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Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…In diabetes, carotid plaque prevalence correlates linearly with diabetes and carotid atherosclerosis tends to be more advanced than in people without diabetes. Carotid disease is…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…to clinically significant atherosclerotic disease affecting two or more major epicardial coronary arteries. It frequently coexists with left main coronary artery disease, diabetes mellitus, left…

Sudden cardiac arrest: Case 3

CPR Sex : Male Age : 62 years History : Coronary bypass grafting; history of arrhythmias. Medications : beta blockers ECG 1 . Sinus rhythm interrupted by ventricular tachycardia (VT…

🟠 SYNTAX Score

…created to address the need for a standardized method to evaluate the anatomical complexity of CAD, particularly in patients with multivessel disease or left main…

Periprocedural Myocardial Infarction After PCI and CABG

…intervention (PCI) or coronary artery bypass grafting (CABG), and is classified within the universal MI framework as follows: Type 4a MI: MI related to PCI…

Refractory Angina: Options When Standard Therapy Fails

…coronary artery bypass grafting (CABG), or percutaneous coronary intervention (PCI), including attempted recanalization of a chronic total coronary occlusion. Angina or ischaemia with non obstructive…

Acute Limb Ischaemia: Recognition and Urgent Management

…limb salvage. Evaluation and physical examination ALI requires immediate clinical assessment by a vascular specialist or urgent transfer to a facility with vascular expertise. The…

Drug-Eluting Coronary Stents: Evolution, Evidence and Stent Choice

…safety, reduced repeat revascularization, and broadened the range of lesions amenable to PCI. Stent selection must nevertheless be integrated with lesion anatomy, clinical presentation, bleeding…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…equivalent symptoms. The response to GDMT. The extent of myocardial ischaemia. The presence of viable myocardium supplied by the occluded vessel. Left ventricular function. The…

Indications and contraindications for myocardial perfusion imaging

…Relative contraindications Known obstructive left main coronary artery stenosis Moderate to severe aortic stenosis with uncertain relation to symptoms Tachyarrhythmias with uncontrolled ventricular rates Acquired…

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