Myocardial Infarction

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, spontaneous myocardial infarction (MI) was...

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

Initial Invasive or Conservative Strategy for Stable Coronary Disease

April 3, 2020 | Wei-Guo Ma

In the ISCHEMIA Trial, 5179 patients with moderate or severe myocardial ischemia were randomized equally into two groups based on initial management strategy: initial invasive strategy (angiography and revascularization when...

JANS Article

Vascular Outcomes Study of ASA Along With Rivaroxaban in Endovascular or Surgical Limb Revascularization for Peripheral Artery Disease – VOYAGER PAD

April 1, 2020 | Aristotle ProtopapasGold Commentor

Short but promising follow-up: the intervention appears again to trade off short-term peripheral vascular complications for hitherto semi-qualified MAJOR bleed in patients undergoing revascularization for peripheral vascular disease, for an...

JANS Article

Percutaneous Coronary Angioplasty Versus Coronary Artery Bypass Grafting in Treatment of Unprotected Left Main Stenosis (NOBLE): A Prospective, Randomised, Open-Label, Non-Inferiority Trial

January 10, 2020 | Aristotle ProtopapasGold Commentor

‘CABG was significantly better than PCI (p=0·0066……..”

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JANS Article

Inflammation as a Treatment Target After Acute Myocardial Infarction

November 18, 2019 | Aristotle ProtopapasGold Commentor

An editorial related to a recent randomized controlled trial suggesting a striking benefit of anti-inflammatory secondary prevention after recent myocardial events.

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JANS Article

Peripheral Vasoconstriction During Mental Stress and Adverse Cardiovascular Outcomes in Patients With Coronary Artery Disease

October 26, 2019 | Aristotle ProtopapasGold Commentor

Interesting clinicolaboratory experiment: Any translational value for the coronary surgeon and the cardiologist remains to be seen, especially regarding the risk stratification and prioritization for urgent (inpatient) revascularisation. Also, the...

JANS Article

Complete Revascularization with Multivessel PCI for Myocardial Infarction

October 19, 2019 | Aristotle ProtopapasGold Commentor

Quite interesting to see that the incidence of revascularisation after multivessel PCA (the additional element on the second co-primary outcome) appears to have occured in more than 1% of the...

JANS Article

The Gender Gap in ACS: Sex-Specific Thresholds of High-Sensitivity Troponin in Patients With Suspected Acute Coronary Syndrome

October 15, 2019 | Mark FergusonBronze Contributor

Using gender specific thresholds for abnormalities in cardiac troponin I, the rate of injury among women increased by 42%. This did not translate into improved management of women, who remained...

JANS Article

A More COMPLETE Picture of Revascularization in STEMI

September 1, 2019 | Aristotle ProtopapasGold Commentor

Interesting viewpoint of a cardiologist on low-SYNTAX subjects.

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