Coronary artery disease: Primary care and prevention

Symptomatic coronary artery disease can be divided into stable coronary artery disease and acute coronary syndromes. Asymptomatic coronary artery disease seldom present to the primary care physician and is often detected by a routine health check up or pre-operative evaluation. Stable coronary artery disease usually presents in the form of chronic stable angina. Acute coronary syndromes could be either unstable angina or acute myocardial infarction. Acute myocardial infarction can be further subdivided into ST elevation myocardial infarction (STEMI) and non ST elevation myocardial infarction (NSTEMI) depending on the presence or absence of ST segment elevation on the electrocardiogram (ECG). The term non ST segment elevation acute coronary syndromes (NSTEACs) comprise of NSTEMI and unstable angina. The difference between NSTEMI and unstable angina is the presence of evidence of myocardial necrosis in the former, in the form of an elevated biomarker, usually cardiac troponin. Initial work up in acute coronary syndromes Acute coronary syndrome usually presents with history of prolonged central chest pain, with or without specific radiation. Radiation of cardiac pain can be anywhere between the lower jaw and the umbilicus. A short history for asssessment of risk factors can be made at the time of initial evaluation. Vital signs are recorded, followed by a quick physical examination. ECG should be obtained the earliest, preferrably within 10 minutes. If there is a reasonable cert...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: Cardiology Source Type: blogs

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Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
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Source: Burns - Category: Dermatology Source Type: research
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Source: EXPLORE: The Journal of Science and Healing - Category: Complementary Medicine Source Type: research
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Source: American Heart Journal - Category: Cardiology Source Type: research
Authors: Versaci F, Scappaticci M, Calcagno S, Del Prete A, Romeo F, Peruzzi M, Cavarretta E, Frati G PMID: 32472994 [PubMed - as supplied by publisher]
Source: Minerva Cardioangiologica - Category: Cardiology Tags: Minerva Cardioangiol Source Type: research
Authors: Nudi F, Nudi A, Neri G, Procaccini E, Schillaci O, Versaci F, Frati G, Biondi-Zoccai G Abstract BACKGROUND: The management of patients with unprotected left main (LM) coronary artery disease remains challenging, with recent data casting a shadow of doubt on the safety of percutaneous coronary intervention. We aimed at describing the features of patients undergoing myocardial perfusion imaging subsequently found to have LM disease. METHODS: We queried our institutional database for subjects without prior revascularization or myocardial infarction (MI), who had undergone MPI followed by invasive coronary...
Source: Minerva Cardioangiologica - Category: Cardiology Tags: Minerva Cardioangiol Source Type: research
Authors: Poznyak AV, Zhang D, Grechko AV, Wu WK, Orekhov AN Abstract Atherosclerosis is a major cause of disease-related mortality around the globe. The main characteristic of the disease is an accumulation of plaque on the arterial wall and subsequent erosion or rupture of some plaques. Atherosclerosis often leads to cardiovascular disease and such acute complications as myocardial infarction or ischaemic stroke due to thrombus formation. Most recent advances in atherosclerotic research state that the modifications of low- density lipoprotein (LDL) are one of the most significant stages in the disease initiation, ...
Source: Minerva Cardioangiologica - Category: Cardiology Tags: Minerva Cardioangiol Source Type: research
CONCLUSIONS: If the results are confirmed in further studies, iCEB seems to be a simple, easily measurable and non-invasive marker to predict cannabinoid-induced ventricular arrhythmias. PMID: 32472984 [PubMed - as supplied by publisher]
Source: Minerva Cardioangiologica - Category: Cardiology Tags: Minerva Cardioangiol Source Type: research
Authors: Giannitsis E, Gopi V Abstract The 4th edition of the Universal Definition of Myocardial Infarction (MI) recommends measurement of cardiac troponin (cTn) T or I for the diagnosis of MI due to their absolute cardiac tissue specificity. In this MI definition, values exceeding the 99th percentile of a healthy reference population distinguish between detectable troponin due to physiological cell turnover as opposed to pathological myocardial injury. In clinical routine, high-sensitivity (hs) troponin assays that allow earlier diagnosis of MI and detection of myocardial injury that would have esca...
Source: Herz - Category: Cardiology Tags: Herz Source Type: research
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Source: Daily Express - Health - Category: Consumer Health News Source Type: news
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