Current Technique of the Arterial Switch Procedure
... Concern regarding the late results in those patients undergoing atrial repairs has stimulated this major change in operative treatment. Although initially high, the current operative mortality has been reduced substantially to equal that of atrial repair in experienced institutions. The precise meth ...
... Concern regarding the late results in those patients undergoing atrial repairs has stimulated this major change in operative treatment. Although initially high, the current operative mortality has been reduced substantially to equal that of atrial repair in experienced institutions. The precise meth ...
Introduction to Ischemic Heart Disease
... The heart is the vital organ that tirelessly pumps oxygenated blood from the lungs to the organs and peripheral tissues via the circulatory system. In return, deoxygenated blood is returned via the heart and the pulmonary circulation to the lungs to expel waste carbon dioxide (figure 1). The average ...
... The heart is the vital organ that tirelessly pumps oxygenated blood from the lungs to the organs and peripheral tissues via the circulatory system. In return, deoxygenated blood is returned via the heart and the pulmonary circulation to the lungs to expel waste carbon dioxide (figure 1). The average ...
Characterization of Suitability of Coronary Venous Anatomy for
... resynchronization therapy (CRT) has been identified as a well-established treatment protocol for selected patients with progressive heart failure. Responders to this procedure frequently experience reversal of left ventricular (LV) remodeling and thus enhanced systolic function, which contributes to ...
... resynchronization therapy (CRT) has been identified as a well-established treatment protocol for selected patients with progressive heart failure. Responders to this procedure frequently experience reversal of left ventricular (LV) remodeling and thus enhanced systolic function, which contributes to ...
Review of 2014 ACC/AHA Guidelines and Implications for Clinical
... McFalls EO, Ward HB, Moritz TE, et al. Predictors and outcomes of a perioperative myocardial infarction following elective vascular surgery in patients with documented coronary artery disease: results of the CARP trial. Eur Heart J. 2008;29:394-401. ...
... McFalls EO, Ward HB, Moritz TE, et al. Predictors and outcomes of a perioperative myocardial infarction following elective vascular surgery in patients with documented coronary artery disease: results of the CARP trial. Eur Heart J. 2008;29:394-401. ...
Dobutamine stress echocardiography related sustained ventricular
... at age of 42 years and remained asymptomatic until age of 56 years when he presented with incessant ventricular tachycardia requiring amiodarone, lidocaine and electrical cardioversion. Coronary angiography at that time showed occluded vein grafts to the circumflex and diagonal arteries. The right c ...
... at age of 42 years and remained asymptomatic until age of 56 years when he presented with incessant ventricular tachycardia requiring amiodarone, lidocaine and electrical cardioversion. Coronary angiography at that time showed occluded vein grafts to the circumflex and diagonal arteries. The right c ...
Coronary subclavian steal syndrome: a rare
... in patients with ischaemic heart disease. Increasingly, CSSS is being recognised as a rare cause for angina after coronary bypass surgery. Diversion of coronary blood flow from the left anterior descending artery (LAD) to the left arm results in angina and rarely in acute myocardial infarction (AMI) ...
... in patients with ischaemic heart disease. Increasingly, CSSS is being recognised as a rare cause for angina after coronary bypass surgery. Diversion of coronary blood flow from the left anterior descending artery (LAD) to the left arm results in angina and rarely in acute myocardial infarction (AMI) ...
inhibition of COX-1
... Active monitoring and searching for persons having risk factors with the goal to prevent formation of atherosclerosis !! Low doses of acetylsalicylic acid!! Males – accorcing to clinical studies taking aspirin din´t decrease mortlity, decreased occurrence of MI, increased cerebral bleeding (US Physi ...
... Active monitoring and searching for persons having risk factors with the goal to prevent formation of atherosclerosis !! Low doses of acetylsalicylic acid!! Males – accorcing to clinical studies taking aspirin din´t decrease mortlity, decreased occurrence of MI, increased cerebral bleeding (US Physi ...
Cancer and Heart/Stroke
... This plan provides benefits for specified diseases (as listed) identified in the benefit schedule. We will not pay benefits for claims resulting, whether directly or indirectly, from specified diseases related to or resulting from any of the following: • Any disease the covered person was diagnosed with p ...
... This plan provides benefits for specified diseases (as listed) identified in the benefit schedule. We will not pay benefits for claims resulting, whether directly or indirectly, from specified diseases related to or resulting from any of the following: • Any disease the covered person was diagnosed with p ...
Full Text
... Background: Coronary artery disease (CAD) or ischemic heart disease (IHD) is the most common cause of death globally. CAD is a multifactorial disease with many variable risk factors. It is estimated that its prevalence is increasing in various populations. CAD in young adults is also increasing in I ...
... Background: Coronary artery disease (CAD) or ischemic heart disease (IHD) is the most common cause of death globally. CAD is a multifactorial disease with many variable risk factors. It is estimated that its prevalence is increasing in various populations. CAD in young adults is also increasing in I ...
Intermittent Left Anterior Hemiblock during Treadmill Exercise Test*
... reviewin this manuscript. We would also like to thank SS Aida ~ n f r e w sfor technical help and Ms. Mary Lou R i d son for secretarial support. FIGURE3. ECGS from patient 2. Left anterior hemiblock developed at seventh minute of exercise, accompanied by ST-segment elevation in leads 1 and aVL. ...
... reviewin this manuscript. We would also like to thank SS Aida ~ n f r e w sfor technical help and Ms. Mary Lou R i d son for secretarial support. FIGURE3. ECGS from patient 2. Left anterior hemiblock developed at seventh minute of exercise, accompanied by ST-segment elevation in leads 1 and aVL. ...
Contrast Pooling and Layering in a Patient with Left Main Coronary
... the left main coronary artery (LMCA) (Figure 1D). Sudden cardiac arrest occurred subsequent to the patient’s CT examination. Aggressive resuscitation efforts were applied, along with intra-aortic balloon pump counterpulsation, emergent cardiac catheterization and digital subtraction coronary angiogr ...
... the left main coronary artery (LMCA) (Figure 1D). Sudden cardiac arrest occurred subsequent to the patient’s CT examination. Aggressive resuscitation efforts were applied, along with intra-aortic balloon pump counterpulsation, emergent cardiac catheterization and digital subtraction coronary angiogr ...
Nuclear cardiology in the clinical setting
... a coronary lesion. The extent and severity of the stress perfusion defect is closely related to subsequent cardiac events. It is therefore important to determine the size, severity and reversibility of a stress-induced perfusion defect. Functional criteria provide more accurate characterisation of s ...
... a coronary lesion. The extent and severity of the stress perfusion defect is closely related to subsequent cardiac events. It is therefore important to determine the size, severity and reversibility of a stress-induced perfusion defect. Functional criteria provide more accurate characterisation of s ...
Critical infarct size to induce ventricular remodeling, cardiac
... between histology and echocardiogram in the infarct size assessment was evaluated by Bland & Altman. After a six-month follow-up, the infarct size in the infarcted animals ranged from 18.5% to 57%, with an average of 40 ± 9% assessed by histology, and 42 ± 9% assessed by echocardiogram, and bias bet ...
... between histology and echocardiogram in the infarct size assessment was evaluated by Bland & Altman. After a six-month follow-up, the infarct size in the infarcted animals ranged from 18.5% to 57%, with an average of 40 ± 9% assessed by histology, and 42 ± 9% assessed by echocardiogram, and bias bet ...
Association with acute ischemia and predictors of new
... myocardial infarction, associated with more adverse events and higher mortality. Proposed mechanisms are complex and still misunderstood and include atrial and ventricular ischemia with consequent neuro-humoral abnormalities and hemodynamic changes. The aims of this study were to evaluate the relati ...
... myocardial infarction, associated with more adverse events and higher mortality. Proposed mechanisms are complex and still misunderstood and include atrial and ventricular ischemia with consequent neuro-humoral abnormalities and hemodynamic changes. The aims of this study were to evaluate the relati ...
Acute Myocardial Infarction in Young Adults: Study of Risk factors
... Acute Myocardial Infarction in Young Adults.... Original Article 45 has been used in most studies to define young patients with CAD and myocardial infarction.1 Although uncommon entity, it constitutes an important problem for the patient and the treating physician because of the devastating effect ...
... Acute Myocardial Infarction in Young Adults.... Original Article 45 has been used in most studies to define young patients with CAD and myocardial infarction.1 Although uncommon entity, it constitutes an important problem for the patient and the treating physician because of the devastating effect ...
Detection of Coronary Artery Stenoses by Contrast
... branches), 174 could be evaluated (68%). In 19 patients (30%), all arteries were evaluable. Artifacts caused by coronary motion were the most frequent reason for unevaluable arteries. Overall, 32 of 58 high-grade stenoses and occlusions were detected by MSCT (58%). In evaluable arteries, 32 of 35 le ...
... branches), 174 could be evaluated (68%). In 19 patients (30%), all arteries were evaluable. Artifacts caused by coronary motion were the most frequent reason for unevaluable arteries. Overall, 32 of 58 high-grade stenoses and occlusions were detected by MSCT (58%). In evaluable arteries, 32 of 35 le ...
Cardio Study Guide
... PCI o Enlargement of the lumen of a stenotic vessel o Balloon angioplasty +/- stent/drug-eluding stent o Indications Severe ischemia on functional testing Following cardiac arrest ↑ area of jeopardized myocardium Inadequate response to meds o Complications Death MI Need for emergency b ...
... PCI o Enlargement of the lumen of a stenotic vessel o Balloon angioplasty +/- stent/drug-eluding stent o Indications Severe ischemia on functional testing Following cardiac arrest ↑ area of jeopardized myocardium Inadequate response to meds o Complications Death MI Need for emergency b ...
Short left main coronary artery causing dynamic left ventricular
... (165 mg/dL) and the remainder of the blood test results were normal. Various other tests conducted including ECG (Figure 1A), ECHO/Doppler and Stress ECHO were not significant while 24-hour Holter monitoring revealed sinus arrhythmias with a solitary ventricular ectopic beat and rare supraventricula ...
... (165 mg/dL) and the remainder of the blood test results were normal. Various other tests conducted including ECG (Figure 1A), ECHO/Doppler and Stress ECHO were not significant while 24-hour Holter monitoring revealed sinus arrhythmias with a solitary ventricular ectopic beat and rare supraventricula ...
Outcome of patients with ST segment elevation myocardial infarction
... details of demographic and socioeconomic status, past medical and surgical histories, clinical characteristics, results of relevant biochemical investigations and treatment modalities. Dyslipidaemia was classified according to the National Cholesterol Education Programme Expert Panel on Detection, E ...
... details of demographic and socioeconomic status, past medical and surgical histories, clinical characteristics, results of relevant biochemical investigations and treatment modalities. Dyslipidaemia was classified according to the National Cholesterol Education Programme Expert Panel on Detection, E ...
ENHANCE Trial
... - no clinical outcomes data – not likely until 2012 (IMPROVE-IT trial: Simvastatin 40mg vs Simv 40mg+Ezetimibe10mg in 18000 pts with recent ACS), almost a decade later. -↑ Ezetimibe prescriptions: especially in the USA (From 2003→2006: U.S. 0.1→15.2%, Canada 0.2→3.4%, of all lipid-lowering medicatio ...
... - no clinical outcomes data – not likely until 2012 (IMPROVE-IT trial: Simvastatin 40mg vs Simv 40mg+Ezetimibe10mg in 18000 pts with recent ACS), almost a decade later. -↑ Ezetimibe prescriptions: especially in the USA (From 2003→2006: U.S. 0.1→15.2%, Canada 0.2→3.4%, of all lipid-lowering medicatio ...
Anti anginal drugs
... and afterload, resulting in reduction in myocardial work and reduction of intramural pressure. • Reduction of myocardial work results in decreased oxygen demand; reduction of intramural pressure allows better perfusion of deeper layers of the myocardial tissue). Decreased myocardial wall tension is ...
... and afterload, resulting in reduction in myocardial work and reduction of intramural pressure. • Reduction of myocardial work results in decreased oxygen demand; reduction of intramural pressure allows better perfusion of deeper layers of the myocardial tissue). Decreased myocardial wall tension is ...
left main coronary artery disease in patients with atrial septal defects
... arrhythmias and/or sudden death in patients with pulmonary arterial hypertension. The natural history of this disease and its proper treatment, however, remain unclear.7 Bijl et al reported a patient with extrinsic LMCA compression suffered a non-Q wave myocardial infarction and died after 2 days of ...
... arrhythmias and/or sudden death in patients with pulmonary arterial hypertension. The natural history of this disease and its proper treatment, however, remain unclear.7 Bijl et al reported a patient with extrinsic LMCA compression suffered a non-Q wave myocardial infarction and died after 2 days of ...
Tako-tsubo Cardiomyopathy or Broken Heart Syndrome
... 5 Inoue M, Shimizu M, Ino H,et al. Differentiation between patients with takotsubo cardiomyopathy and those with anterior acute myocardial infarction. Circ J 2005;69:89-94. [15635210] ...
... 5 Inoue M, Shimizu M, Ino H,et al. Differentiation between patients with takotsubo cardiomyopathy and those with anterior acute myocardial infarction. Circ J 2005;69:89-94. [15635210] ...
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.