From chest pain to coronary functional testing: Clinical and economic impact of coronary microvascular dysfunction. (Record no. 14168)

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.
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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
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Indexing Automated
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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
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Institution MedStar Washington Hospital Center
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Department Advanced Cardiac Catheterization Research Fellowship
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Department Cardiovascular Disease Fellowship
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Medline publication type Journal Article
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Local Authors Ben-Dor, Itsik
Institution Code MHVI
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Local Authors Case, Brian C
Institution Code MHVI
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Local Authors Chitturi, Kalyan
Institution Code MWHC
Program Advanced Cardiac Catheterization Research Fellowship
Degree DO
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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
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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
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
              07/23/2024   38637194 38637194 07/23/2024 07/23/2024 Journal Article

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