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🟠 Management of STEMI (ST-Elevation Acute Myocardial Infarction)

…bypass non PCI centres to a PCI capable centre. I C Reperfusion therapy Management Recommendation Level of evidence Reperfusion is indicated in all patients with…

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

…disease (CAD) refers to clinically significant atherosclerotic disease affecting two or more major epicardial coronary arteries. It frequently coexists with left main coronary artery disease…

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

…and coronary artery bypass grafting (CABG) . Developed through expert consensus and validated in the SYNTAX trial, this tool evaluates angiographic characteristics to predict clinical outcomes…

Periprocedural Myocardial Infarction After PCI and CABG

…antegrade myocardial perfusion in the absence of a flow limiting epicardial stenosis. It is associated particularly with intervention on degenerated saphenous vein grafts, rotational atherectomy…

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

…it may present with chronic angina, an anginal equivalent or exertional dyspnoea. Patients may continue to have lifestyle limiting symptoms despite guideline directed medical therapy…

Indications and contraindications for myocardial perfusion imaging

…coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). Contraindications for myocardial perfusion imaging Exercise stress testing is contraindicated in patients with acute myocardial…

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