{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T16:04:45Z","timestamp":1758125085285,"version":"3.37.3"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T00:00:00Z","timestamp":1595203200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Romanian Academy of Medical Sciences","award":["MySMIS 107124"],"award-info":[{"award-number":["MySMIS 107124"]}]},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","award":["MySMIS 107124"],"award-info":[{"award-number":["MySMIS 107124"]}],"id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergency Medicine International"],"published-print":{"date-parts":[[2020,7,20]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Inappropriate cardiac catheterization lab activation together with false-positive angiographies and no-culprit found coronary interventions are now reported as costly to the medical system, influencing STEMI process efficiency. We aimed to analyze data from a high-volume interventional centre (&gt;1000 primary PCIs\/year) exploring etiologies and reporting characteristics from all \u201cblank\u201d coronary angiographies in STEMI. Methods. In this retrospective observational single-centre cohort study, we reported two-year data from a primary PCI registry (2035 patients). \u201cAngio-only\u201d cases were assigned to one of these categories: (a) Takotsubo syndrome; (b) coronary embolisation; (c) myocardial infarction with nonobstructive coronary arteries; (d) myocarditis; (e) CABG-referred; (f) normal coronary arteries (mostly diagnostic errors); and (g)others (refusals and death prior angioplasty). Univariate analysis assessed correlations between each category and cardiovascular risk factors. Results. 412 STEMI patients received coronary angiography \u201conly,\u201d accounting for 20.2% of cath lab activations. Barely 77 patients had diagnostic errors (3.8% from all patients) implying false-activations. 40% of \u201cangio-only\u201d patients (n\u2009=\u2009165) were referred to surgery due to severe atherosclerosis or mechanical complications. Patients with diagnostic errors and normal arteries displayed strong correlations with all cardiovascular risk factors. Probably, numerous risk factors \u201cconvinced\u201d emergency department staff to call for an angio. Conclusions. STEMI network professionals often confront with coronary angiography \u201conly\u201d situations. We propose a classification according to etiologies. Next, STEMI guidelines should include audit recommendations and specific thresholds regarding \u201cangio-only\u201d patients, with specific focus on MINOCA, CABG referrals, and diagnostic errors. These measures will have a double impact: a better management of the patient, and a clearer perception about the usefulness of the investments.<\/jats:p>","DOI":"10.1155\/2020\/9839281","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T23:33:57Z","timestamp":1595288037000},"page":"1-7","source":"Crossref","is-referenced-by-count":2,"title":["Peculiarities and Consequences of Different Angiographic Patterns of STEMI Patients Receiving Coronary Angiography Only: Data from a Large Primary PCI Registry"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3424-1588","authenticated-orcid":true,"given":"Alexandru","family":"Burlacu","sequence":"first","affiliation":[{"name":"Department of Interventional Cardiology, Cardiovascular Diseases Institute, \u201cGrigore T. Popa\u201d University of Medicine, Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1755-9674","authenticated-orcid":true,"given":"Grigore","family":"Tinica","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Cardiovascular Diseases Institute, \u201cGrigore T. Popa\u201d University of Medicine, Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogdan","family":"Artene","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology, Cardiovascular Diseases Institute, Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Simion","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology, Cardiovascular Diseases Institute, Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Savuc","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology, Cardiovascular Diseases Institute, Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9985-2486","authenticated-orcid":true,"given":"Adrian","family":"Covic","sequence":"additional","affiliation":[{"name":"Nephrology Clinic, Dialysis and Renal Transplant Center, \u201cC.I. Parhon\u201d University Hospital, Iasi, Romania"},{"name":"\u201cGrigore T. Popa\u201d University of Medicine, Iasi, Romania"},{"name":"The Academy of Romanian Scientists (AOSR), Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw149"},{"issue":"2","key":"2","first-page":"119","volume":"39","year":"2017","journal-title":"European Heart Journal"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2009.00372.x"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.4244\/eijv10sta14"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2009.07.001"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.13.1391"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2004.09.014"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.4.477"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1177\/2048872618782414"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1161\/jaha.118.009174"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.116.026336"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.114.011201"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1007\/bf03091790"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1177\/2048004019836365"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccl.2016.06.002"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2015.10.027"},{"issue":"4","key":"18","first-page":"295","volume":"10","year":"2015","journal-title":"Maedica"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/3402081"},{"issue":"20","key":"20","doi-asserted-by":"crossref","first-page":"2551","DOI":"10.1093\/eurheartj\/ehs184","volume":"33","year":"2012","journal-title":"European Heart Journal"},{"issue":"3","key":"21","first-page":"237","volume":"40","year":"2018","journal-title":"European Heart Journal"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy076"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1161\/circinterventions.117.005587"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.08.057"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1007\/bf03086271"},{"issue":"3","key":"26","first-page":"143","volume":"38","year":"2016","journal-title":"European Heart Journal"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht210"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2013.02.009"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1016\/s0735-1097(99)00126-6"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs482"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2011.09.027"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.945"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1161\/jaha.115.002379"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.23.2754"}],"container-title":["Emergency Medicine International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2020\/9839281.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2020\/9839281.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2020\/9839281.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T23:34:03Z","timestamp":1595288043000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/emi\/2020\/9839281\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,20]]},"references-count":33,"alternative-id":["9839281","9839281"],"URL":"https:\/\/doi.org\/10.1155\/2020\/9839281","relation":{},"ISSN":["2090-2840","2090-2859"],"issn-type":[{"type":"print","value":"2090-2840"},{"type":"electronic","value":"2090-2859"}],"subject":[],"published":{"date-parts":[[2020,7,20]]}}}