ACCF/AHA 2011 Key Data Elements and Definitions of a Base Cardiovascular Vocabulary for Electronic Health Records

Weintraub, William S.; Karlsberg, Ronald P.; Tcheng, James E.; Boris, Jeffrey R.; Buxton, Alfred E.; Dove, James T.; Fonarow, Gregg C.; Goldberg, Lee R.; Heidenreich, Paul A.; Hendel, Robert C.; Jacobs, Alice K.; Lewis, William R.; Mirro, Michael J.; Shahian, David M.

doi:10.1016/j.jacc.2011.05.001

Cited by 62 publications

(31 citation statements)

References 17 publications

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“…Coronary angiograms were analyzed systematically for:

Vessel score : A Vessel score was calculated based on the number of vessels with significant obstructive coronary disease. The American College of Cardiology (ACC) taskforce definition from 2011 uses 50% stenosis to define significant vessel disease [5]. This definition was used for the left main coronary artery, right coronary, left anterior descending and left circumflex arteries.

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Section: Methodsmentioning

confidence: 99%

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Gender differences in the prevalence of coronary artery tortuosity and its association with coronary artery disease

Chiha

Mitchell

Gopinath

et al. 2017

IJC Heart & Vasculature

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BackgroundLittle is known about the significance of severe coronary tortuosity (SCT) despite it being a relatively common finding on coronary angiography. We examined whether the presence of tortuosity was influenced by gender or cardiac risk factors.Methods and resultsWe examined 870 patients (Men = 589, Women = 281) who presented to Westmead Hospital, Sydney, Australia for invasive coronary angiography for the assessment of chest pain due to suspected CAD. Female gender and age were significantly associated with SCT (p < 0.001 for age) with 45.2% of women having SCT as opposed to 19.7% of men (p < 0.001). Men with SCT had lower Extent scores only compared than those without tortuosity (22.4 vs. 32.4, p = 0.003). However, women with SCT had less severe coronary artery disease than those with no SCT as measured by both the Extent score (12.4 vs. 19.1, p = 0.03) and Gensini score (10.4 vs. 15.5, p = 0.02).ConclusionThere is a significant relationship between coronary artery tortuosity and gender. Women with severe tortuosity are more likely to have normal coronary arteries or less severe disease than men despite presenting with chest pain.

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“…Coronary angiograms were analyzed systematically for:

…”

Section: Methodsmentioning

confidence: 99%

“…The American College of Cardiology (ACC) taskforce definition from 2011 uses 50% stenosis to define significant vessel disease [5]. This definition was used for the left main coronary artery, right coronary, left anterior descending and left circumflex arteries.…”

Section: Methodsmentioning

confidence: 99%

Gender differences in the prevalence of coronary artery tortuosity and its association with coronary artery disease

Chiha

Mitchell

Gopinath

et al. 2017

IJC Heart & Vasculature

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“…Multivariable logistic regression analysis adjusting for age (treated as continuous variable), sex (female versus male), race (white versus all others), location of arrest (home versus all others), bystander cardiopulmonary resuscitation (yes versus no), ST‐segment elevation myocardial infarction on ECG, witnessed arrest (yes versus no) and prior history of percutaneous coronary intervention, coronary artery bypass graft (CABG) surgery, previous myocardial infarction, diabetes mellitus, congestive heart failure, hyperlipidemia, and tobacco use was used to assess whether early access to the CCL was a predictor of survival with favorable neurological function. Clinical and demographic variables were obtained from medical records and defined according to the American College of Cardiology Foundation/American Heart Association 2011 Key Data Elements and Definitions of a Base Cardiovascular Vocabulary for Electronic Health Records 15. Predictors of survival to discharge were assessed using logistic regression models.…”

Section: Methodsmentioning

confidence: 99%

Early Access to the Cardiac Catheterization Laboratory for Patients Resuscitated From Cardiac Arrest Due to a Shockable Rhythm: The Minnesota Resuscitation Consortium Twin Cities Unified Protocol

García

Drexel

Bekwelem

et al. 2016

JAHA

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BackgroundIn 2013 the Minnesota Resuscitation Consortium developed an organized approach for the management of patients resuscitated from shockable rhythms to gain early access to the cardiac catheterization laboratory (CCL) in the metro area of Minneapolis‐St. Paul.Methods and ResultsEleven hospitals with 24/7 percutaneous coronary intervention capabilities agreed to provide early (within 6 hours of arrival at the Emergency Department) access to the CCL with the intention to perform coronary revascularization for outpatients who were successfully resuscitated from ventricular fibrillation/ventricular tachycardia arrest. Other inclusion criteria were age >18 and <76 and presumed cardiac etiology. Patients with other rhythms, known do not resuscitate/do not intubate, noncardiac etiology, significant bleeding, and terminal disease were excluded. The primary outcome was survival to hospital discharge with favorable neurological outcome. Patients (315 out of 331) who were resuscitated from VT/VF and transferred alive to the Emergency Department had complete medical records. Of those, 231 (73.3%) were taken to the CCL per the Minnesota Resuscitation Consortium protocol while 84 (26.6%) were not taken to the CCL (protocol deviations). Overall, 197 (63%) patients survived to hospital discharge with good neurological outcome (cerebral performance category of 1 or 2). Of the patients who followed the Minnesota Resuscitation Consortium protocol, 121 (52%) underwent percutaneous coronary intervention, and 15 (7%) underwent coronary artery bypass graft. In this group, 151 (65%) survived with good neurological outcome, whereas in the group that did not follow the Minnesota Resuscitation Consortium protocol, 46 (55%) survived with good neurological outcome (adjusted odds ratio: 1.99; [1.07–3.72], P=0.03).ConclusionsEarly access to the CCL after cardiac arrest due to a shockable rhythm in a selected group of patients is feasible in a large metropolitan area in the United States and is associated with a 65% survival rate to hospital discharge with a good neurological outcome.

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“…The analyzing cardiologist was masked to patient medical history and investigation results.

Vessel score: A vessel score was calculated based on the number of vessels with significant obstructive coronary disease. The 2011 American College of Cardiology (ACC) taskforce definition uses 50% stenosis to define significant vessel disease [12]. This definition was used for the left main coronary artery, right coronary, left anterior descending and left circumflex arteries.

…”

Section: Methodsmentioning

confidence: 99%

Gender differences in the severity and extent of coronary artery disease

Chiha

Mitchell

Gopinath

et al. 2015

IJC Heart & Vasculature

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ObjectiveTo investigate whether women presenting with suspected angina would show less severe coronary artery disease in than men as determined by the extent score.MethodsWe examined 994 participants of the Australian Heart Eye Study presenting for coronary angiography in the investigation of chest pain from June 2009 to February 2012. People were excluded if there was a history of coronary artery bypass surgery, previous stenting procedure or incomplete angiogram scoring. An extent and vessel score was calculated using invasive coronary angiography. Normal coronary arteries were defined as having no luminal irregularity (Extent score = 0). Obstructive coronary artery disease was defined as a luminal narrowing of greater than 50%.ResultsWomen compared to men without infarction had a lower burden of CAD with up to 50% having normal coronary arteries in the 30–44 year group and 40% in the 45–59 year group. Compared to men, women with chest pain had lower mean extent scores (19.6 vs 36.8; P < 0.0001) and lower vessel scores (0.7 v 1.3; P < 0.0001). Although the mean extent score was lower in women than men with myocardial infarction, this was not statistically significant (34.8 vs 41.6 respectively; P = 0.18).ConclusionThere is a marked difference in coronary artery disease severity and burden between females and males presenting for the investigation of suspected angina. Women are more likely to have normal coronary arteries or less severe disease than age-matched men, particularly if they do not present with myocardial infarction.

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ACCF/AHA 2011 Key Data Elements and Definitions of a Base Cardiovascular Vocabulary for Electronic Health Records

Cited by 62 publications

References 17 publications

Gender differences in the prevalence of coronary artery tortuosity and its association with coronary artery disease

Gender differences in the prevalence of coronary artery tortuosity and its association with coronary artery disease

Early Access to the Cardiac Catheterization Laboratory for Patients Resuscitated From Cardiac Arrest Due to a Shockable Rhythm: The Minnesota Resuscitation Consortium Twin Cities Unified Protocol

Gender differences in the severity and extent of coronary artery disease

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