Myocardial Infarction

JANS Article

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting for Unprotected Left Main Stenosis: 10-Year Final Results From the Randomised, Open-Label, Non-Inferiority NOBLE Trial

May 13, 2026 | Vincent SierSilver Contributor

In this article, the authors report the 10-year final results of the NOBLE trial comparing percutaneous coronary intervention (PCI) with newer generation drug–eluting stents vs coronary artery bypass grafting (CABG) for unprotected left main coronary...

JANS Article

Ventricular Free-Wall Rupture, Ventricular Pseudoaneurysm, and Papillary Muscle Rupture Complicating Acute Myocardial Infarction

July 29, 2026 | EACTS StaffSilver Contributor

This multisociety European Society of Cardiology (ESC)/European Association for Cardio-Thoracic Surgery (EACTS) consensus statement addresses three mechanical complications of acute myocardial infarction: ventricular free-wall rupture, pseudoaneurysm, and papillary muscle rupture....

JANS Article

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting for Unprotected Left Main Stenosis: 10-Year Final Results From the Randomised, Open-Label, Non-Inferiority NOBLE Trial

May 13, 2026 | Vincent SierSilver Contributor

In this article, the authors report the 10-year final results of the NOBLE trial comparing percutaneous coronary intervention (PCI) with newer generation drug–eluting stents vs coronary artery bypass grafting (CABG)...

JANS Article

Spontaneous Myocardial Infarction After Left Main Revascularization: The EXCEL Trial

March 26, 2026 | Vincent SierSilver Contributor

In this pre-specified analysis of the EXCEL trial, 1,882 patients with left main disease underwent percutaneous coronary intervention (PCI) (n=952) or coronary artery bypass grafting (CABG) (n=930). At five years,...

JANS Article

Pulmonary Resection Post-Coronary Artery Bypass Grafting: Feasible, but Right-Sided Procedures Demand Caution

March 5, 2026 | Jade QuSilver Contributor

This article examines the feasibility and technique of lung resection after prior coronary artery bypass grafting (CABG), focusing on resections ipsilateral to an internal thoracic artery graft. Among 5,821 pulmonary...

JANS Article

Overall and Cause-Specific Mortality in Randomized Clinical Trials Comparing Percutaneous Interventions With Coronary Bypass Surgery: A Meta-Analysis

October 26, 2020 | Aristotle ProtopapasGold Commentor

Within the limitations of a meta-analysis, a useful work advancing that PCI may have a hitherto masked or hidden mortality

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JANS Article

Implications of Alternative Definitions of Peri-Procedural Myocardial Infarction After Coronary Revascularization

October 12, 2020 | Aristotle ProtopapasGold Commentor

An analysis, from the cardiology viewpoint, of the MI nomenclature issues around the external validity of the EXCEL trial that undermined the EACTS support of the relevant 2018 guidelines

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JANS Article

Place and Causes of Acute Cardiovascular Mortality During the COVID-19 Pandemic

October 4, 2020 | Aristotle ProtopapasGold Commentor

The authors are concerned about the ‘deaths at home’ having the greatest contribution to the excess of acute cardiovascular deaths in that period of the recent epidemic, AND LOCKDOWN in...

JANS Article

Early Rhythm-Control Therapy in Patients With Atrial Fibrillation

October 1, 2020 | Aristotle ProtopapasGold Commentor

Death from cardiovascular causes, stroke, or hospitalization with worsening of heart failure or acute coronary syndrome was reduced (P=0.005) by early pharmacogical or inteventional ablation for fast response-atrial fibrillation in...

JANS Article

Dual Antiplatelet Therapy After Percutaneous Coronary Intervention and Drug-Eluting Stents: A Systematic Review and Network Meta-Analysis

September 15, 2020 | Aristotle ProtopapasGold Commentor

An open-access large metanalysis on the utility and risks of antiplatelets after PCI. Of note, mortality was not a primary endpoint. The message is that long dual antiplatelet use is...

JANS Article

Obesity Phenotypes, Diabetes, and Cardiovascular Diseases

May 23, 2020 | Aristotle ProtopapasGold Commentor

a readable review that advances the position that Adolphe Quetelet’s formula is now clinically obsolete

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JANS Article

Empty Non-Coronavirus Beds Raise Fears That Sickest Are Avoiding NHS

April 13, 2020 | Aristotle ProtopapasGold Commentor

Topical review on the epidemic in Britain, with a number of observations that relate to the cardiothoracic surgeons and all healthcare professionals: -The assertion that the National Health Service in...

JANS Article

Identification of Functional Variant Enhancers Associated With Atrial Fibrillation

April 9, 2020 | Aristotle ProtopapasGold Commentor

Another refreshing change of pace with an interesting pre-translational contibution to the genetics of atrial dysrhythmias.

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