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Causes of sudden death in competitive athletes
Causes of sudden death in competitive athletes

... septum) characteristically showed two other morphologic features that are of potential pathophysiologic significance: 1) bizarre cellular architecture in which there is a markedly disordered arrangement of cardiac muscle cells (Fig. 3B) (15), and 2) an increased number of abnormal intramural coronar ...
morphometric study of the right coronary artery
morphometric study of the right coronary artery

... In 3 specimens (10%), the PDA was found to occupy the proximal half (Fig. 10) of the posterior interventricular sulcus, while in 24 specimens(80%), the PDA was found to occupy the proximal 2/3 (Fig. 11) of the posterior interventricular sulcus. In 3 specimens (10%), the PDA was found to occupy nearl ...
Ventricular arrhythmia in coronary artery disease
Ventricular arrhythmia in coronary artery disease

... respectively; P , 0.0001). Overall mean LVEF assessed after the arrhythmic event was 36 + 12%. The proportion of patients with an LVEF 40% was 46% in Group I, 40% in Group II and 33% in Group III. As a whole, one third (34%) of the patients with chronic MI who had experienced a ventricular arrhythm ...
Prognostic value of LDL to HDL cholesterol ratio in patients
Prognostic value of LDL to HDL cholesterol ratio in patients

... define the role of to assess if pre-procedural risk stratification with lipid ratio of LDL-c/HDL-c might be used as an integrated and simple lipid measure to the risk of adverse events after PCI, so as secondary prevention as an adjunct to established clinical risk factors may be useful as form of p ...
Acute coronary syndromes and atrial fibrillation
Acute coronary syndromes and atrial fibrillation

... Acute coronary syndromes and atrial fibrillation Atrial fibrillation is the most common sustained cardiac arrhythmia and affects 1.5%e2% of the general population. More than six million Europeans suffer from atrial fibrillation, and the incidence of atrial fibrillation is estimated to double over th ...
Intravenous Milrinone in Cardiac Surgery
Intravenous Milrinone in Cardiac Surgery

... and can compromise myocardial revascularization. Treatment is typically based on empirical therapy with nitroglycerin. However, tolerance of nitroglycerin can develop. Also, nitrosovasodilators function by way of cGMP and require an intact endothelium. In contrast, the mechanism of vasorelaxation fo ...
Assessment and management of patients with ischemic heart disease
Assessment and management of patients with ischemic heart disease

... angina, left main CAD, three-vessel disease, decreased left ventricular function, and left anterior descending artery disease). Initial evaluations of PCI revealed that patients who underwent angioplasty before elective noncardiac surgery had better outcomes (31–34). However, angioplasty is now ofte ...
Heart failure post-myocardial infarction: a review of the - Heart
Heart failure post-myocardial infarction: a review of the - Heart

... heart failure management, there are many non-pharmacologic approaches. One developing area in the treatment of chronic heart failure, perhaps less so in acute myocardial infarction, is the use of devices. By resynchronising the contraction of the ventricle following its injury by myocardial infarcti ...
EXPERIENCE, INSIGHTS AND TECHNIQUES FOR CARDIAC
EXPERIENCE, INSIGHTS AND TECHNIQUES FOR CARDIAC

... really matter whether the heart is beating or not, functioning or nonfunctioning. In the OPCAB mode any variance from normal functioning will need to be identified in real-time, preferably beat-to-beat, allowing the earliest possible therapeutic and procedural response. An arterial line in combinati ...
The Incremental Diagnostic Performance of Coronary Computed
The Incremental Diagnostic Performance of Coronary Computed

... had a history of proven coronary artery disease (CAD) or revascularization procedures, and four had documented non-significant CAD (3.8%). The remaining patients consisted of 17 (16.0%) classified as intermediate, and 48 (45.3%) as the high-risk groups. Results: Obstructive CAD was diagnosed by inva ...
C e n
C e n

... In the ASCET study (ASpirin non-responsiveness and clopidogrel Clinical Endpoint Trial) the primary aim is to investigate if patients with documented coronary heart disease respond adequately on aspirin as their single antithrombotic medication. Thus, clinical relevant endpoints (death, myocardial i ...
The classification of acute myocardial infarction type 2
The classification of acute myocardial infarction type 2

... Type 2 Myocardial Infarction Myocardial infarction secondary to ischemia due to either increased oxygen demand or decreased supply e.g. spasm, anemia, arrhythmia, or hypotension Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, NZ ...
ANGINA PECTORIS Classic angina is characterized by substernal
ANGINA PECTORIS Classic angina is characterized by substernal

... ANGINA PECTORIS • Classic angina is characterized by substernal squeezing chest pain, occurring with stress and relieved with rest or nitroglycerin. • May radiate down the left arm. • May be associated with nausea, vomiting, or diaphoresis. ...
2011-03-10, Safety of magnetic resonance imaging in patients with
2011-03-10, Safety of magnetic resonance imaging in patients with

... aspects of the image acquisition. Although the gradients are much weaker than the main magnetic field, the gradients are repeatedly and rapidly turned on and off. The rapidly changing magnetic fields from the gradients can induce electrical currents in electrically conductive devices and may directl ...
THE FLOW OFBLOOD IN THE CORONARY ARTERIES IN
THE FLOW OFBLOOD IN THE CORONARY ARTERIES IN

... favorable for study is the revival maintained by the human when asphyxia is used as an experimental degree constant perfusion of the coronary arteries in an method for dilatation. Evidence concerning the isolated heart. relationship between coronary flow and the physiIn hearts of patients dying of c ...
Improved reperfusion and clinical outcome with
Improved reperfusion and clinical outcome with

... International Study of Infarct Survival (ISIS-3)[7,8]. All patients in these studies received aspirin. Furthermore, intravenous heparin did not improve outcome over subcutaneous heparin when added to streptokinase in the first Global Utilization of Streptokinase and t-PA for Occluded coronary arteri ...
Thrombolysis in the Era of Intervention
Thrombolysis in the Era of Intervention

... Streptokinase: This was the first thrombolytic to be used in the management of STEMI, initially by the intracoronary route and subsequently as an intravenous infusion. Streptokinase is isolated from bacteria and hence is antigenic. It should not be reused in any patient for a second STEMI, since pre ...
Palpation of the upper and lower limbs arteries
Palpation of the upper and lower limbs arteries

... passes within the proximal part of dorsal surface of foot and laterally to extensor hallucis longus tendon, and then it passes to the sole before reaching the distal part of dorsal surface of foot. Posterior tibial artery passes behind the medial malleolus. ...
I. Angina Pectoris
I. Angina Pectoris

... Description of disease and limitations of drugs Peripheral vascular disease can result from vascular spasm or organic vascular damage. In either case the problem is reduced blood supply to areas served by affected vessels. Drugs are more effective in relieving spasm than in cases of vessel damage wh ...
The influence of residual coronary stenosis on size of
The influence of residual coronary stenosis on size of

... NUMEROUS ANGIOGRAPHIC studies have demonstrated a high prevalence of coronary thrombi in the early hours of acute myocardial infarction. ' Thrombolytic agents are now widely used in this setting in an effort to salvage myocardium through early reperfusion. Studies using intracoronary streptokinase h ...
Post Percutaneous Coronary Intervention (PCI) Clinic Guideline
Post Percutaneous Coronary Intervention (PCI) Clinic Guideline

... Patients will initially be referred to the CNS via the Interventionist Cardiologist. Cardiology secretaries will inform appointments department and letters will be generated to invite the patients to the Cardiologist led clinic for a nurse appointment. (flow chart 1) Health records will generate an ...
Amphetamine Abuse Related Acute Myocardial Infarction
Amphetamine Abuse Related Acute Myocardial Infarction

... Amphetamine abuse is a global problem. The cardiotoxic manifestations like acute myocardial infarction (AMI), heart failure, or arrhythmia related to misuse of amphetamine and its synthetic derivatives have been documented but are rather rare. Amphetamine-related AMI is even rarer. We report two cas ...
Congenital Systemic and Coronary-to
Congenital Systemic and Coronary-to

... and bilateral C-PAF constitutes about 5% of them.4) Our patient, to the best of our knowledge, is the first case of BA and LIMA to pulmonary artery fistulas associated with bilateral coronary arteries to pulmonary artery fistulas. The etiology of fistulas is classified as acquired, e.g., infection, ...
Incidence, Morphology, Angiographic Findings, and
Incidence, Morphology, Angiographic Findings, and

... in both the lesion and the reference in 41% of patients (14 of 34), and only within the reference artery in 21% of patients (7 of 34). In the nonstented group, 9 of 34 hematomas were proximal and 12 of the 34 hematomas were distal to the lesion. Thirty-eight hematomas were detected after stenting. I ...
Recognition of Acute Coronary Syndrome in the Clinical Setting
Recognition of Acute Coronary Syndrome in the Clinical Setting

... Recognition of Acute Coronary Syndrome in the Clinical Setting The recognition of acute coronary syndrome (ACS), and of stable and unstable angina in any care setting, requires a thorough knowledge of not only the obvious, but also and especially of the not so obvious electrocardiographic (ECG) patt ...
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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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