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Anastomosis in Pulmonary Atresia with Intact Ventricular Septum
Anastomosis in Pulmonary Atresia with Intact Ventricular Septum

... of the coronary arteries. Death in patients with PA/IVS-RVDCC who undergo RV decompression is most probably related to the amount of the LV myocardium at risk for ischemia (8-10). In our case, stent placement was done into the patent ductus arteriosus at 3 months of age and she had a successful BDG ...
One Weapon, Two Blows in the War Against the Thrombus
One Weapon, Two Blows in the War Against the Thrombus

... found no difference in all-cause mortality between VKA versus aspirin in 2,305 patients with left ventricular systolic dysfunction and sinus rhythm, but this may have been because the benefits of VKA therapy in reducing ischemic stroke were offset by an increase in major hemorrhage among older patien ...
Acute Coronary Syndrome
Acute Coronary Syndrome

... What is Acute Coronary Syndrome (ACS) ? Acute Coronary Syndrome is when occlusion of one or more of the coronary arteries occurs, usually following plaque rupture, resulting in decreased oxygen supply to the heart muscle.  ACS is the largest cause of death in U.S. Over 1 million people will have M ...
CASE REPORT Anomalies Associated With Congenitally Corrected
CASE REPORT Anomalies Associated With Congenitally Corrected

... (SAV) valve regurgitation (Figs 1 and 2). There was no evidence of an atrial septal defect, VSD, or patent ductus arteriosus. An MRI (magnetic resonance imaging) was performed to elucidate the anatomy. It affirmed the diagnosis of CCTGA with a trileaflet SAV that demonstrated severe regurgitation fr ...
Post MI Management
Post MI Management

... pravastatin at night to control lipid levels and discuss with MM about dietary alternatives as well as moderate exercises. -could also keep Fenofibrate and add statin. Could stay on Diltiazem 240 mg OD BBs and CCBs are equally effective in reducing blood pressure and contractility to allow for less ...
acute coronary syndrome
acute coronary syndrome

... with ticagrelor and aspirin there would be 16 fewer major cardiovascular events and six more major bleeds, compared to patients treated with clopidogrel and aspirin. The issue of antiplatelet treatment in patients with acute coronary syndromes is therefore further complicated by the risk of bleeding ...
CASE STUDY 1 Acute coronary syndrome Patrick Gallagher
CASE STUDY 1 Acute coronary syndrome Patrick Gallagher

... usually lasts longer than 20 minutes. The pain may radiate to the back, arms (particularly the left), neck, lower face and even upper abdomen (Naik et al. 2007). Furthermore, Naik et al. suggest the pain may be described as ‘discomfort’, ‘tightness’, ‘heaviness’ or ‘gripping’. Patients with suspecte ...
Myocardial infarction
Myocardial infarction

... Myocardial infarction (MI) is a heart attack that occurs when oxygenated blood vessels become blocked. The portion of heart muscle that was deprived of oxygen may die or become permanently damaged (Discovermi.org - SNM, 2011). Role of molecular imaging After a heart attack, heart function can be eva ...
Late presentation of ALCAPA syndrome in an elderly Asian lady
Late presentation of ALCAPA syndrome in an elderly Asian lady

... regurgitation causing congestive heart failure usually within the first year of life. The affected infants have non-specific colicky like crying bouts, failure to thrive, feeding difficulties and heart failure symptoms. They may survive into adulthood with smaller stature, angina like symptoms, redu ...
Before After - Cardiology Conferences
Before After - Cardiology Conferences

... • Effective in patients with non-complex lesions (risk of ISR < 10%) • Considerably less effective in complex settings (“off-label” use) with high rates of DES-ISR – Left main, bifurcation, small vessels, vein grafts, chronic total occlusions, acute coronary syndromes, diabetic patients, etc. ...
Iatrogenic Fistula from the Aorta to the Left Marginal Coronary Vein*
Iatrogenic Fistula from the Aorta to the Left Marginal Coronary Vein*

... We report t h e first documented case of iatrogenic aortocoronary fistula to the left marginal coronary vein following coronary bypass surgery. Unique clinical data, findings from catheterization, a n d angiographic features a r e presented and compared with those in the seven previously reported ca ...
left coronary artery
left coronary artery

...  Ventricular fibrillation is most likely to occur if the blow occurs during the upstroke of the T wave ...
CT of Coronary Artery Anomalies (CAA)
CT of Coronary Artery Anomalies (CAA)

... Associated with an increased risk of myocardial ischemia or sudden death and mostly show a course between the pulmonary artery and aorta, these types of anomalies require surgical intervention ...
Pharmacological management of Ischaemic heart disease stroke
Pharmacological management of Ischaemic heart disease stroke

... heart disease and acute myocardial infarction Hamid Shamsolkottabi MD Cardiologist Sina Heart Center, Esfahan, IRAN ...
Patho Ch12
Patho Ch12

...  Myocardial Infarction  Death of cardiac muscle due to prolonged severe ischemia  Coronary Artery Occlusion (90% of cases) o Atheromatous plaque undergoes acute change (intraplaque hemorrhage, erosion, etc.) o Platelets adhere to subendothelial collagen and necrotic plaque content > microthrombi ...
use of tee in minimally invasive cardiac surgery
use of tee in minimally invasive cardiac surgery

... invasive direct access coronary artery bypass grafting (MIDCAB), and Port access procedures. Such procedures are becoming more and more popular everyday. In OPCAB procedures TEE can be of help in assessing how well the ventricle is tolerating the procedure, which inevitably involves manipulation of ...
Coronary Risk Factors and Extension of Ischemic Heart Disease
Coronary Risk Factors and Extension of Ischemic Heart Disease

... by invasive angiography correlates with patient’s prognosis and with the benefit derived from coronary revascularization. (1) In addition, several published risk scores for the primary prevention of cardiovascular disease, such as Framingham score and SCORE project, may predict the risk of cardiac e ...
Correctable Cause of Dilated Cardiomyopathy in an Infant with
Correctable Cause of Dilated Cardiomyopathy in an Infant with

... imaging and coronary angiography (2-6,10-13). Our patient had typical echocardiographic findings and a correct diagnosis was reached without further studies. In children with clinical signs of DCM, the treatable ALCAPA syndrome must be kept in mind as one of the possible causes. Most of these patien ...
EISNER Trial Results Published: Coronary Artery - Cedars
EISNER Trial Results Published: Coronary Artery - Cedars

... has shown that the scan helps patients make heart- scores were motivated to take more aggressive steps to healthy lifestyle changes and lower their heart disease reduce their risk.” risk factors. CCS shows plaques in coronary arteries long before The study, the EISNER trial (Early Identification of ...
PDF file - Via Medica Journals
PDF file - Via Medica Journals

... Patients with Wellens’ syndrome are at high risk of development of extensive myocardial infarction of the anterior wall and death [1]. Although medical management may provide symptomatic improvement at first, the natural history of this syndrome is anterior wall myocardial infarction that, if not ab ...
Pharmacological management of Ischaemic heart disease stroke
Pharmacological management of Ischaemic heart disease stroke

... Pharmacological management of Ischaemic heart disease and acute myocardial infarction ...
Percutaneous Coronary Intervention (PCI)
Percutaneous Coronary Intervention (PCI)

... Patient consent for release of Medical Information ...
Vascular Protection - STA HealthCare Communications
Vascular Protection - STA HealthCare Communications

... This benefit was noted at all levels of LDLC, leading authors of this analysis to conclude that goals for statin treatment “should aim chiefly to achieve substantial absolute reductions in LDL-C rather than to achieve particular targets…” Moreover, a more aggressive lipidlowering approach appears to ...
Off-Pump Coronary Artery Bypass Grafting for a Patient with
Off-Pump Coronary Artery Bypass Grafting for a Patient with

... racic artery was anastomosed to distal of the LAD. The LAD wall had severe atherosclerotic calcification, however the RCA wall was markedly thin and fragile. After the revascularization, the anterior of the right ventricle out-flow was dissected to expose the RCA. The RCA rose from the right side of ...
Thoracic cage, mediastinum
Thoracic cage, mediastinum

... • Anastomoses in the interventricular septum and within the posterior wall of the left ventricle are more important than the surface anastomoses ...
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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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