MARC details
000 -LEADER |
fixed length control field |
04171nam a22005777a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
240723s20242024 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
1878-0938 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
S1553-8389(24)00114-3 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
38637194 |
245 ## - TITLE STATEMENT |
Title |
From chest pain to coronary functional testing: Clinical and economic impact of coronary microvascular dysfunction. |
251 ## - Source |
Source |
Cardiovascular Revascularization Medicine. 2024 Mar 28 |
252 ## - Abbreviated Source |
Abbreviated source |
Cardiovasc Revasc Med. 2024 Mar 28 |
253 ## - Journal Name |
Journal name |
Cardiovascular revascularization medicine : including molecular interventions |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2024 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Publication date |
2024 Mar 28 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
aheadofprint |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Medline status |
Publisher |
266 ## - Date added to catalog |
Date added to catalog |
2024-07-23 |
501 ## - WITH NOTE |
Local holdings |
Available in print through MWHC library: 2002 - present |
520 ## - SUMMARY, ETC. |
Abstract |
BACKGROUND: Coronary functional testing to formally diagnose coronary microvascular dysfunction (CMD) reduces cardiovascular events and alleviates angina. This study aims to investigate the extensive and complex journey that patients with CMD undergo, from the onset of chest pain to eventual diagnosis. |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSION: Timely identification of CMD offers promising opportunities for prompt symptom alleviation, accompanied by reduced visits to the emergency department, cardiovascular testing, invasive medical procedures, and consequently reduced healthcare expenses. Copyright © 2024. Published by Elsevier Inc. |
520 ## - SUMMARY, ETC. |
Abstract |
METHODS: Data from the Coronary Microvascular Disease Registry (CMDR) were analyzed, including information on the date of first documentation of chest pain, number of non-invasive and invasive tests the patient underwent, emergency department visits, and hospitalizations. In addition, we estimated the total cost per patient. A total of 61 patients with CMD diagnosis were included in this analysis. |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: Most patients in our cohort were older than 50 years of age. The median time from initial chest pain symptoms to diagnosis was 0.62 (interquartile range [IQR]: 0.06-2.96) years. During this period, patients visited the emergency department a median of 1.0 (IQR: 0.0-2.0) times. Diagnostic tests included 3.0 (IQR: 2.0-6.0) electrocardiograms, 3.0 (IQR: 0.0-6.0) high-sensitivity troponin tests, and 1.0 (IQR: 1.0-2.0) echocardiograms. Prior to diagnosis of CMD, 13 (21.3 %) patients had left heart catheterization without coronary functional testing. Non-invasive testing for ischemia was conducted in 43 (70.5 %) patients. Alternative non-cardiac diagnoses were given to 11 (18.0 %) patients during the diagnostic process, with referrals made to gastroenterology for 16 (26.2 %) and pulmonology for 10 (16.4 %) patients. The cost was almost |
Source |
000/patient. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Indexing |
Automated |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Health Research Institute |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Heart & Vascular Institute |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION |
Department |
Advanced Cardiac Catheterization Research Fellowship |
656 ## - INDEX TERM--OCCUPATION |
Department |
Cardiovascular Disease Fellowship |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Ben-Dor, Itsik |
Institution Code |
MHVI |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Case, Brian C |
Institution Code |
MHVI |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Chitturi, Kalyan |
Institution Code |
MWHC |
Program |
Advanced Cardiac Catheterization Research Fellowship |
Degree |
DO |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Hashim, Hayder |
Institution Code |
MHVI |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Hill, Andrew |
Institution Code |
MWHC |
Program |
Cardiovascular Disease Fellowship |
Degree |
MD |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Lopez, Kassandra |
Institution Code |
MHVI |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Merdler, Ilan |
Institution Code |
MHVI |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Ozturk, Sevket Tolga |
Institution Code |
MHVI |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Reddy, Pavan |
Institution Code |
MWHC |
Program |
Advanced Cardiac Catheterization Research Fellowship |
Degree |
MD |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Sawant, Vaishnavi |
Institution Code |
MHVI |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Waksman, Ron |
Institution Code |
MHVI |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Wallace, Ryan |
Institution Code |
MWHC |
Program |
Cardiovascular Disease Fellowship |
Degree |
MD |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Weintraub, William S |
Institution Code |
MHRI |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Zhang, Cheng |
Institution Code |
MHVI |
790 ## - Authors |
All authors |
Merdler I, Wallace R, Hill AP, Chitturi KR, Medranda GA, Reddy P, Zhang C, Ozturk ST, Sawant V, Weintraub WS, Lopez K, Ben-Dor I, Waksman R, Hashim HD, Case BC |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1016/j.carrev.2024.03.026">https://dx.doi.org/10.1016/j.carrev.2024.03.026</a> |
Public note |
https://dx.doi.org/10.1016/j.carrev.2024.03.026 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |