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

…V3). IIa B In patients with inferior myocardial infarction, consider connecting V3R and V4R to detect concomitant right ventricular infarction. IIa B Routine blood sampling…

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

…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…

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…

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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