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

…and treatment goals Diabetes, left ventricular function and other comorbidities Surgical risk and contraindications to prolonged dual antiplatelet therapy Patient preferences, local expertise and operator…

🟠 SYNTAX Score

…MACE, offering a more personalized approach to revascularization strategy. For instance, SYNTAX Score II includes factors like age, creatinine clearance, and left ventricular ejection fraction…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…choice between PCI, coronary artery bypass grafting (CABG) and medical therapy should incorporate the clinical profile, coronary anatomy, left ventricular ejection fraction, procedural factors and…

Indications and contraindications for myocardial perfusion imaging

…or deep vein thrombosis Acute myocarditis or pericarditis Acute aortic dissection Physical disability that precludes safe and adequate testing Relative contraindications Known obstructive left main…

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

…It is defined by symptoms lasting more than 3 months and attributable to established reversible myocardial ischaemia in either of two settings: Obstructive coronary artery…

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

…the relative merits of PCI and coronary artery bypass grafting (CABG). Definition and Pathophysiology From balloon angioplasty to coronary stents Balloon angioplasty was initially limited…

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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