, Georgios J., Eikemans, Bob J.W., van der Harst, Pim, van der Horst, Iwan C.C., Voskuil, Michiel, van der Heijden, Joris J., Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P., Vlaar, Alexander P.J., Vink, Maarten A., van den Bogaard, Bas, Heestermans, Ton A.C.M., de Ruijter, Wouter, Delnoij, Thijs S.R., Crijns, Harry J.G.M., Oemrawsingh, Pranobe V., Gosselink, Marcel T.M., Plomp, Koos, Magro, Michael, Elbers, Paul W.G., van der Pas, Stéphanie, and van Royen, Niels

Published
2024
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3. The Prognostic Value of Troponin-T in Out-of-Hospital Cardiac Arrest Without ST-Segment Elevation:A COACT Substudy

Author

Spoormans, Eva M., Lemkes, Jorrit S., Janssens, Gladys N., van der Hoeven, Nina W., Jewbali, Lucia S.D., Dubois, Eric A., Meuwissen, Martijn, Rijpstra, Tom A., Bosker, Hans A., Blans, Michiel J., Bleeker, Gabe B., Baak, Remon, Vlachojannis, Georgios J., Eikemans, Bob J.W., van der Harst, Pim, van der Horst, Iwan C.C., Voskuil, Michiel, van der Heijden, Joris J., Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P., Vlaar, Alexander P.J., Vink, Maarten A., van den Bogaard, Bas, Heestermans, Ton A.C.M., de Ruijter, Wouter, Delnoij, Thijs S.R., Crijns, Harry J.G.M., Oemrawsingh, Pranobe V., Gosselink, Marcel T.M., Plomp, Koos, Magro, Michael, Elbers, Paul W.G., van der Pas, Stéphanie, van Royen, Niels, Spoormans, Eva M., Lemkes, Jorrit S., Janssens, Gladys N., van der Hoeven, Nina W., Jewbali, Lucia S.D., Dubois, Eric A., Meuwissen, Martijn, Rijpstra, Tom A., Bosker, Hans A., Blans, Michiel J., Bleeker, Gabe B., Baak, Remon, Vlachojannis, Georgios J., Eikemans, Bob J.W., van der Harst, Pim, van der Horst, Iwan C.C., Voskuil, Michiel, van der Heijden, Joris J., Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P., Vlaar, Alexander P.J., Vink, Maarten A., van den Bogaard, Bas, Heestermans, Ton A.C.M., de Ruijter, Wouter, Delnoij, Thijs S.R., Crijns, Harry J.G.M., Oemrawsingh, Pranobe V., Gosselink, Marcel T.M., Plomp, Koos, Magro, Michael, Elbers, Paul W.G., van der Pas, Stéphanie, and van Royen, Niels

Abstract

Background: In out-of-hospital cardiac arrest (OHCA) without ST-elevation, predictive markers that can identify those with a high risk of acute coronary syndrome are lacking. Methods: In this post hoc analysis of the Coronary Angiography after Cardiac Arrest (COACT) trial, the baseline, median, peak, and time-concentration curves of troponin-T (cTnT) (T-AUC) in OHCA patients without ST-elevation were studied. cTnT values were obtained at predefined time points at 0, 3, 6, 12, 24, 36, 28, and 72 hours after admission. All patients who died within the measurement period were not included. The primary outcome was the association between cTnT and 90-day survival. Secondary outcomes included the association of cTnT and acute thrombotic occlusions, acute unstable lesions, and left ventricular function. Results: In total, 352 patients were included in the analysis. The mean age was 64 ± 13 years (80.4% men). All cTnT measures were independent prognostic factors for mortality after adjustment for potential confounders age, sex, history of coronary artery disease, witnessed arrest, time to BLS, and time to return of spontaneous circulation (eg, for T-AUC: hazard ratio, 1.44; 95% CI, 1.06-1.94; P = .02; P value for all variables ≤ .02). Median cTnT (odds ratio [OR], 1.58; 95% CI, 1.18-2.12; P = .002) and T-AUC (OR, 2.03; 95% CI, 1.25-3.29; P = .004) were independent predictors for acute unstable lesions. Median cTnT (OR, 1.62; 95% CI, 1.17-2.23; P = .003) and T-AUC (OR, 2.16; 95% CI, 1.27-3.68; P = .004) were independent predictors for acute thrombotic occlusions. CTnT values were not associated with the left ventricular function (eg, for T-AUC: OR, 2.01; 95% CI, 0.65-6.19; P = .22; P value for all variables ≥ .14)Conclusion:In OHCA patients without ST-segment elevation, cTnT release during the first 72 hours after return of spontaneous circulation was associated with clinical outcomes.

Published
2024

4. The Prognostic Value of Troponin-T in Out-of-Hospital Cardiac Arrest Without ST-Segment Elevation: A COACT Substudy

Author

Cardiologie, Team Medisch, Gezonde Vaten, Circulatory Health, Medische Staf Intensive Care, Spoormans, Eva M., Lemkes, Jorrit S., Janssens, Gladys N., van der Hoeven, Nina W., Jewbali, Lucia S.D., Dubois, Eric A., Meuwissen, Martijn, Rijpstra, Tom A., Bosker, Hans A., Blans, Michiel J., Bleeker, Gabe B., Baak, Remon, Vlachojannis, Georgios J., Eikemans, Bob J.W., van der Harst, Pim, van der Horst, Iwan C.C., Voskuil, Michiel, van der Heijden, Joris J., Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P., Vlaar, Alexander P.J., Vink, Maarten A., van den Bogaard, Bas, Heestermans, Ton A.C.M., de Ruijter, Wouter, Delnoij, Thijs S.R., Crijns, Harry J.G.M., Oemrawsingh, Pranobe V., Gosselink, Marcel T.M., Plomp, Koos, Magro, Michael, Elbers, Paul W.G., van der Pas, Stéphanie, van Royen, Niels, Cardiologie, Team Medisch, Gezonde Vaten, Circulatory Health, Medische Staf Intensive Care, Spoormans, Eva M., Lemkes, Jorrit S., Janssens, Gladys N., van der Hoeven, Nina W., Jewbali, Lucia S.D., Dubois, Eric A., Meuwissen, Martijn, Rijpstra, Tom A., Bosker, Hans A., Blans, Michiel J., Bleeker, Gabe B., Baak, Remon, Vlachojannis, Georgios J., Eikemans, Bob J.W., van der Harst, Pim, van der Horst, Iwan C.C., Voskuil, Michiel, van der Heijden, Joris J., Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P., Vlaar, Alexander P.J., Vink, Maarten A., van den Bogaard, Bas, Heestermans, Ton A.C.M., de Ruijter, Wouter, Delnoij, Thijs S.R., Crijns, Harry J.G.M., Oemrawsingh, Pranobe V., Gosselink, Marcel T.M., Plomp, Koos, Magro, Michael, Elbers, Paul W.G., van der Pas, Stéphanie, and van Royen, Niels

Published
2024

5. The Prognostic Value of Troponin-T in OHCA Without ST-Segment Elevation: A COACT Trial’s Secondary Analysis

Author

Spoormans, Eva M., primary, Lemkes, Jorrit S., additional, Janssens, Gladys N., additional, van der Hoeven, Nina W., additional, Jewbali, Lucia S.D., additional, Dubois, Eric A., additional, Meuwissen, Martijn, additional, Rijpstra, Tom A., additional, Bosker, Hans A., additional, Blans, Michiel J., additional, Bleeker, Gabe B., additional, Baak, Remon, additional, Vlachojannis, Georgios J., additional, Eikemans, Bob J.W., additional, van der Harst, Pim, additional, van der Horst, Iwan C.C., additional, Voskuil, Michiel, additional, van der Heijden, Joris J., additional, Beishuizen, Albertus, additional, Stoel, Martin, additional, Camaro, Cyril, additional, van der Hoeven, Hans, additional, Henriques, José P., additional, Vlaar, Alexander P.J., additional, Vink, Maarten A., additional, van den Bogaard, Bas, additional, Heestermans, Ton A.C.M., additional, de Ruijter, Wouter, additional, Delnoij, Thijs S.R., additional, Crijns, Harry J.G.M., additional, Oemrawsingh, Pranobe V., additional, Gosselink, Marcel T.M., additional, Plomp, Koos, additional, Magro, Michael, additional, Elbers, Paul W.G., additional, van der Pas, Stéphanie, additional, and van Royen, Niels, additional

Published
2023
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6. Prevalence by Computed Tomographic Angiography of Coronary Plaques in South Asian and White Patients With Type 2 Diabetes Mellitus at Low and High Risk Using Four Cardiovascular Risk Scores (UKPDS, FRS, ASCVD, and JBS3)

Author

Gobardhan, Sanjay N., Dimitriu-Leen, Aukelien C., van Rosendael, Alexander R., van Zwet, Erik W., Roos, Cornelis J., Oemrawsingh, Pranobe V., Kharagjitsingh, Aan V., Jukema, J. Wouter, Delgado, Victoria, Schalij, Martin J., Bax, Jeroen J., and Scholte, Arthur J.H.A.

Published
2017
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7. Ischaemic electrocardiogram patterns and its association with survival in out-of-hospital cardiac arrest patients without ST-segment elevation myocardial infarction: a COACT trials’ post-hoc subgroup analysis

Author

Spoormans, Eva M, primary, Lemkes, Jorrit S, additional, Janssens, Gladys N, additional, Soultana, Ouissal, additional, van der Hoeven, Nina W, additional, Jewbali, Lucia S D, additional, Dubois, Eric A, additional, Meuwissen, Martijn, additional, Rijpstra, Tom A, additional, Bosker, Hans A, additional, Blans, Michiel J, additional, Bleeker, Gabe B, additional, Baak, Remon, additional, Vlachojannis, Georgios J, additional, Eikemans, Bob J W, additional, van der Harst, Pim, additional, van der Horst, Iwan C C, additional, Voskuil, Michiel, additional, van der Heijden, Joris J, additional, Beishuizen, Albertus, additional, Stoel, Martin, additional, Camaro, Cyril, additional, van der Hoeven, Hans, additional, Henriques, José P, additional, Vlaar, Alexander P J, additional, Vink, Maarten A, additional, van den Bogaard, Bas, additional, Heestermans, Ton A C M, additional, de Ruijter, Wouter, additional, Delnoij, Thijs S R, additional, Crijns, Harry J G M, additional, Oemrawsingh, Pranobe V, additional, Gosselink, Marcel T M, additional, Plomp, Koos, additional, Magro, Michael, additional, Elbers, Paul W G, additional, van de Ven, Peter M, additional, and van Royen, Niels, additional

Published
2022
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9. Ischaemic electrocardiogram patterns and its association with survival in out-of-hospital cardiac arrest patients without ST-segment elevation myocardial infarction: a COACT trials' post-hoc subgroup analysis

Author

Team Medisch, Circulatory Health, Medische Staf Intensive Care, Spoormans, Eva M, Lemkes, Jorrit S, Janssens, Gladys N, Soultana, Ouissal, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Remon, Vlachojannis, Georgios J, Eikemans, Bob J W, van der Harst, Pim, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, Elbers, Paul W G, van de Ven, Peter M, van Royen, Niels, Team Medisch, Circulatory Health, Medische Staf Intensive Care, Spoormans, Eva M, Lemkes, Jorrit S, Janssens, Gladys N, Soultana, Ouissal, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Remon, Vlachojannis, Georgios J, Eikemans, Bob J W, van der Harst, Pim, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, Elbers, Paul W G, van de Ven, Peter M, and van Royen, Niels

Published
2022

10. Cost Analysis From a Randomized Comparison of Immediate Versus Delayed Angiography After Cardiac Arrest

Author

Team Medisch, Circulatory Health, Medische Staf Intensive Care, Camaro, Cyril, Bonnes, Judith L, Adang, Eddy M, Spoormans, Eva M, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Rémon, Vlachojannis, George J, Eikemans, Bob J, van der Harst, Pim, van der Horst, Iwan C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Bert, Stoel, Martin, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A, de Ruijter, Wouter, Delnoij, Thijs S, Crijns, Harry J, Jessurun, Gillian A, Oemrawsingh, Pranobe V, Gosselink, Marcel T, Plomp, Koos, Magro, Michael, Elbers, Paul W, van de Ven, Peter M, Lemkes, Jorrit S, van Royen, Niels, Team Medisch, Circulatory Health, Medische Staf Intensive Care, Camaro, Cyril, Bonnes, Judith L, Adang, Eddy M, Spoormans, Eva M, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Rémon, Vlachojannis, George J, Eikemans, Bob J, van der Harst, Pim, van der Horst, Iwan C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Bert, Stoel, Martin, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A, de Ruijter, Wouter, Delnoij, Thijs S, Crijns, Harry J, Jessurun, Gillian A, Oemrawsingh, Pranobe V, Gosselink, Marcel T, Plomp, Koos, Magro, Michael, Elbers, Paul W, van de Ven, Peter M, Lemkes, Jorrit S, and van Royen, Niels

Published
2022

11. Targeted Temperature Management in Out-of-Hospital Cardiac Arrest With Shockable Rhythm: A Post Hoc Analysis of the Coronary Angiography After Cardiac Arrest Trial

Author

Team Medisch, Circulatory Health, Medische Staf Intensive Care, Spoormans, Eva M, Lemkes, Jorrit S, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Remon, Vlachojannis, Georgios J, Eikemans, Bob J W, Girbes, Armand R J, van der Harst, Pim, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Jessurun, Gillian A J, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, van de Ven, Peter M, van Royen, Niels, Elbers, Paul W G, Team Medisch, Circulatory Health, Medische Staf Intensive Care, Spoormans, Eva M, Lemkes, Jorrit S, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Remon, Vlachojannis, Georgios J, Eikemans, Bob J W, Girbes, Armand R J, van der Harst, Pim, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Jessurun, Gillian A J, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, van de Ven, Peter M, van Royen, Niels, and Elbers, Paul W G

Published
2022

12. Cost Analysis From a Randomized Comparison of Immediate Versus Delayed Angiography After Cardiac Arrest

Author

Camaro, Cyril, primary, Bonnes, Judith L., additional, Adang, Eddy M., additional, Spoormans, Eva M., additional, Janssens, Gladys N., additional, van der Hoeven, Nina W., additional, Jewbali, Lucia S., additional, Dubois, Eric A., additional, Meuwissen, Martijn, additional, Rijpstra, Tom A., additional, Bosker, Hans A., additional, Blans, Michiel J., additional, Bleeker, Gabe B., additional, Baak, Rémon, additional, Vlachojannis, George J., additional, Eikemans, Bob J., additional, van der Harst, Pim, additional, van der Horst, Iwan C., additional, Voskuil, Michiel, additional, van der Heijden, Joris J., additional, Beishuizen, Bert, additional, Stoel, Martin, additional, van der Hoeven, Hans, additional, Henriques, José P., additional, Vlaar, Alexander P., additional, Vink, Maarten A., additional, van den Bogaard, Bas, additional, Heestermans, Ton A., additional, de Ruijter, Wouter, additional, Delnoij, Thijs S., additional, Crijns, Harry J., additional, Jessurun, Gillian A., additional, Oemrawsingh, Pranobe V., additional, Gosselink, Marcel T., additional, Plomp, Koos, additional, Magro, Michael, additional, Elbers, Paul W., additional, van de Ven, Peter M., additional, Lemkes, Jorrit S., additional, and van Royen, Niels, additional

Published
2022
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14. Targeted Temperature Management in Out-of-Hospital Cardiac Arrest With Shockable Rhythm: A Post Hoc Analysis of the Coronary Angiography After Cardiac Arrest Trial

Author

Spoormans, Eva M., primary, Lemkes, Jorrit S., additional, Janssens, Gladys N., additional, van der Hoeven, Nina W., additional, Jewbali, Lucia S. D., additional, Dubois, Eric A., additional, Meuwissen, Martijn, additional, Rijpstra, Tom A., additional, Bosker, Hans A., additional, Blans, Michiel J., additional, Bleeker, Gabe B., additional, Baak, Remon, additional, Vlachojannis, Georgios J., additional, Eikemans, Bob J. W., additional, Girbes, Armand R. J., additional, van der Harst, Pim, additional, van der Horst, Iwan C. C., additional, Voskuil, Michiel, additional, van der Heijden, Joris J., additional, Beishuizen, Albertus, additional, Stoel, Martin, additional, Camaro, Cyril, additional, van der Hoeven, Hans, additional, Henriques, José P., additional, Vlaar, Alexander P. J., additional, Vink, Maarten A., additional, van den Bogaard, Bas, additional, Heestermans, Ton A. C. M., additional, de Ruijter, Wouter, additional, Delnoij, Thijs S. R., additional, Crijns, Harry J. G. M., additional, Jessurun, Gillian A. J., additional, Oemrawsingh, Pranobe V., additional, Gosselink, Marcel T. M., additional, Plomp, Koos, additional, Magro, Michael, additional, van de Ven, Peter M., additional, van Royen, Niels, additional, and Elbers, Paul W. G., additional

Published
2021
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15. The effect of immediate coronary angiography after cardiac arrest without ST-segment elevation on left ventricular function. A sub-study of the COACT randomised trial

Author

Lemkes, Jorrit S., primary, Spoormans, Eva M., additional, Demirkiran, Ahmet, additional, Leutscher, Sophie, additional, Janssens, Gladys N., additional, van der Hoeven, Nina W., additional, Jewbali, Lucia S.D., additional, Dubois, Eric A., additional, Meuwissen, Martijn, additional, Rijpstra, Tom A., additional, Bosker, Hans A., additional, Blans, Michiel J., additional, Bleeker, Gabe B., additional, Baak, Rémon, additional, Vlachojannis, Georgios J., additional, Eikemans, Bob J.W., additional, van der Harst, Pim, additional, van der Horst, Iwan C.C., additional, Voskuil, Michiel, additional, van der Heijden, Joris J., additional, Beishuizen, Albertus, additional, Stoel, Martin, additional, Camaro, Cyril, additional, van der Hoeven, Hans, additional, Henriques, José P., additional, Vlaar, Alexander P.J., additional, Vink, Maarten A., additional, van den Bogaard, Bas, additional, Heestermans, Ton A.C.M., additional, de Ruijter, Wouter, additional, Delnoij, Thijs S.R., additional, Crijns, Harry J.G.M., additional, Jessurun, Gillian A.J., additional, Oemrawsingh, Pranobe V., additional, Gosselink, Marcel T.M., additional, Plomp, Koos, additional, Magro, Michael, additional, Elbers, Paul W.G., additional, van de Ven, Peter M., additional, van Loon, Ramon B., additional, and van Royen, Niels, additional

Published
2021
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16. The effect of immediate coronary angiography after cardiac arrest without ST-segment elevation on left ventricular function. A sub-study of the COACT randomised trial

Author

Team Medisch, Circulatory Health, Medische Staf Intensive Care, Lemkes, Jorrit S, Spoormans, Eva M, Demirkiran, Ahmet, Leutscher, Sophie, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Rémon, Vlachojannis, Georgios J, Eikemans, Bob J W, van der Harst, Pim, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Jessurun, Gillian A J, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, Elbers, Paul W G, van de Ven, Peter M, van Loon, Ramon B, van Royen, Niels, Team Medisch, Circulatory Health, Medische Staf Intensive Care, Lemkes, Jorrit S, Spoormans, Eva M, Demirkiran, Ahmet, Leutscher, Sophie, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Rémon, Vlachojannis, Georgios J, Eikemans, Bob J W, van der Harst, Pim, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Jessurun, Gillian A J, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, Elbers, Paul W G, van de Ven, Peter M, van Loon, Ramon B, and van Royen, Niels

Published
2021

17. Sex differences in patients with out-of-hospital cardiac arrest without ST-segment elevation: A COACT trial substudy

Author

Team Medisch, Circulatory Health, Medische Staf Intensive Care, Spoormans, Eva M, Lemkes, Jorrit S, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, van de Ven, Peter M, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Remon, Vlachojannis, Georgios J, Eikemans, Bob J W, der Harst, Pim van, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Jessurun, Gillian A J, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, Elbers, Paul W G, Appelman, Yolande, van Royen, Niels, Team Medisch, Circulatory Health, Medische Staf Intensive Care, Spoormans, Eva M, Lemkes, Jorrit S, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, van de Ven, Peter M, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Remon, Vlachojannis, Georgios J, Eikemans, Bob J W, der Harst, Pim van, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Jessurun, Gillian A J, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, Elbers, Paul W G, Appelman, Yolande, and van Royen, Niels

Published
2021

18. Sirolimus-Eluting Stents Versus Bare-Metal Stents in Patients With ST-Segment Elevation Myocardial Infarction: 9-Month Angiographic and Intravascular Ultrasound Results and 12-Month Clinical Outcome: Results From the MISSION! Intervention Study

Author

van der Hoeven, Bas L., Liem, Su-San, Jukema, J. Wouter, Suraphakdee, Navin, Putter, Hein, Dijkstra, Jouke, Atsma, Douwe E., Bootsma, Marianne, Zeppenfeld, Katja, Oemrawsingh, Pranobe V., van der Wall, Ernst E., and Schalij, Martin J.

Published
2008
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20. Data on sex differences in one-year outcomes of out-of-hospital cardiac arrest patients without ST-segment elevation

Author

Cardiologie Arts-onderzoekers, Team Medisch, Circulatory Health, Medische Staf Intensive Care, Spoormans, Eva M., Lemkes, Jorrit S., Janssens, Gladys N., van der Hoeven, Nina W., Jewbali, Lucia S.D., Dubois, Eric A., van de Ven, Peter M., Meuwissen, Martijn, Rijpstra, Tom A., Bosker, Hans A., Blans, Michiel J., Bleeker, Gabe B., Baak, Remon, Vlachojannis, Georgios J., Eikemans, Bob J.W., van der Harst, Pim, van der Horst, Iwan C.C., Voskuil, Michiel, van der Heijden, Joris J., Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P., Vlaar, Alexander P.J., Vink, Maarten A., van den Bogaard, Bas, Heestermans, Ton A.C.M., de Ruijter, Wouter, Delnoij, Thijs S.R., Crijns, Harry J.G.M., Jessurun, Gillian A.J., Oemrawsingh, Pranobe V., Gosselink, Marcel T.M., Plomp, Koos, Magro, Michael, Elbers, Paul W.G., Appelman, Yolande, van Royen, Niels, Cardiologie Arts-onderzoekers, Team Medisch, Circulatory Health, Medische Staf Intensive Care, Spoormans, Eva M., Lemkes, Jorrit S., Janssens, Gladys N., van der Hoeven, Nina W., Jewbali, Lucia S.D., Dubois, Eric A., van de Ven, Peter M., Meuwissen, Martijn, Rijpstra, Tom A., Bosker, Hans A., Blans, Michiel J., Bleeker, Gabe B., Baak, Remon, Vlachojannis, Georgios J., Eikemans, Bob J.W., van der Harst, Pim, van der Horst, Iwan C.C., Voskuil, Michiel, van der Heijden, Joris J., Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P., Vlaar, Alexander P.J., Vink, Maarten A., van den Bogaard, Bas, Heestermans, Ton A.C.M., de Ruijter, Wouter, Delnoij, Thijs S.R., Crijns, Harry J.G.M., Jessurun, Gillian A.J., Oemrawsingh, Pranobe V., Gosselink, Marcel T.M., Plomp, Koos, Magro, Michael, Elbers, Paul W.G., Appelman, Yolande, and van Royen, Niels

Published
2020

22. Automated contour detection in X-ray left ventricular angiograms using multiview active appearance models and dynamic programming

Author

Oost, Elco, Koning, Gerhard, Sonka, Milan, Oemrawsingh, Pranobe V., Reiber, Johan H.C., and Lelieveldt, Boudewijn P.F.

Subjects
Angiography -- Research, Angiography -- Analysis, Heart ventricle, Left -- Diagnosis, Heart ventricle, Left -- Research, Business, Electronics, Electronics and electrical industries, Health care industry
Abstract

This paper describes a new approach to the automated segmentation of X-ray left ventricular (LV) angiograms, based on active appearance models (AAMs) and dynamic programming. A coupling of shape and texture information between the end-diastolic (ED) and end-systolic (ES) frame was achieved by constructing a multiview AAM. Over-constraining of the model was compensated for by employing dynamic programming, integrating both intensity and motion features in the cost function. Two applications are compared: a semi-automatic method with manual model initialization, and a fully automatic algorithm. The first proved to be highly robust and accurate, demonstrating high clinical relevance. Based on experiments involving 70 patient data sets, the algorithm's success rate was 100% for ED and 99% for ES, with average unsigned border positioning errors of 0.68 mm for ED and 1.45 mm for ES. Calculated volumes were accurate and unbiased. The fully automatic algorithm, with intrinsically less user interaction was less robust, but showed a high potential, mostly due to a controlled gradient descent in updating the model parameters. The success rate of the fully automatic method was 91% for ED and 83% for ES, with average unsigned border positioning errors of 0.79 mm for ED and 1.55 mm for ES. Index Terms--Active appearance models (AAMs), automatic left ventricle segmentation, dynamic programming, image analysis, multiple views, X-ray angiography.

Published
2006

23. Sex differences in patients with out-of-hospital cardiac arrest without ST-segment elevation: A COACT trial substudy

Author

Spoormans, Eva M., primary, Lemkes, Jorrit S., additional, Janssens, Gladys N., additional, van der Hoeven, Nina W., additional, Jewbali, Lucia S.D., additional, Dubois, Eric A., additional, van de Ven, Peter M., additional, Meuwissen, Martijn, additional, Rijpstra, Tom A., additional, Bosker, Hans A., additional, Blans, Michiel J., additional, Bleeker, Gabe B., additional, Baak, Remon, additional, Vlachojannis, Georgios J., additional, Eikemans, Bob J.W., additional, der Harst, Pim van, additional, van der Horst, Iwan C.C., additional, Voskuil, Michiel, additional, van der Heijden, Joris J., additional, Beishuizen, Albertus, additional, Stoel, Martin, additional, Camaro, Cyril, additional, van der Hoeven, Hans, additional, Henriques, José P., additional, Vlaar, Alexander P.J., additional, Vink, Maarten A., additional, van den Bogaard, Bas, additional, Heestermans, Ton A.C.M., additional, de Ruijter, Wouter, additional, Delnoij, Thijs S.R., additional, Crijns, Harry J.G.M., additional, Jessurun, Gillian A.J., additional, Oemrawsingh, Pranobe V., additional, Gosselink, Marcel T.M., additional, Plomp, Koos, additional, Magro, Michael, additional, Elbers, Paul W.G., additional, Appelman, Yolande, additional, and van Royen, Niels, additional

Published
2021
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24. Coronary Angiography After Cardiac Arrest Without ST Segment Elevation

Author

Lemkes, Jorrit S., primary, Janssens, Gladys N., additional, van der Hoeven, Nina W., additional, Jewbali, Lucia S. D., additional, Dubois, Eric A., additional, Meuwissen, Martijn M., additional, Rijpstra, Topm A., additional, Bosker, Hans A., additional, Blans, Michiel J., additional, Bleeker, Gabe B., additional, Baak, Remon R., additional, Vlachojannis, George J., additional, Eikemans, Bob J. W., additional, van der Harst, Pim, additional, van der Horst, Iwan C. C., additional, Voskuil, Michiel, additional, van der Heijden, Joris J., additional, Beishuizen, Albertus, additional, Stoel, Martin, additional, Camaro, Cyril, additional, van der Hoeven, Hans, additional, Henriques, Jose P., additional, Vlaar, Alexander P. J., additional, Vink, Maarten A., additional, van den Bogaard, Bas, additional, Heestermans, Ton A. C. M., additional, de Ruijter, Wouter, additional, Delnoij, Thijs S. R., additional, Crijns, Harry J. G. M., additional, Jessurun, Gillian A. J., additional, Oemrawsingh, Pranobe V., additional, Gosselink, Marcel T. M., additional, Plomp, Koos, additional, Magro, Michael, additional, Elbers, Paul W. G., additional, Spoormans, Eva M., additional, van de Ven, Peter M., additional, Oudemans-van Straaten, Heleen M., additional, and van Royen, Niels, additional

Published
2020
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25. Data on sex differences in one-year outcomes of out-of-hospital cardiac arrest patients without ST-segment elevation

Author

Spoormans, Eva M., primary, Lemkes, Jorrit S., additional, Janssens, Gladys N., additional, van der Hoeven, Nina W., additional, Jewbali, Lucia S.D., additional, Dubois, Eric A., additional, van de Ven, Peter M., additional, Meuwissen, Martijn, additional, Rijpstra, Tom A., additional, Bosker, Hans A., additional, Blans, Michiel J., additional, Bleeker, Gabe B., additional, Baak, Remon, additional, Vlachojannis, Georgios J., additional, Eikemans, Bob J.W., additional, van der Harst, Pim, additional, van der Horst, Iwan C.C., additional, Voskuil, Michiel, additional, van der Heijden, Joris J., additional, Beishuizen, Albertus, additional, Stoel, Martin, additional, Camaro, Cyril, additional, van der Hoeven, Hans, additional, Henriques, José P., additional, Vlaar, Alexander P.J., additional, Vink, Maarten A., additional, van den Bogaard, Bas, additional, Heestermans, Ton A.C.M., additional, de Ruijter, Wouter, additional, Delnoij, Thijs S.R., additional, Crijns, Harry J.G.M., additional, Jessurun, Gillian A.J., additional, Oemrawsingh, Pranobe V., additional, Gosselink, Marcel T.M., additional, Plomp, Koos, additional, Magro, Michael, additional, Elbers, Paul W.G., additional, Appelman, Yolande, additional, and van Royen, Niels, additional

Published
2020
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28. Coronary Angiography after Cardiac Arrest without ST-Segment Elevation

Author

Lemkes, Jorrit S, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Rémon, Vlachojannis, Georgios J, Eikemans, Bob J W, van der Harst, Pim, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Jessurun, Gillian A J, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, Elbers, Paul W G, van de Ven, Peter M, Oudemans-van Straaten, Heleen M, van Royen, Niels, Lemkes, Jorrit S, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Rémon, Vlachojannis, Georgios J, Eikemans, Bob J W, van der Harst, Pim, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Jessurun, Gillian A J, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, Elbers, Paul W G, van de Ven, Peter M, Oudemans-van Straaten, Heleen M, and van Royen, Niels

Published
2019

29. Coronary Angiography after Cardiac Arrest without ST-Segment Elevation

Author

Team Medisch, Circulatory Health, Medische Staf Intensive Care, Lemkes, Jorrit S, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Rémon, Vlachojannis, Georgios J, Eikemans, Bob J W, van der Harst, Pim, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Jessurun, Gillian A J, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, Elbers, Paul W G, van de Ven, Peter M, Oudemans-van Straaten, Heleen M, van Royen, Niels, Team Medisch, Circulatory Health, Medische Staf Intensive Care, Lemkes, Jorrit S, Janssens, Gladys N, van der Hoeven, Nina W, Jewbali, Lucia S D, Dubois, Eric A, Meuwissen, Martijn, Rijpstra, Tom A, Bosker, Hans A, Blans, Michiel J, Bleeker, Gabe B, Baak, Rémon, Vlachojannis, Georgios J, Eikemans, Bob J W, van der Harst, Pim, van der Horst, Iwan C C, Voskuil, Michiel, van der Heijden, Joris J, Beishuizen, Albertus, Stoel, Martin, Camaro, Cyril, van der Hoeven, Hans, Henriques, José P, Vlaar, Alexander P J, Vink, Maarten A, van den Bogaard, Bas, Heestermans, Ton A C M, de Ruijter, Wouter, Delnoij, Thijs S R, Crijns, Harry J G M, Jessurun, Gillian A J, Oemrawsingh, Pranobe V, Gosselink, Marcel T M, Plomp, Koos, Magro, Michael, Elbers, Paul W G, van de Ven, Peter M, Oudemans-van Straaten, Heleen M, and van Royen, Niels

Published
2019

31. Coronary Angiography after Cardiac Arrest without ST-Segment Elevation

Author

Lemkes, Jorrit S., primary, Janssens, Gladys N., additional, van der Hoeven, Nina W., additional, Jewbali, Lucia S.D., additional, Dubois, Eric A., additional, Meuwissen, Martijn, additional, Rijpstra, Tom A., additional, Bosker, Hans A., additional, Blans, Michiel J., additional, Bleeker, Gabe B., additional, Baak, Rémon, additional, Vlachojannis, Georgios J., additional, Eikemans, Bob J.W., additional, van der Harst, Pim, additional, van der Horst, Iwan C.C., additional, Voskuil, Michiel, additional, van der Heijden, Joris J., additional, Beishuizen, Albertus, additional, Stoel, Martin, additional, Camaro, Cyril, additional, van der Hoeven, Hans, additional, Henriques, José P., additional, Vlaar, Alexander P.J., additional, Vink, Maarten A., additional, van den Bogaard, Bas, additional, Heestermans, Ton A.C.M., additional, de Ruijter, Wouter, additional, Delnoij, Thijs S.R., additional, Crijns, Harry J.G.M., additional, Jessurun, Gillian A.J., additional, Oemrawsingh, Pranobe V., additional, Gosselink, Marcel T.M., additional, Plomp, Koos, additional, Magro, Michael, additional, Elbers, Paul W.G., additional, van de Ven, Peter M., additional, Oudemans-van Straaten, Heleen M., additional, and van Royen, Niels, additional

Published
2019
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33. Five-year clinical follow-up from the MISSION! Intervention Study: sirolimus-eluting stent versus bare metal stent implantation in patients with ST-segment elevation myocardial infarction, a randomised controlled trial

Author

Boden, Helèn, primary, van der Hoeven, Bas L., additional, Liem, Su-San, additional, Atary, Jael Z., additional, Cannegieter, Suzanne C., additional, Atsma, Douwe E., additional, Bootsma, Marianne, additional, Jukema, J. Wouter, additional, Zeppenfeld, Katja, additional, Oemrawsingh, Pranobe V., additional, van der Wall, Ernst E., additional, and Schalij, Martin J., additional

Published
2012
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34. Response to Letter Regarding Article, “Hemodynamic Effects of Long-Term Cardiac Resynchronization Therapy: Analysis by Pressure-Volume Loops”

Author

Steendijk, Paul, primary, Tulner, Sven A., additional, Bax, Jeroen J., additional, Oemrawsingh, Pranobe V., additional, Bleeker, Gabe B., additional, van Erven, Lieselot, additional, Verwey, Harriette F., additional, van der Wall, Ernst E., additional, Schalij, Martin J., additional, and Putter, Hein, additional

Published
2006
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35. Role of Calcified Spots Detected by Intravascular Ultrasound in Patients With ST-Segment Elevation Acute Myocardial Infarction

Author

van der Hoeven, Barend L., primary, Liem, Su-San, additional, Oemrawsingh, Pranobe V., additional, Dijkstra, Jouke, additional, Jukema, J. Wouter, additional, Putter, Hein, additional, Atsma, Douwe E., additional, van der Wall, Ernst E., additional, Bax, Jeroen J., additional, Reiber, Johan C., additional, and Schalij, Martin J., additional

Published
2006
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36. Hemodynamic Effects of Long-Term Cardiac Resynchronization Therapy

Author

Steendijk, Paul, primary, Tulner, Sven A., additional, Bax, Jeroen J., additional, Oemrawsingh, Pranobe V., additional, Bleeker, Gabe B., additional, van Erven, Lieselot, additional, Putter, Hein, additional, Verwey, Harriette F., additional, van der Wall, Ernst E., additional, and Schalij, Martin J., additional

Published
2006
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46. Sirolimus-Eluting Stents Versus Bare-Metal Stents in Patients With ST-Segment Elevation Myocardial Infarction: 9-Month Angiographic and Intravascular Ultrasound Results and 12-Month Clinical Outcome Results From the MISSION! Intervention Study

Author

van der Hoeven, Bas L., Liem, Su-San, Jukema, J. Wouter, Suraphakdee, Navin, Putter, Hein, Dijkstra, Jouke, Atsma, Douwe E., Bootsma, Marianne, Zeppenfeld, Katja, Oemrawsingh, Pranobe V., van der Wall, Ernst E., and Schalij, Martin J.

Subjects
surgical procedures, operative, cardiovascular diseases
Abstract

ObjectivesOur purpose was to evaluate the efficacy and safety of drug-eluting stents in the setting of primary percutaneous coronary intervention for ST-segment elevation myocardial infarction (STEMI).BackgroundThere is inconsistent and limited evidence about the efficacy and safety of drug-eluting stents in STEMI patients.MethodsA single-blind, single-center, randomized study was performed to compare bare-metal stents (BMS) with sirolimus-eluting stents (SES) in 310 STEMI patients. The primary end point was in-segment late luminal loss (LLL) at 9 months. Secondary end points included late stent malapposition (LSM) at 9 months as determined by intravascular ultrasound imaging and clinical events at 12 months.ResultsIn-segment LLL was 0.68 ± 0.57 mm in the BMS group and 0.12 ± 0.43 mm in the SES group with a mean difference of 0.56 mm, 95% confidence interval 0.43 to 0.68 mm (p < 0.001). Late stent malapposition at 9 months was present in 12.5% BMS patients and in 37.5% SES patients (p < 0.001). Event-free survival at 12 months was 73.6% in BMS patients and 86.0% in SES patients (p = 0.01). The target-vessel-failure-free survival was 84.7% in the BMS group and 93.0% in the SES group (p = 0.02), mainly because of a higher target lesion revascularization rate in BMS patients (11.3% vs. 3.2%; p = 0.006). Rates of death, myocardial infarction, and stent thrombosis were not different.ConclusionsSirolimus-eluting stent implantation in STEMI patients is associated with a favorable midterm clinical and angiographic outcome compared with treatment with BMS. However, LSM raises concern about the long-term safety of SES in STEMI patients (MISSION!; ISRCTN62825862).

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47. Acute Myocardial Infarction With Hyperoxemic Therapy (AMIHOT) A Prospective, Randomized Trial of Intracoronary Hyperoxemic Reperfusion After Percutaneous Coronary Intervention

Author

O’Neill, William W., Martin, Jack L., Dixon, Simon R., Bartorelli, Antonio L., Trabattoni, Daniela, Oemrawsingh, Pranobe V., Atsma, Douwe E., Chang, Michael, Marquardt, William, Oh, Jae K., Krucoff, Mitchell W., Gibbons, Raymond J., and Spears, J. Richard

Subjects
cardiovascular diseases
Abstract

ObjectivesThis study sought to determine whether hyperoxemic reperfusion with aqueous oxygen (AO) improves recovery of ventricular function after percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI).BackgroundHyperbaric oxygen reduces myocardial injury and improves ventricular function when administered during ischemia-reperfusion.MethodsIn a prospective, multicenter study, 269 patients with acute anterior or large inferior AMI undergoing primary or rescue PCI (

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50. The Prognostic Value of Troponin-T in Out-of-Hospital Cardiac Arrest Without ST-Segment Elevation: A COACT Substudy.

Author

Spoormans EM, Lemkes JS, Janssens GN, van der Hoeven NW, Jewbali LSD, Dubois EA, Meuwissen M, Rijpstra TA, Bosker HA, Blans MJ, Bleeker GB, Baak R, Vlachojannis GJ, Eikemans BJW, van der Harst P, van der Horst ICC, Voskuil M, van der Heijden JJ, Beishuizen A, Stoel M, Camaro C, van der Hoeven H, Henriques JP, Vlaar APJ, Vink MA, van den Bogaard B, Heestermans TACM, de Ruijter W, Delnoij TSR, Crijns HJGM, Oemrawsingh PV, Gosselink MTM, Plomp K, Magro M, Elbers PWG, van der Pas S, and van Royen N

Abstract

Background: In out-of-hospital cardiac arrest (OHCA) without ST-elevation, predictive markers that can identify those with a high risk of acute coronary syndrome are lacking., Methods: In this post hoc analysis of the Coronary Angiography after Cardiac Arrest (COACT) trial, the baseline, median, peak, and time-concentration curves of troponin-T (cTnT) (T-AUC) in OHCA patients without ST-elevation were studied. cTnT values were obtained at predefined time points at 0, 3, 6, 12, 24, 36, 28, and 72 hours after admission. All patients who died within the measurement period were not included. The primary outcome was the association between cTnT and 90-day survival. Secondary outcomes included the association of cTnT and acute thrombotic occlusions, acute unstable lesions, and left ventricular function., Results: In total, 352 patients were included in the analysis. The mean age was 64 ± 13 years (80.4% men). All cTnT measures were independent prognostic factors for mortality after adjustment for potential confounders age, sex, history of coronary artery disease, witnessed arrest, time to BLS, and time to return of spontaneous circulation (eg, for T-AUC: hazard ratio, 1.44; 95% CI, 1.06-1.94; P = .02; P value for all variables ≤.02). Median cTnT (odds ratio [OR], 1.58; 95% CI, 1.18-2.12; P = .002) and T-AUC (OR, 2.03; 95% CI, 1.25-3.29; P = .004) were independent predictors for acute unstable lesions. Median cTnT (OR, 1.62; 95% CI, 1.17-2.23; P = .003) and T-AUC (OR, 2.16; 95% CI, 1.27-3.68; P = .004) were independent predictors for acute thrombotic occlusions. CTnT values were not associated with the left ventricular function (eg, for T-AUC: OR, 2.01; 95% CI, 0.65-6.19; P = .22; P value for all variables ≥.14)., Conclusion: In OHCA patients without ST-segment elevation, cTnT release during the first 72 hours after return of spontaneous circulation was associated with clinical outcomes., (© 2023 The Author(s).)

Published
2023
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