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Calibrated integrated backscatter and
Calibrated integrated backscatter and

... Results: Total fibrosis ( picrosirius red staining) varied from 0.7% to 4%, and in contrast to previous reports, cIB showed weak inverse associations with total fibrosis (r=−0.32, p=0.047) and interstitial fibrosis (r=−0.34, p=0.03). However, cIB was not significantly associated with other histologi ...
Major bleeding events in Jordanian patients
Major bleeding events in Jordanian patients

... Objective: Determine the incidence of major bleeding events, their risk factors, and their impact on prognosis in Jordanian patients undergoing percutaneous coronary intervention (PCI). Evaluate the ability of the CRUSADE bleeding risk score (BRS) to predict major bleeding. Methods: Major bleeding e ...
Methamphetamine, “Bath Salts,” and other Amphetamine
Methamphetamine, “Bath Salts,” and other Amphetamine

... and second generation agents ziprasidone and olanzapine have all been successfully used in this setting. Benzodiazepines and antipsychotics may be used alone or in combination. In the only large scale randomized study to date of treatment of methamphetamine users in the ED, Richards and Derlet compa ...
Noninvasive Evaluation of Myocardial Ischemia and Left
Noninvasive Evaluation of Myocardial Ischemia and Left

... older). The case fatality has fallen considerably. In 1995, 41% of men and 45% of women died within 28 days after a myocardial infarction, while in 2006 the corresponding numbers were 30% vs. 33%. The somewhat higher mortality in women is mainly related to the fact that they are older than the men w ...
Comparison of myocardial blood flow induced by adenosine
Comparison of myocardial blood flow induced by adenosine

... absolute myocardial blood flow (MBF) and myocardial flow reserve index (MFR) with ATP and dipyridamole (DIP) in patients with CAD. MBF was quantified by 15O-H2O PET in 21 patients with CAD (17 male, 4 female), aged 55 to 81 years. MBF was measured at rest, during intravenous injection of ATP (0.16 m ...
Incidence, predictors and prognostic implications of
Incidence, predictors and prognostic implications of

... 95% CI 1,20 do 7,61; p = 0,019), ali nije bilo nezavisan prediktor MACE u modelu korigovanom za sve faktore rizika. ...
Comprehensive Bio‐Imaging Using Myocardial Perfusion Reserve
Comprehensive Bio‐Imaging Using Myocardial Perfusion Reserve

... infarction or severe arrhythmia) and all-cause mortality were recorded. Other cardiac events included nonfatal myocardial infarction and percutaneous coronary intervention (PCI). The reasons for PCI (myocardial infarction, unstable angina or heart failure symptoms including progressive dyspnea as an ...
Case Report Takotsubo Cardiomyopathy and Canalith
Case Report Takotsubo Cardiomyopathy and Canalith

... et al, 1994) and catecholamine-mediated microvascular reaction (Ueyama et al, 2003). Japanese physicians identified that the predominant and significant factor present in all cases of takotsubo cardiomyopathy is internal (emotional) or external (physiological) stress. They found that the death or fu ...
AHA Scientific Statement
AHA Scientific Statement

... clinical evaluation94,95 with a very high success rate of implantation. An ASD less than 13 mm was found to be the only echocardiographic predictor of effective closure using the Clamshell device.96 The trial was suspended because of the high incidence of incidental device arm fracture (42%)97 disco ...
Cardiac arrhythmias in coronary heart disease.
Cardiac arrhythmias in coronary heart disease.

... This guideline is not intended to be construed or to serve as a standard of care. Standards of care are determined on the basis of all clinical data available for an individual case and are subject to change as scientific knowledge and technology advance and patterns of care evolve. Adherence to gui ...
Improvement in coronary circulatory function in morbidly obese
Improvement in coronary circulatory function in morbidly obese

... MBF (NMBF) at rest, however, was comparable among groups. CPT-induced sympathetic stimulation did lead to a significant increase in the heart rate and SBP in each group, so that the RPP was significantly higher during CPT than at baseline (Table 2). CPT-related increase in SBP, however, was higher i ...
for Chronic Stable Angina
for Chronic Stable Angina

... Guidelines for the management of chronic stable angina have been released by the American College of Cardiology and the American Heart Association (ACCAHA),5 and the Canadian Cardiovascular Society (CCS).11 The clinical management of stable angina involves relieving symptoms, slowing the progression ...
Volume 11, January-December 2005
Volume 11, January-December 2005

... Seventy-nine patients were included in the study. They were divided into two groups, those with insignificant TR and those with significant TR immediately after successful PMV. Majority of the population were female with mean age of 33 ± 8 and 32 ± 9.5 respectively. Tricuspid regurgitation was resol ...
Falls-associated elevation of troponin level in an older woman with
Falls-associated elevation of troponin level in an older woman with

... Troponin raised after angioplasty might be the result of procedural complications such as side branch occlusion and thrombus formation.13 In heart failure, apoptosis, myocyte damage from neurohumoral activation and inflammatory cytokines might lead to troponin increase.14 Acute right ventricular str ...
anticoagulantpresent..
anticoagulantpresent..

... • Additionally, clopidogrel is used to prevent thrombotic events associated with percutaneous coronary intervention with or without coronary stent. ...
Efficacy of Two Streptokinase Formulations in Acute Myocardial
Efficacy of Two Streptokinase Formulations in Acute Myocardial

... quality control laboratories,3 but also clinical implications have frequently confirmed this claim through different investigations. More importantly, there are several means by which the efficacy and success rate of a thrombolytic agent in bringing back the patency of vessels can be evaluated. As a ...
Value of left ventricular ejection fraction during exercise in
Value of left ventricular ejection fraction during exercise in

... A-HAMID HAKKI, MD, FACC, SALLY A. KANE, RN, BERNARD L. SEGAL, MD, FACC Philadelphia, Pennsylvania ...
Role of ATP-Sensitive K` Channel on ECG ST Segment
Role of ATP-Sensitive K` Channel on ECG ST Segment

... marked shortening of the action potential or activation of KATP after the administration of pinacidil as well as in the presence of metabolic derangements.5,8-10 Yan et a123 recently questioned the role of KATP as the major cause of action potential shortening in ischemia of an isolated blood-perfus ...
326-1468-2-SP - International Cardiovascular Forum Journal
326-1468-2-SP - International Cardiovascular Forum Journal

... being younger and a greater incidence of single vessel disease.(13) Observational studies have suggested that early reperfusion in inferior wall MI with RV infarction is beneficial. In patients with IWMI with RVMI, in whom PCI was successful, persistent hypotension and mortality were less compared t ...
Suggestion from clinicians
Suggestion from clinicians

... the better choice.22 For apixaban and rivaroxaban, the balance of efficacy and safety does not differ between patients 75 vs < 75 years. Dabigatran elimination is more dependent on renal clearance, so rivaroxaban and apixaban might be preferred for estimated glomerular filtration rates (eGFRs) of 30 ...
Print - Circulation
Print - Circulation

... these patients had a hypertrophied, nondilated left ventricle in the absence of another cardiac or systemic disease that could produce left ventricular hypertrophy (such as valvular, hypertensive or coronary heart disease or infiltrative cardiomyopathy).11 For the diagnosis of hypertrophic cardiomyo ...
2016-02 imaging in ACS, final - Spiral
2016-02 imaging in ACS, final - Spiral

... Imaging, USA) proved to be unfounded and the agents are now considered safe in patients with chest pain and suspected ACS 31. Several studies have shown that contrast echocardiography can accurately identify patients with ACS and contribute to prognostication. In a study of 957 patients presenting t ...
Cardiogenic Shock - The Association of Physicians of India
Cardiogenic Shock - The Association of Physicians of India

... In the SHOCK trial registry, 75% of patients developed cardiogenic shock within 24 hours after presentation of AMI; the median delay was 7 hours from onset of infarction1. Results from the GUSTO trial were similar: among patients with shock, 11% were in shock on arrival and 89% developed shock after ...
PDF file - Via Medica Journals
PDF file - Via Medica Journals

... peak stress, and at recovery. The test was stopped for any of the following reasons: a rating of perceived exertion > 17 (Borg scale); achievement of > 90% of age predicted maximum HR; if the subject was too fatigued to safely continue walking on the treadmill; systolic blood pressure > 250 mm Hg; t ...
Percutaneous Mitral Valve Intervention and modelling with multi
Percutaneous Mitral Valve Intervention and modelling with multi

... patients in the percutaneous and surgery groups, respectively (p<0.001). The safety end point incorporating major adverse event criteria and blood transfusion > 2 units occurred in 9.6%vs 57%, in the percutaneous and surgical groups, respectively (p< 0.005). Although percutaneous repair was less eff ...
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Drug-eluting stent



A drug-eluting stent (DES) is a peripheral or coronary stent (a scaffold) placed into narrowed, diseased peripheral or coronary arteries that slowly releases a drug to block cell proliferation. This prevents fibrosis that, together with clots (thrombi), could otherwise block the stented artery, a process called restenosis. The stent is usually placed within the peripheral or coronary artery by an interventional cardiologist or interventional radiologist during an angioplasty procedure.Drug-eluting stents in current clinical use were approved by the FDA after clinical trials showed they were statistically superior to bare-metal stents for the treatment of native coronary artery narrowings, having lower rates of major adverse cardiac events (usually defined as a composite clinical endpoint of death + myocardial infarction + repeat intervention because of restenosis). The first drug-eluting stents to be approved in Europe and the U.S. were coated with paclitaxel or an mTOR inhibitor, such as sirolimus.
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