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🟠 SYNTAX Score

…to predict major adverse cardiac events (MACE) , including mortality, myocardial infarction, and repeat revascularization. For example, in the SYNTAX trial, patients with high scores had…

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…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…arterial obstruction that has persisted for at least 30 days. CTOs are common among patients undergoing coronary angiography, with reported prevalence ranging from 18% to…

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…

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…

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

…ischaemia (ALI) is an abrupt reduction in arterial perfusion of an upper or lower limb that causes tissue metabolic requirements to exceed available blood flow…

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…

Introduction to exercise stress testing (treadmill test, exercise ECG)

…is immense and the procedure may be used in numerous situations, ranging from health screening to assessment of symptoms after coronary artery bypass surgery. Traditionally…

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