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LBBB: The ECG Patterns and Cardiac Function in Patients
LBBB: The ECG Patterns and Cardiac Function in Patients

... Hayat et al reported that myocardial blood velocity was markedly reduced in LBBB patients with CAD compared with those without. (Hayat, Dwivedi et al. 2008) Whether CAD can modify the QRS-ST-T patterns over time in the presence of LBBB is unclear. The first part of this study, therefore, was designe ...
Diagnosing coronary artery disease by sound analysis from
Diagnosing coronary artery disease by sound analysis from

... interpretation tools that are expected to increase the diagnostic accuracy of these new acoustic sensors. Correct classification of a patients risk for CAD with an acoustic sensor or combination of clinical risk stratification scores and acoustic sensor results may not only reduce health expenses bu ...
The coronary circulation in cyanotic congenital heart disease
The coronary circulation in cyanotic congenital heart disease

... congenital heart disease. Methods: Coronary arteriograms were interpreted in 59 cyanotic adults, and dilated coronaries were examined histologically in 6. Coronary blood flow was determined with N-13 ammonia positron emission tomography in 14 Eisenmenger syndrome patients and in 10 controls. Total n ...
Atorvastatin 80 mg daily - Centre for Medicines Optimisation
Atorvastatin 80 mg daily - Centre for Medicines Optimisation

... rehospitalisation, revascularisation and stroke. The other trial was a much smaller, open-label RCT (n = 81; follow-up 60 days to 12 months) which compared atorvastatin 80 mg daily with any statin titrated to achieve LDL-cholesterol < 2.6 mmol/L.3 The composite primary endpoint was cardiac death, no ...
Management of Acute Coronary Syndromes
Management of Acute Coronary Syndromes

... In-stent Restenosis: • Recurrent narrowing within the stent • Results from excessive smooth muscle cell (SMC) proliferation within the stent ...
Diagnosing coronary artery disease by sound analysis from
Diagnosing coronary artery disease by sound analysis from

... interpretation tools that are expected to increase the diagnostic accuracy of these new acoustic sensors. Correct classification of a patients risk for CAD with an acoustic sensor or combination of clinical risk stratification scores and acoustic sensor results may not only reduce health expenses bu ...
Diseases of veins and lymphatics
Diseases of veins and lymphatics

... and media (arrow) and partial circumferential dissection. B, Gross photograph of restenosis following balloon angioplasty, demonstrating residual atherosclerotic plaque (left arrow) and a new, glistening proliferative lesion (right arrow). C, Coronary arterial stent implanted long term, demonstratin ...
successful rescue of sustained ventricular tachycardia/ventricular
successful rescue of sustained ventricular tachycardia/ventricular

... The peak CK-MB concentration (1,309 U/l) on POD2 could be explained by the repeated electric cardioversions [13]. This high CK-MB concentration did not necessarily indicate extensive myocardial infarction. The infarct, which was visualized during the repeated surgery, was focal with a diameter of 2 ...
Unstable angina: ST segment depression with positive
Unstable angina: ST segment depression with positive

... enzymatic criterion of infarction (twice the upper limit of normal creatine phosphokinase)were considered to have acute myocardial ischemia. The diagnosiscriteria for an evolving Q wave infarction was basedon the ECG appearance of new pathologic Q waves of 30 msec or longer appearing two or more con ...
Universitat Autònoma de Barcelona
Universitat Autònoma de Barcelona

... Coronary heart disease is one of the more extended and growing diseases in developed countries. The coronary arteries provide blood to the heart muscle (myocardium). Anatomically speaking, the arteries begin in the aorta and branch in two systems, the left and right coronary tree. When one or more s ...
Pre-Hospital Thrombolysis Aditi Vaishnav , Avani Vaishnav , Santosh Khandekar
Pre-Hospital Thrombolysis Aditi Vaishnav , Avani Vaishnav , Santosh Khandekar

... are poor, they are less likely to get evidence-based treatments, and have a greater 30-day mortality. Reduction of delays in access to hospital and provision of affordable treatments could reduce this.  Treatment regimes for AMI should aim to open the artery as soon as possible and as wide as possib ...
Cardiac Computed Tomography (CT) Angiography
Cardiac Computed Tomography (CT) Angiography

... a. Test is never covered for screening, i.e., in the absence of signs, symptoms or disease. b. Test will be considered not medically necessary if the anticipated results are not expected to provide new, additional information to that already previously obtained from other tests (such as stress myoca ...
Study of coronary sinus and its tributaries in pigs
Study of coronary sinus and its tributaries in pigs

... was described, finding higher value than reported by other authors [11] (5.36 ± 1.04 mm vs. 3.73 ± 0.79 mm). These results cannot be directly comparable since they are the result of studies developed with anatomical structures of animals of different ages. The avt was found in 96.66% of the hearts s ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... Serum Magnesium Levels In On-pump Coronary Artery Bypass Graft Surgery injury suggests there is a rational basis for magnesium therapy. Magnesium reduces the extent of infarct, but only when administrated before reperfusion. The positive effect of magnesium may also result from its significant role ...
- Wiley Online Library
- Wiley Online Library

... those receiving propofol, P = 0.002. The 1-year follow-up identified two patients who died in the propofol group (one myocardial infarction and one low cardiac output syndrome) and one in the sevoflurane group (myocardial infarction). Conclusion: In this study, patients with coronary artery disease ...
Linköping University Post Print A metabolic protective strategy could improve
Linköping University Post Print A metabolic protective strategy could improve

... It is generally accepted that case selection is vital for outcome in patients with poor LVfunction undergoing CABG and reviewing the literature one should first appreciate the inherent publication bias present both from authors and journals. Poor or even average results are less likely to be publish ...
Redalyc.Right coronary artery anatomy: anatomical and
Redalyc.Right coronary artery anatomy: anatomical and

... Expression of the ACD has been reported with different methods: classical dissection, corrosion injection techniques and imagenology studies [1,7,12,14]. Research on this topic on Colombian samples is absent, consequently this study attempts to determine the anatomical features of these arteries in ...
Coronary Artery Bypass Surgery in Left Main Disease
Coronary Artery Bypass Surgery in Left Main Disease

... Angina is most likely related to right ventricular ischemia secondary to high myocardial oxygen demand provoked by increased ventricular wall tension and increased right ventricular mass. PAH and coronary artery disease are extremely rare clinical conditions. Prostaglandin E1 (PGE1) is a potent vaso ...
The Heart in Tangier Disease: Severe Coronary Atherosclerosis with
The Heart in Tangier Disease: Severe Coronary Atherosclerosis with

... Quantitative analysis revealed narrowing of more than 75% in cross-sectional area in 33% and 15% of all 5-mm segments of the native coronary arteries and saphenous vein grafts, respectively. Analysis of the plaque composition revealed that fibrous tissue was the major component, a finding similar to ...
ischemic heart disease: an overview
ischemic heart disease: an overview

... selecting the most appropriate pharmacologic treatment for an individual patient, specific consideration should be given to agents that have been proven to improve prognosis. An in-depth discussion of these agents is beyond the scope of this paper; rather, a brief overview of agents used to treat is ...
Safety Reports Series No.60
Safety Reports Series No.60

... calculated by multiplying the lesion area by a co-factor that depends on the peak value of its intensity in Hounsfield Units [14]. Patients with an Agatston score <100 have a low cardiac event rate and those with a score >400 are at a moderate to high risk of coronary events in the next 2–5 years, e ...
dent patients undergoing coronary artery bypass grafting
dent patients undergoing coronary artery bypass grafting

... in time to extubation in SGA as compared with GA. This can be explained by the same hypothesis that decreased pain and analgesic use also reduce extubation time. POD itself could play a part as well, since delirious patients often remain intubated for extended periods. Nevertheless, the effect of SG ...
Quiz 3 Critical Structures
Quiz 3 Critical Structures

... may be a clinical sign of damage to nerves in the area? Q3. What structure does the right recurrent laryngeal nerve loop around and pass posterior to on its course to the larynx? Q4. Where does the left superior intercostal vein drain? Q5. Where does the descending aorta begin? Q6. Does the descendi ...
Revascularization and heart attack outcomes
Revascularization and heart attack outcomes

... number of times, thereby reducing the obstruction. To keep the artery open after angioplasty, a device made of wire mesh (a stent) may be inserted into the artery. CABG involves grafting veins (usually from the leg) or arteries (usually from beneath the breastbone) from the aorta to the coronary art ...
Congenital Corrected Transposition of the Great Vessels in a 58
Congenital Corrected Transposition of the Great Vessels in a 58

... arises posteriorly in relation to the aorta instead of its normal anterior position. The arterial oxygenated blood returning from the lungs reaches a normal left atrium, crosses a "tricuspid" left-sided valve, and reaches the "arterial" ventricle. Blood is then ejected into the aorta, which is abnor ...
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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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