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Invasive Detection of Coronary Microvascular Dysfunction
Author(s): Samer Fawaz , Sarosh Khan , Rupert Simpson , et al Added: 1 year ago

Vascular Disease and Surgery

Prevention & Chronic Conditions
Why, When and How Should Clinicians Use Physiology in Patients with Acute Coronary Syndromes?
Author(s): Roberto Scarsini , Dimitrios Terentes-Printzios , Giovanni Luigi De Maria , et al Added: 3 years ago
Acute coronary syndromes (ACS) encompass a wide spectrum of clinical presentations that range from ST-elevation MI (STEMI) to non-ST-elevation MI and unstable angina. These conditions are life threatening and remain a source of high morbidity and mortality. Unfortunately, despite major accomplishments worldwide in timely reperfusion with percutaneous coronary intervention (PCI), an important… View more

MI/ACS
Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary Artery Disease
Author(s): Luigi Di Serafino , Fabio Magliulo , Giovanni Esposito Added: 2 years ago

MI/ACS
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Author(s): Gregg Stone , Colin Berry , Adrian P Banning , et al Added: 2 years ago
This peer-to-peer series is dedicated to evaluating microvascular dysfunction following myocardial infarction – an important cause of mortality and morbidity post primary-PCI. Although epicardial coronary blood flow is restored after almost all PCI procedures, perfusion of the coronary microvasculature is not fully restored in approximately half of patients. In this series of bitesize… View more

Imaging & Diagnostics

MI/ACS
UZ Clear Finds 50% Patients with Angina Have Evidence of CAD
Author(s): Carlos Collet Added: 2 years ago
In this video, Dr Carlos Collet (Cardiovascular Center OLV-Aalst, Aalst, BE) outlines the findings of the UZ Clear study, originally presented at CRT 2022. The UZ Clear study was designed to analyse the diagnostic performance of non-invasive cardiac stress tests to detect coronary artery disease (CAD) in patients. Dr Collet reveals that around half the patients presenting with chest pain had… View more

Prevention & Chronic Conditions
Author(s): Tim P van de Hoef , Werner Mohl , Ahmed A Khattab , et al Added: 3 years ago
Fast and effective opening of epicardial arteries by thrombolysis or percutaneous coronary intervention (PCI) to restore perfusion to the jeopardised myocardium is considered the cornerstone in the treatment of patients with an acute ST-elevation myocardial infarction (STEMI) leading to a reduction in morbidity and mortality.1 However, despite successful opening of the coronary artery, myocardial… View more

Intervention

MI/ACS
‘Primary’ Microvascular Angina
Author(s): Gaetano Antonio Lanza , Juan Carlos Kaski Added: 3 years ago
Obstructive coronary atherosclerosis and its complications (e.g. coronary thrombosis) are considered to be the most common causes of myocardial ischaemia. However, up to 50% of stable angina patients undergoing diagnostic coronary angiography and 10–15% of those presenting with acute coronary syndrome (ACS) are found to have normal or ‘near-normal’ coronary arteries.1,2 A large body of data… View more

Prevention & Chronic Conditions
Author(s): Jean-Pierre Bassand Added: 3 years ago
Anticoagulants and antiplatelet therapies, and revascularisation/ reperfusion with percutaneous coronary interventions (PCIs) or surgery are the mainstay of modern treatment of acute coronary syndromes (ACS) with and without ST-segment elevation. In addition, depending on the clinical presentation, thrombolytic therapy may be necessary in patients with ST-elevation myocardial infarction (MI) who… View more

Anticoagulation

MI/ACS
How to Diagnose and Manage Angina Without Obstructive CAD
Author(s): Tom Ford , Colin Berry Added: 3 years ago
Ischaemic heart disease persists as the leading global cause of death and lost life years in adults.1 Angina is a common clinical presentation of ischaemic heart disease related to a supply:demand mismatch of myocardial blood flow, typically provoked by exertion or stress. Invasive coronary angiography is the reference test for angina and identifies obstructive coronary artery disease (CAD) as a… View more

Prevention & Chronic Conditions