Andrew Archbold
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View article: Cost-Effectiveness of Early Discharge (<48 Hours) for Low-Risk Patients Following PPCI for STEMI
Cost-Effectiveness of Early Discharge (<48 Hours) for Low-Risk Patients Following PPCI for STEMI Open
Selected low-risk patients can be discharged securely and safely following successful primary percutaneous coronary intervention using a pathway that is reinforced by a formal, multidisciplinary virtual follow-up program, enabling improvem…
View article: The Association of Socioeconomic Status (SES) with Procedural Management and Mortality After Percutaneous Coronary Intervention (PCI): An Observational Study from the Pan-London PCI (BCIS) Registry
The Association of Socioeconomic Status (SES) with Procedural Management and Mortality After Percutaneous Coronary Intervention (PCI): An Observational Study from the Pan-London PCI (BCIS) Registry Open
Background: Lower socioeconomic status (SES) has been associated with increased mortality from coronary heart disease. This excess risk, relative to affluent patients, may be due to a combination of more adverse cardiovascular-risk factors…
View article: The Association of Socioeconomic Status (SES) with Procedural Management and Mortality After Percutaneous Coronary Intervention (PCI): An Observational Study from the Pan-London PCI (BCIS) Registry
The Association of Socioeconomic Status (SES) with Procedural Management and Mortality After Percutaneous Coronary Intervention (PCI): An Observational Study from the Pan-London PCI (BCIS) Registry Open
Background:Lower socioeconomic status (SES) has been associated with increased mortality from coronary heart disease. This excess risk, relative to affluent patients, may be due to a combination of more adverse cardiovascular‐risk factors,…
View article: 236 Evaluation of a rapid access chest pain clinic service and the role of coronary anatomical and functional imaging
236 Evaluation of a rapid access chest pain clinic service and the role of coronary anatomical and functional imaging Open
Introduction Rapid Access Chest Pain Clinics (RACPC) provide quick and early specialist Cardiology assessment. We analysed the referrals to our RACPC to evaluate the diagnostic pathway and assess adherence to national guidelines in the man…
View article: Timing of Major Postoperative Bleeding Among Patients Undergoing Surgery
Timing of Major Postoperative Bleeding Among Patients Undergoing Surgery Open
Importance Although major bleeding is among the most common and prognostically important perioperative complications, the relative timing of bleeding events is not well established. This information is critical for preventing bleeding comp…
View article: Mortality and major postoperative complications within one year after vascular surgery: a prospective cohort study
Mortality and major postoperative complications within one year after vascular surgery: a prospective cohort study Open
The incidence of major postoperative complications after vascular surgery is high. The occurrence of MINS is associated with a nearly 3‑fold increase in 1‑year mortality.
View article: The safety of deferred coronary angiography in COVID-19 patients with acute coronary syndrome: the Barts COVID recovered pathway.
The safety of deferred coronary angiography in COVID-19 patients with acute coronary syndrome: the Barts COVID recovered pathway. Open
This study demonstrates the safety and effectiveness of deferred coronary angiography on a COVID-Recovered pathway after a period of medical management for patients presenting with NSTEMI and concurrent COVID-19 infection. There was no adv…
View article: Comparison of thrombus burden in patients with COVID-19 presenting with ST-segment elevation myocardial infarction across the three waves of outbreak in the United Kingdom
Comparison of thrombus burden in patients with COVID-19 presenting with ST-segment elevation myocardial infarction across the three waves of outbreak in the United Kingdom Open
Background It has been previously reported during the first COVID outbreak that patients presenting with ST-Segment Elevation Myocardial Infarction (STEMI) and concurrent COVID-19 infection have increased thrombus burden and poorer outcome…
View article: United Kingdom standards for non-invasive cardiac imaging: recommendations from the Imaging Council of the British Cardiovascular Society
United Kingdom standards for non-invasive cardiac imaging: recommendations from the Imaging Council of the British Cardiovascular Society Open
Heart and circulatory diseases affect more than seven million people in the UK. Non-invasive cardiac imaging is a critical element of contemporary cardiology practice. Progressive improvements in technology over the last 20 years have incr…
View article: Joint British Societies’ guideline on management of cardiac arrest in the cardiac catheter laboratory
Joint British Societies’ guideline on management of cardiac arrest in the cardiac catheter laboratory Open
More than 300 000 procedures are performed in cardiac catheter laboratories in the UK each year. The variety and complexity of percutaneous cardiovascular procedures have both increased substantially since the early days of invasive cardio…
View article: Validity of inducible ischaemia as a surrogate for adverse outcomes in stable coronary artery disease
Validity of inducible ischaemia as a surrogate for adverse outcomes in stable coronary artery disease Open
Regional myocardial ischaemia is commonly expressed as exertional angina in patients with stable coronary artery disease (CAD). It also associates with prognosis, risk tending to increase with the severity of ischaemia. The validity of myo…
View article: Feasibility of real-time capture of routine clinical data in the electronic health record: a hospital-based, observational service-evaluation study
Feasibility of real-time capture of routine clinical data in the electronic health record: a hospital-based, observational service-evaluation study Open
Objectives The electronic health record (EHR) is underused in the hospital setting. The aim of this service evaluation study was to respond to National Health Service (NHS) Digital’s ambition for a paperless NHS by capturing routinely coll…
View article: PCI or CABG for unprotected left main coronary artery disease?—new evidence justifies a change in perspective R. Andrew Archbold
PCI or CABG for unprotected left main coronary artery disease?—new evidence justifies a change in perspective R. Andrew Archbold Open
Unprotected left main coronary artery disease (ULMD) is associated with an adverse prognosis (1,2). It was demonstrated almost a quarter of a century ago that patients with ULMD derive long-term prognostic benefit from coronary artery bypa…
View article: A Prospective International Multicentre Cohort Study of Intraoperative Heart Rate and Systolic Blood Pressure and Myocardial Injury After Noncardiac Surgery: Results of the VISION Study
A Prospective International Multicentre Cohort Study of Intraoperative Heart Rate and Systolic Blood Pressure and Myocardial Injury After Noncardiac Surgery: Results of the VISION Study Open
BACKGROUND: The association between intraoperative cardiovascular changes and perioperative myocardial injury has chiefly focused on hypotension during noncardiac surgery. However, the relative influence of blood pressure and heart rate (H…
View article: 100 Powerform for real-time entry of routine cardiac outpatient data into the electronic health record: application for audit and research
100 Powerform for real-time entry of routine cardiac outpatient data into the electronic health record: application for audit and research Open
Background The electronic health record (EHR) is the major repository of clinical data in the NHS. It is a huge potential resource but remains severely under-utilised to the point that almost none of the UK’s audit and research output is b…
View article: Myocardial Injury After Noncardiac Surgery (MINS) in Vascular Surgical Patients
Myocardial Injury After Noncardiac Surgery (MINS) in Vascular Surgical Patients Open
Objective: To determine the prognostic relevance, clinical characteristics, and 30-day outcomes associated with myocardial injury after noncardiac surgery (MINS) in vascular surgical patients. Background: MINS has been independently associ…
View article: Association between preoperative pulse pressure and perioperative myocardial injury: an international observational cohort study of patients undergoing non-cardiac surgery
Association between preoperative pulse pressure and perioperative myocardial injury: an international observational cohort study of patients undergoing non-cardiac surgery Open
Preoperative pulse pressure >62 mm Hg was associated with myocardial injury, independent of systolic blood pressure. Elevated pulse pressure may be a useful clinical sign to guide strategies to reduce perioperative myocardial injury.
View article: An exploratory randomized control study of combination cytokine and adult autologous bone marrow progenitor cell administration in patients with ischaemic cardiomyopathy: the <scp>REGENERATE‐IHD</scp> clinical trial
An exploratory randomized control study of combination cytokine and adult autologous bone marrow progenitor cell administration in patients with ischaemic cardiomyopathy: the <span>REGENERATE‐IHD</span> clinical trial Open
Aims The effect of combined cytokine and cell therapy in ischaemic cardiomyopathy is unknown. Meta‐analyses suggest improved cardiac function with cell therapy. The optimal cell delivery route remains unclear. We investigated whether granu…
View article: Preoperative heart rate and myocardial injury after non-cardiac surgery: results of a predefined secondary analysis of the VISION study
Preoperative heart rate and myocardial injury after non-cardiac surgery: results of a predefined secondary analysis of the VISION study Open
NCT00512109.
View article: Comparison between National Institute for Health and Care Excellence (NICE) and European Society of Cardiology (ESC) guidelines for the diagnosis and management of stable angina: implications for clinical practice
Comparison between National Institute for Health and Care Excellence (NICE) and European Society of Cardiology (ESC) guidelines for the diagnosis and management of stable angina: implications for clinical practice Open
Cardiologists in the UK use clinical practice guidelines from the National Institute for Health and Care Excellence (NICE) and from the European Society of Cardiology (ESC) to aid clinical decision-making. This review compares their recomm…