000			03608nam a22005057a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a1878-0938
024			_aS1553-8389(24)00169-6 [pii]
040			_aOvid MEDLINE(R)
099			_a38724408
245			_aComparing planned versus ad hoc coronary microvascular assessment: Early findings from the Coronary Microvascular Disease Registry.
251			_aCardiovascular Revascularization Medicine. 2024 Apr 12
252			_aCardiovasc Revasc Med. 2024 Apr 12
253			_aCardiovascular revascularization medicine : including molecular interventions
260			_c2024
260			_fFY2024
260			_p2024 Apr 12
265			_saheadofprint
265			_tPublisher
266			_d2024-08-07
266			_z2024/05/09 22:01
501			_aAvailable in print through MWHC library: 2002 - present
520			_aBACKGROUND: Coronary microvascular dysfunction (CMD) is an etiology for angina with non-obstructive coronary disease. However, the initial adoption of CMD assessment, whether planned or conducted ad hoc, is limited. We characterize planned and ad hoc CMD assessments and highlight evolving trends of a CMD referral center.
520			_aCLINICAL TRIAL REGISTRATION: Coronary Microvascular Disease (CMD) Registry, NCT05960474, https://clinicaltrials.gov/study/NCT05960474. Copyright © 2024. Published by Elsevier Inc.
520			_aCONCLUSION: CMD referral centers' planned procedures, and subsequent positive cases, increased over time. This emphasizes the importance of planned procedures, appropriate patient selection, and increased awareness of CMD among healthcare providers.
520			_aMETHODS: We analyzed outpatient data from the Coronary Microvascular Disease Registry from 2021 to 2023. Patients were categorized into planned or ad hoc CMD assessment groups, and baseline characteristics, hospital stay, medications, and physiological measurements were compared. Secondary analysis evaluated a CMD referral center's evolution.
520			_aRESULTS: Of 101 included outpatients, 67.3 % underwent ad hoc procedures and 32.7 % planned procedures. Average age was 63.1 +/- 10.1 years. The planned procedure group was 87.9 % female, and the ad hoc procedure group was 51.5 % female. There were no significant differences in index of microvascular resistance or coronary flow reserve between groups. Hospital stay duration was <1 day for both groups, and neither reported complications. Ad hoc patients were more frequently prescribed aspirin before (64.7 % vs. 36.4 %, p = 0.007) and after the procedure (66.2 % vs. 39.4 %, p = 0.01). CMD rates were higher for planned procedures (30.3 % vs. 10.3 %, p = 0.01). We observed that CMD referral centers have more planned procedures and a higher rate of positive results over time.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
650			_zAutomated
651			_aMedStar Heart & Vascular Institute
657			_aJournal Article
700			_aBazarbashi, Nadjat _bMHVI
700			_aBen-Dor, Itsik _bMHVI
700			_aCase, Brian C _bMHVI
700			_aHashim, Hayder _bMHVI
700			_aMerdler, Ilan _bMHVI
700			_aOzturk, Sevket Tolga _bMHVI
700			_aSawant, Vaishnavi _bMHVI
700			_aWaksman, Ron _bMHVI
700			_aZhang, Cheng _bMHVI
790			_aMerdler I, Bazarbashi N, Medranda GA, Zhang C, Ozturk ST, Sawant V, Ben-Dor I, Waksman R, Hashim HD, Case BC
856			_uhttps://dx.doi.org/10.1016/j.carrev.2024.04.017 _zhttps://dx.doi.org/10.1016/j.carrev.2024.04.017
942			_cART _dArticle
999			_c14436 _d14436