Does routine pressure wire assessment influence management strategy at coronary angiography for diagnosis of chest pain?: the RIPCORD study. by Curzen, N, Rana, O, Nicholas, Z, Golledge, P, Zaman, A, Oldroyd, K, Hanratty, C, Banning, A, Wheatcroft, S, Hobson, A, Chitkara, K, Hildick-Smith, D, McKenzie, D, Calver, A, Dimitrov, B, Corbett, S

“…BACKGROUND: The use of coronary angiography (CA) for diagnosis and management of chest pain (CP) has several flaws. The assessment of coronary artery disease using fractional flow reserve (FFR) is a well-validated technique for describing lesion-level ischemia and improves clinical outcome in the context of percutaneous coronary intervention. …”

THE USEFULNESS OF EARLY CARDIOVASCULAR MAGNETIC RESONANCE IN PATIENTS PRESENTING WITH ACUTE CHEST PAIN, POSITIVE TROPONIN AND NON-OBSTRUCTIVE CORONARY ARTERIES by Ferreira, V, Dall'Armellina, E, Piechnik, S, Karamitsos, T, Francis, J, Choudhury, R, Channon, K, Banning, A, Kharbanda, R, Forfar, C, Ormerod, O, Prendergast, B, Kardos, A, Basagiannia, C, Newton, J, Friedrich, M, Robson, M, Neubauer, S

121 High Diagnostic Yield in Patients Presenting with Acute Chest Pain, Positive Troponins but non-obstructive Coronaries by Cardiovascular Magnetic Resonance imaging with Conventional and Novel T1 Mapping Techniques. by Ferreira, V, Dall'Armellina, E, Piechnik, S, Karamitsos, T, Francis, J, Choudhury, R, Channon, K, Kharbanda, R, Forfar, C, Ormerod, O, Prendergast, B, Banning, A, Kardos, A, Newton, J, Friedrich, M, Robson, M, Neubauer, S

“…INTRODUCTION: Up to 10% of patients presenting with chest pain and elevated troponin levels demonstrate non-obstructive coronary arteries on angiography, posing a clinical challenge in diagnosis, prognosis and management. …”

A bleeding kiss: intramural haematoma secondary to balloon angioplasty. by Shirodaria, C, Van Gaal, W, Banning, A

“…Although intravascular ultrasound examination (IVUS) of both the LAD and Cx showed both vessels to be widely patent at the end of the procedure, she developed ischaemic chest pain six hours later. Repeat coronary angiography revealed a significant stenosis in the proximal Cx vessel, which was confirmed on IVUS to be intramural haematoma. …”

Tolerance and safety of adenosine stress perfusion cardiovascular magnetic resonance imaging in patients with severe coronary artery disease. by Karamitsos, T, Arnold, JR, Pegg, T, Cheng, A, van Gaal, W, Francis, J, Banning, A, Neubauer, S, Selvanayagam, J

“…There were no sustained episodes of advanced AV block. Transient chest pain was the most common side effect (199 subjects-57%). …”

The warm-up effect protects against ischemic left ventricular dysfunction in patients with angina. by Kelion, A, Webb, T, Gardner, M, Ormerod, O, Banning, A

“…Global LV ejection fraction and volume changes and regional ejection fraction for nine LV sectors were calculated for each acquisition. RESULTS: Onset of chest pain or 1 mm ST depression was delayed and occurred at a higher rate-pressure product during the second exercise test. …”

A vector-based, 5-electrode, 12-lead monitoring ECG (EASI) is equivalent to conventional 12-lead ECG for diagnosis of acute coronary syndromes. by Wehr, G, Peters, R, Khalifé, K, Banning, A, Kuehlkamp, V, Rickards, A, Sechtem, U

“…METHODS: Electrocardiograms (EASI and cECG) were obtained in 203 patients with chest pain on admission and 4 to 8 hours later. Both types of ECGs were graded as ST-elevation myocardial infarction if at least 1 of the 2 consecutive recordings showed ST elevation more than 0.2 mV, as ACS if one or both showed ST elevation less than 0.2 mV, T-wave inversion, or ST depression. …”

Long term outcome of elective day case percutaneous coronary intervention in patients with stable angina. by van Gaal, W, Arnold, JR, Porto, I, Jennings, B, Ashar, V, Schrale, R, Banning, A

“…Reasons for failed discharge were hematoma formation (n=7, 1.4%), coronary dissection (n=4, 0.8%), post-procedural chest pain (n=3, 0.6%), prolonged procedure (n=2, 0.4%), and 1 each of acute stent thrombosis, coronary perforation, anaphylaxis, minor drug reaction and a functional study for untreated disease. …”

Tolerance and safety of adenosine stress perfusion cardiovascular magnetic resonance imaging in patients with severe coronary artery disease by Karamitsos, T, Arnold, JR, Pegg, T, Cheng, A, van Gaal, W, Francis, J, Banning, A, Neubauer, S, Selvanayagam, J

“…There were no sustained episodes of advanced AV block. Transient chest pain was the most common side effect (199 subjects-57%). …”

Does a selective adenosine A(1) receptor agonist protect against exercise induced ischaemia in patients with coronary artery disease? by Kelion, A, Webb, T, Gardner, M, Ormerod, O, Shepherd, G, Banning, A

“…RESULTS: The onset of chest pain or 1 mm ST depression was delayed and occurred at a higher rate-pressure product during the second exercise test following either placebo or GR79236. …”

Cardiovascular magnetic resonance by non contrast T1-mapping allows assessment of severity of injury in acute myocardial infarction. by Dall'Armellina, E, Piechnik, S, Ferreira, V, Si, Q, Robson, M, Francis, J, Cuculi, F, Kharbanda, R, Banning, A, Choudhury, R, Karamitsos, T, Neubauer, S

“…METHODS: 3T CMR including T2W, T1-mapping and LGE was performed in 41 patients [of these, 78% were ST elevation MI (STEMI)] with acute MI at 12-48 hour after chest pain onset and at 6 months (6M). Patients with STEMI underwent primary PCI prior to CMR. …”

Can a selective adenosine A1-agonist protect against exercise-induced ischaemic left ventricular dysfunction? by Kelion, A, Webb, T, Gardner, M, Ormerod, O, Banning, A

“…During the second of two ex tests following either placebo or drug, the onset of chest pain or 1mm ST depression was delayed and occurred at a higher rate-pressure product, whilst the mean REF of ischaemic sectors increased (P<0.05). …”

Cardiovascular magnetic resonance perfusion imaging at 3-tesla for the detection of coronary artery disease: a comparison with 1.5-tesla. by Cheng, A, Pegg, T, Karamitsos, T, Searle, N, Jerosch-Herold, M, Choudhury, R, Banning, A, Neubauer, S, Robson, M, Selvanayagam, J

“…METHODS: Sixty-one patients (age 64 +/- 8 years) referred for elective diagnostic coronary angiography (CA) for investigation of exertional chest pain were studied (before angiogram) with first-pass perfusion CMR at both 1.5- and 3-T and at stress (140 microg/kg/min intravenous adenosine, Adenoscan, Sanofi-Synthelabo, Guildford, United Kingdom) and rest. …”