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Intracoronary MR imaging using a 0.014-inch MR imaging
Intracoronary MR imaging using a 0.014-inch MR imaging

... intracoronary interventions for decades. However, the limitation with this technique is that the x-ray contrast agent can outline only the vessel lumen. Magnetic resonance imaging (MRI), which provides not only anatomical images of the heart but also functional as well as metabolic information, may ...
File
File

... Collateral Circulation-Development • Ischemia and occlusion are the only factors currently recognized to result in significant collateralization. • Usually need very high grade coronary artery occlusion for collaterals to be angiographically apparent. ...
File
File

... Collateral Circulation-Development • Ischemia and occlusion are the only factors currently recognized to result in significant collateralization. • Usually need very high grade coronary artery occlusion for collaterals to be angiographically apparent. ...
Recent epidemiologic trends in the incidence of myocardial infarction
Recent epidemiologic trends in the incidence of myocardial infarction

... study was necessarily limited to the insured population, yet at present, more than 46 million US citizens remain uninsured today [101] . Understanding whether the burden of MI is increasingly and disproportionately afflicting particular geographic areas or demographic populations will be a crucial s ...
Full Text
Full Text

... time, age, renal failure, and low cardiac output syndrome may lead to increasing infectious complications (6, 9, 10, 14, 20, 23, 27). We found a different result as the rate of infective complications in normal-weight group were higher than obese group, which was consistent with that of Yazdanian et ...
n–3 Fatty Acids and Cardiovascular Events after Myocardial Infarction
n–3 Fatty Acids and Cardiovascular Events after Myocardial Infarction

... only does the prescribed regimen have benefits for the heart, it also targets the risk factors shared with stroke. For many patients, even those who have had a myocardial infarction, the fear of stroke can be a powerful motivator of medication adherence and persistence. Compliance is a major challen ...
Manifestations Mimicking Acute Myocardial Infarction after
Manifestations Mimicking Acute Myocardial Infarction after

... Hymenoptera (bees, wasps) stings or bites are responsible for more deaths than those from all other poisonous creatures. Systemic reactions after stings are usually of immediate type. The most frequent clinical events are hypotension, dyspnea, anaphylactic shock and angioedema. There are several rep ...
Functional MR
Functional MR

... Conclusion: treatment of ischaemic MR • Operative mortality is higher and long term results are less satisfying than for organic MR even when using valve repair • Thus, risks/benefits of surgery remain debated and indications are far more restrictive than in organic MR:  if symptoms are refractory ...
Variations in the anatomy of the coronary arteries
Variations in the anatomy of the coronary arteries

... and each was originated from a different coronary artery. PDA originated from the LCA was present in three cases (6%), and Cx originated from the RCA in 4 (8%). In one case (2%), the origin from both Cx and PDA could not be determined; this patient had Chagas’ disease, the anatomy of the heart was c ...
Successful anatomic correction of transposition of the great vessels
Successful anatomic correction of transposition of the great vessels

... The authors present a new approach for anatomical correction of transposition of the great vessels. The two coronaries with a piece of aortic wall are transposed to the posterior artery. The two aortic openings are closed with a patch. The aorta and pulmonary artery are transected, contraposed and t ...
Bypassing the emergency room to reduce door-to-
Bypassing the emergency room to reduce door-to-

... thrombolytic therapy for acute myocardial infarction, a quantitative review of 23 randomized trials. Lancet 2003; 361: 13-20. 5. Antman EM, Anbe DT, Armstrong PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Ca ...
anaesthetic management of ihd patients for non cardiac surgery
anaesthetic management of ihd patients for non cardiac surgery

... metaprolol 25-50 mg daily. Should be started 30 days prior to surgery. 2.PREOPERATIVE CORONARY REVASCULARISATION: Indicated in high risk CAD and in whom long term would likely be improved by CABG (AHA/ACC 2007) 3.PERCUTANEOUS CORONARY INTERVENTION : Between PCI & medical theraphy there is no compara ...
A1993MH50800001
A1993MH50800001

... under a wide variety of clinical circumstance^.^ These include the postcardioplegic cardiac arrest period, the postcardiac transplantation state, patients with evolving myocardial infarction who have undergone reperfusion therapy, unstable angina, and Prinzmetal’s angina. We also proposed that with ...
Acute Coronary Syndromes_2016_therapy lab
Acute Coronary Syndromes_2016_therapy lab

... • The American College of Chest Physicians recommends the use of 75 to 325 mg once daily (in combination with clopidogrel) for 1 month in patients receiving a bare metal stent or 3 to 6 months (dependent upon drug eluting stent type) followed by 75 to 100 mg once daily (in combination with clopidogr ...
Coronary Artery Disease, Angina and MI
Coronary Artery Disease, Angina and MI

... – Direct correlation with heart disease – 25% reduction of elevated LDL corelated with up to 50% reduction in MI risk ...
POST-THESIS
POST-THESIS

... health care services, medications, and lost productivity, CAD alone costs the United States $108.9 billion each year2. CAD is characterized by thickening of the walls in the coronary arteries, which slowly restricts the oxygen-rich blood flow to the heart muscle. Total cessation of blood flow result ...
Acute Coronary Syndrome STEMI
Acute Coronary Syndrome STEMI

... offered the staggering sum of 20,000 pounds to anyone who could solve it. The scientific establishment from Galileo to Newton had mapped the heavens in both hemispheres in pursuit of a “celestial” answer without any real success. John Harrison, a self taught Horological genius, approached the proble ...
Snímek 1 - med.muni
Snímek 1 - med.muni

... more frequently in women. Characteristically, there is ST segment elevation on the ECG during the pain. Specialist investigation using provocation tests (e.g. hyperventilation, cold-pressor testing or ergometrine challenge) may be required to establish the diagnosis. Arrhythmias, both ventricular ta ...
The process of coronary atherosclerosis
The process of coronary atherosclerosis

... segment elevation on the ECG during the pain. Specialist investigation using provocation tests (e.g. hyperventilation, cold-pressor testing or ergometrine challenge) may be required to establish the diagnosis. Arrhythmias, both ventricular tachyarrhythmias and heart block, can occur during the ischa ...
Reduced Ejection Fraction After Myocardial Infarction
Reduced Ejection Fraction After Myocardial Infarction

... Background: Improved survival after prophylactic implantation of a defibrillator in patients with reduced left ventricular ejection fraction (EF) after myocardial infarction (MI) has been demonstrated in patients who experienced remote MIs in the 1990s. The absolute survival benefit conferred by thi ...
Slide 1
Slide 1

... This data confirm the protective effect of the coumarins in patients with AF treated with PCI by decreasing the incidence of MACE. ...
Myocardial infarction in young adults
Myocardial infarction in young adults

... ECG is associated with cocaine use. Both the chest pain and ECG changes are promptly found to return to normal after administration of vasodilators in patients with coronary artery spasm related to cocaine use.39 Abnormal Q waves are usually seen in patients who present later than 12 hours after the ...
Patients with ST elevation acute coronary syndrome should be
Patients with ST elevation acute coronary syndrome should be

... cardiovascular events D • All adults over the age of 40 who have no history of cardiovascular disease or diabetes and who are not being treated for blood pressure or lipid reduction should have their cardiovascular risk estimated at least once every five years D ...


... angiographic disease in Asian Indians and Caucasians, by Vallapuri S et al, 85% of the cases were males in the Indian arm whereas only 68% were males in the Caucasian arm [2]. Similar observations of male preponderance was also reported by Tewari et al [3]. This may be because more men seek admissio ...
Text S1.
Text S1.

... continuous ABI up to a value of 1.4. If categories were reported, we performed linear regression on the log hazard ratios with the reported median values of each category as co-variables to derive relative risks on a continuous scale. If medians were not reported for each category we estimated them ...
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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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