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Dr. Weyrich G06: Heart and Middle Mediastinum Reading: 1. Gray`s
Dr. Weyrich G06: Heart and Middle Mediastinum Reading: 1. Gray`s

... Venous Drainage of the Heart Coronary sinus – most veins empty into coronary sinus Great cardiac vein - main tributary of the coronary sinus Middle cardiac vein – also called posterior interventricular vein Small cardiac vein – runs close to right marginal artery Anterior veins – begin at anterior ...
pathophysiology of atherosclerosis and coronary artery disease
pathophysiology of atherosclerosis and coronary artery disease

... contribute to the development of atherosclerosis are still unanswered. There is an increasing evidence that atherosclerosis is at least partially the result of: (1) endothelial injury (! Endothelial dysfunction) with leukocyte (lymphocytes and monocytes) adhesion and platelet adherence, (2) smooth m ...
Outcome of Patients With Low Ejection Fraction
Outcome of Patients With Low Ejection Fraction

... reflect a declining influence on perioperative mortality22 but may also be caused by the relative homogeneity of the cohort in this respect. Certainly, LV ejection fraction is an important prognostic factor in less selected populations.11 Renal Function and Outcome Mortality rates after CABG in pati ...
Acute myocardial infarction due to left anterior descending coronary
Acute myocardial infarction due to left anterior descending coronary

... of the literature uncovered only 77 published cases [4]. Traffic accidents were by far the most common cause of such myocardial infarctions (63% of cases) followed by sports injuries (17%). The LAD was the most commonly injured artery (71%), followed by the right coronary artery (19%), the left main ...
Acute myocardial infarction due to left anterior descending coronary
Acute myocardial infarction due to left anterior descending coronary

... of the literature uncovered only 77 published cases [4]. Traffic accidents were by far the most common cause of such myocardial infarctions (63% of cases) followed by sports injuries (17%). The LAD was the most commonly injured artery (71%), followed by the right coronary artery (19%), the left main ...
ABSTRACT - Cairo University Scholars
ABSTRACT - Cairo University Scholars

... prognosis in patients with STEMI. (14 ) Identification of optimal strategies for treating these patients is the subject of considerable interest and controversy. Objective: To compare in-hospital, long-term outcomes and LV EF ( 6 months) between complete revascularization(CR) and culprit - only reva ...
The ABCs of ACS: Review of Acute Coronary Syndrome
The ABCs of ACS: Review of Acute Coronary Syndrome

... Define acute coronary syndrome „ Describe the pathophysiology of acute myocardial infarction „ Describe the contributing factors to acute coronary syndrome „ Identify the key elements in treating acute coronary syndrome and the role of the EMS ...
Ischemic Heart Disease MI
Ischemic Heart Disease MI

... Ischemic Heart Disease Myocardial infarction • The severity or duration of ischemia is enough to cause cardiac muscle death • Typically results from acute thromboses that ...
Coronary Slow Flow Phenomenon and Atrioventricular Block: A
Coronary Slow Flow Phenomenon and Atrioventricular Block: A

... The coronary slow flow phenomenon (CSFP) is characterized by a delayed coronary blood flow in the absence of an obstructive coronary artery disease. Although the relation between the CSFP and myocardial ischemia has been reported previously, there is no knowledge about the relationship between the C ...
Cardiac Catheterization/Coronary Angiogram
Cardiac Catheterization/Coronary Angiogram

... Treatment Option 1: Angioplasty with Stent Insertion (Percutaneous Coronary Intervention (PCI)) If your doctor finds blocked or narrowed blood vessels, your doctor may perform an angioplasty with stent insertion (also known as “Percutaneous Coronary Intervention (PCI)”). If your doctor determines t ...
Dr - Cases Journal
Dr - Cases Journal

... apical ballooning; the firth (non apical ballooning syndrome) have cardiogenic shock or pulmonary edema on admission less frequently than the typical apical syndrome; furthermore they suggested that wall motion abnormalities in patients with non apical ballooning resolve more rapidly than in those w ...
Lecture 15
Lecture 15

... (i.e., normalize the oxygen supply/demand ratio) so as to minimize myocardial hypoxia. In severe CAD in which one or more coronary arteries is very stenotic, some patients will have a stent implanted within the coronary artery to open up the lumen and restore blood flow. Other patients may undergo c ...
the relationship between left bundle branch block and the
the relationship between left bundle branch block and the

... (P<0.001) higher in patients with LBBB than in control. Ozdemir K[15] in 2004 had showed similar results that the LBBB patients had significantly (P<0.001) higher frequency of congestive heart failure (38.2% vs 11.8%) and cardiomegaly (63.6 vs25.5%) compare to patients with normal ECG. Our study sho ...
Pharmacologic Management of the Geriatric Patient
Pharmacologic Management of the Geriatric Patient

... -lowers risk of MI and stroke in those with previous history of MI and stroke, unstable angina, post-coronary artery bypass grafting -one enteric coated 325 mg tablet of aspirin daily or 81 mg low dose aspirin Sudden Discontinuation of Aspirin Discontinuing the use of aspirin increases mortality ri ...
Is there a pathophysiological link between high arterial stiffness and
Is there a pathophysiological link between high arterial stiffness and

... that this is only an interesting hypothesis requiring further studies, it is necessary to analyze the critical aspects of the presented study, beyond those given by the authors. First of all, the authors evaluated the relationship between vascular stiffness and diastolic dysfunction in patients with ...
Myocardial Infarction
Myocardial Infarction

... • Blood tests - show if heart tissue damage • Troponin I and troponin T • CPK and CPK-MB • Serum myoglobin ...
collateral flow index (CFI).
collateral flow index (CFI).

... Meisel Shochat, Circ J 2012; 76: 414 – 422) ...
cardiac surgery — av block may be associated with replacement of a
cardiac surgery — av block may be associated with replacement of a

... Other surgery AVR ; 13% 1960----6% recent studies. TAVI ; ...
Print this article
Print this article

... is created and then a tunnel fashioned that directs blood from the aorta to the left coronary ostiumetc. However in ALADPA, there are not much of modalities reported.10-13 Ligation of the anomalous artery or connecting it to the aorta has been recommended.14 Early surgical intervention has been foun ...
Noninvasive Diagnosis of Coronary Artery Disease
Noninvasive Diagnosis of Coronary Artery Disease

... standard two-dimensional, 3D, and Doppler cardiac images. The most common echocardiography methods to evaluate CAD are transthoracic doppler echocardiogram (TTDE), stress echocardiograph, transesophageal echocardiograph (TEE), and intravascular ultrasound (IVUS). Like most doppler ultrasound, TTDE i ...
The 2014 American College of Cardiology ACC/American Heart
The 2014 American College of Cardiology ACC/American Heart

... patients with refractory angina or hemodynamic or electrical instability and those at elevated risk for clinical events. An early invasive strategy is not recommended for patients with extensive comorbidities (eg, hepatic, renal, or pulmonary failure; cancer) in whom the risks of revascularization a ...
Feasibility of contrast agent volume reduction on 640
Feasibility of contrast agent volume reduction on 640

... 640-slice dynamic volume CT (DVCT) allows for whole-heart acquisition within 0.35s in a single heart beat, which provides the possibility to reduce the amount of contrast agent because the scan time is reduced. This study aimed to optimize the contrast injection protocol for coronary CT angiography ...
Coronary Blood Flow
Coronary Blood Flow

... Coronary Syndromes (UA,MI) Plaque vulnerability and extrinsic triggers result in plaque rupture  Platelet adherence, aggregation and activation of the coagulation cascade ...
Branches of Right Coronary Artery
Branches of Right Coronary Artery

... Supply anterior and lateral surface of the right atrium. One branch supply posterior surface of both right and left atria. Artery of Sinuatrial Node (60%) ...
PATIENTS WITH REFRACTORY ANGINA ARE OFTEN CALLED NO
PATIENTS WITH REFRACTORY ANGINA ARE OFTEN CALLED NO

... The safety and performance of the Neovasc Reducer™ System is maintained 3 years after implantation. The improvement in angina and ischemia severity observed 6 months after implantation of the Reducer was maintained for 3 years12. As with any medical procedure there are risks associated with use of t ...
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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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