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Acute Posterior MI with Papillary Muscle Rupture
Acute Posterior MI with Papillary Muscle Rupture

... •Papillary muscle rupture is a rare but generally fatal mechanical complication of acute myocardial infarction. Papillary muscle rupture occurs in less than 5% of all transmural infarctions and conveys a mortality rate of 30-95%. • Both anterior and posterior papillary muscles may rupture, but poste ...
The effects of pulmonary hypertension on early
The effects of pulmonary hypertension on early

... There are only a limited number of studies investigating outcomes for this patient group. The PH of patients can be easily examined using cardiac catheterization and echocardiography. Such examinations provide insight regarding potential intraoperative and postoperative risks and are also important ...
Coronary arteries morphometry and their vascular territories
Coronary arteries morphometry and their vascular territories

... arteries. The more anterior interventricular artery size increases, higher the caliber of the right coronary artery [9]. Following [8], although there are many individual variations in the distribution of the coronary arteries, one thing is precise: there isn’t vessel only for half right or half lef ...
Aetiology of sudden cardiac death in sport: a histopathologist`s
Aetiology of sudden cardiac death in sport: a histopathologist`s

... criterion for pathological high take-off. It is the combination of high take-off, slit-like opening, associated with an intramural course and ischaemic damage in the ventricle that make this entity important in establishing a cause of sudden death. ...
How to Identify Coronary Artery Disease in an Asymptomatic
How to Identify Coronary Artery Disease in an Asymptomatic

... Most importantly, ECG reclassifies risk compared to standard assessment in the Women’s Health Initiative and in the Cleveland Clinic study [7]. ...
Acute Treatment of ST-Segment-Elevation Myocardial
Acute Treatment of ST-Segment-Elevation Myocardial

... have discouraged a number of surgeons from intervening in the early period [8]. To this point, inconsistent data on the question of whether medical or interventional therapy is superior in the short or long term further complicate the issue [9]. Despite these data, coronary artery bypass graft surge ...
Elinogrel, an orally and intravenously available ADP
Elinogrel, an orally and intravenously available ADP

... half-life of approximately 12 hours. Its direct mode of action does not require metabolic activation or conversion into an active drug leading to reduced variability in drug response compared to clopidogrel. Polymorphisms of genes codifying hepatic cytochrome P450 isoenzymes do not seem to play a ro ...
ElectronBeam
ElectronBeam

... Clinical Findings Clinical Recommendations Further Cardiac testing ...
PDF - Medical Journal of Australia
PDF - Medical Journal of Australia

... departments and, to a lesser extent, general practice will be found to have a life-threatening cause, but most will not. The challenge is to identify those who do in a safe, timely and cost-effective manner. ...
CASE REPORT Dual (type IV) left anterior descending artery
CASE REPORT Dual (type IV) left anterior descending artery

... parallel diagonal branch; or a dual LAD.[4] Short LAD should not be misdiagnosed as total occlusion and a long LAD should not be misdiagnosed as a conus branch. In conclusion, coronary CTA is a non-invasive imaging technique using multiplanar reformat and volume rendering images to show complex anat ...
Prevention of Recurrences of Ventricular Arrhythmias in Patients
Prevention of Recurrences of Ventricular Arrhythmias in Patients

... effect of catecholamines and a possible increase of the threshold for ventricular fibrillation, can explain this association (29 -31). It should be mentioned however that placebo controlled randomized studies on the effectiveness of beta -blocker therapy in patients with ventricular tachycardia or f ...
Coronary artery Disease - American Association of Nurse Anesthetists
Coronary artery Disease - American Association of Nurse Anesthetists

... These lesions may suddenly obstruct the arterial lumen by rupture of blood vessels within the plaque. The lesions may enlarge slowly through further depositions of fat and scar tissue and a small clot may form, obstructing the vessel lumen when the intima covering a plaque breaks. The plaque itself ...
Lecture 15-Approach to Management of Ischemic Heart Disease
Lecture 15-Approach to Management of Ischemic Heart Disease

... • When ischemia results it is frequently accompanied by chest discomfort: Angina Pectoris • In the majority of patients with angina, development of myocardial ischemia results from a combination of fixed and vasospastic stenosis ...
Peer-reviewed Article PDF
Peer-reviewed Article PDF

... arteries by atherosclerosis. This study, therefore, aimed at correlating its intima – media thickness with morphological features of left coronary artery in a black Kenyan population. Materials and methods: Materials for this study were 126 hearts obtained during autopsy at the Department of Human A ...
Long-Term Outcome of the Right Ventricular Outflow Tract Palliation
Long-Term Outcome of the Right Ventricular Outflow Tract Palliation

... serum hemoglobin level remained insignificant. Moreover, more than half of the children needed to intubation and oxygen support; however, this requirement did not lead to increased risk of mortality or life-threatening events. Reviewing the literature confirms our findings with respect to the outcom ...
Successful simultaneous ipsilateral stenting of common iliac artery
Successful simultaneous ipsilateral stenting of common iliac artery

... and CoreValve Evolut R (Medtronic, Inc. (Minneapolis, MN, USA) valves, smaller diameter iliofemoral ...
Myocardial Ischemia and Infarction
Myocardial Ischemia and Infarction

... •  By increasing coronary blood flow, mostly through vasodilation, the coronary arteries satisfy increased myocardial oxygen demands. ...
Impella 2.5 for haemodynamic support during high-risk
Impella 2.5 for haemodynamic support during high-risk

... differences in 30-day major adverse events when using Impella 2.5 compared with IABP. Fewer major adverse events were reported at 90-day follow-up when using Impella 2.5. This was statistically significant using the per protocol analysis but not for the intention-to-treat analysis. Key uncertainties ...
Downloaded - International Society of Drug Bulletins
Downloaded - International Society of Drug Bulletins

... Those patients with an eGFR -60 mlyminy1.73 m2 of body surface area (chronic kidney disease stage 3–5) have substantially increased risks of cardiovascular events and premature death. In our surgical cohort, this accounts for 25% of patients. The paradox is that these patients may particularly benef ...
The role of cardiovascular magnetic resonance imaging
The role of cardiovascular magnetic resonance imaging

... The primary end point of the CARMENTA trial is the total number of patients with at least one ICA during initial admission in each arm. Secondary end points are 30-day and 1-year clinical outcome (a composite of major adverse cardiac events [MACEs] and major procedure-related complications), time to ...
Revised manuscript - Spiral
Revised manuscript - Spiral

... sex to assess the pre-test likelihood of coronary artery disease (CAD) at angiography. These results were confirmed by the Coronary Artery Surgery Study (5). Additional studies were conducted with data from the Duke Databank for Cardiovascular Disease, which also incorporated ECG findings and inform ...
Percutaneous left ventricular assist devices in acute
Percutaneous left ventricular assist devices in acute

... The incidence of cardiogenic shock (CS) in patients with AMI ranges from 7 to 10% after acute myocardial infarction (AMI).1,2 Despite aggressive treatment modalities such as percutaneous coronary interventions (PCI) and use of intraaortic balloon support, mortality of CS remains unacceptably high (5 ...
antianginal drugs
antianginal drugs

... Section II Organic nitrates Nitroglycerin ...
Drugs Used in Coagulation Disorders
Drugs Used in Coagulation Disorders

... – Activated partial thromboplastin time (aPTT) ...
Nandrolone- induced myocardial infarction in a professional soccer
Nandrolone- induced myocardial infarction in a professional soccer

... tissues, especially muscle and bone. Different anabolic androgenic steroids have varying combinations of androgenic and anabolic properties, and are often referred to in medical texts as AAS. Anabolism is the metabolic process that builds larger molecules from smaller ones. Anabolic steroids were fi ...
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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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