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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

…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

…muscle rigidity and ultimately major tissue loss. Reperfusion after severe or prolonged ischaemia may be accompanied by rhabdomyolysis, with potential renal failure and increased mortality…

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…

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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