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

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

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

…left ventricular dysfunction, peripheral vascular disease and other manifestations of diffuse atherosclerosis. Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are revascularization procedures…

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

…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…

Periprocedural Myocardial Infarction After PCI and CABG

…intervention (PCI) or coronary artery bypass grafting (CABG), and is classified within the universal MI framework as follows: Type 4a MI: MI related to PCI…

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

…iatrogenic vascular injury. Acute occlusion may also occur in an artery with established collateral circulation, particularly an occluded bypass graft; in such cases, clinical manifestations…

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…

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

…adequate testing Relative contraindications Known obstructive left main coronary artery stenosis Moderate to severe aortic stenosis with uncertain relation to symptoms Tachyarrhythmias with uncontrolled ventricular…

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