Appropriate use of elective coronary angiography in patients with suspected stable coronary artery disease

ConclusionThis is the first Irish study to evaluate the appropriate use of elective coronary angiography. Rates were similar to those of studies in other jurisdictions; however, there remains significant potential for quality improvement.
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research

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A 46-year-old female was admitted to hospital because of dyspnea and chest pain for 2 months with no apparent symptoms in the past years. She had no family history of sudden death or cardiac disorder. ECG showed a paroxysmal atrial fibrillation. Coronary CT was performed, revealing normal right coronary artery and pouch-like filling in the small left coronary aortic sinus that seemed to be covered by the thickened rudimentary left coronary cusp (Fig. A,B,C). Transcatheter coronary angiography showed occlusion of the left main coronary artery ostium and was supplied by a major collateral artery from right coronary artery (Fig.
Source: Journal of Cardiovascular Computed Tomography - Category: Radiology Authors: Tags: Case report Source Type: research
ConclusionThis case highlights the potential complications of using UFH anticoagulation following reversal of factor Xa inhibitors with andexanet alfa and underscores the importance of peri ‐procedural anticoagulation planning. For patients who require intra‐operative anticoagulation, providers should consider anticoagulation reversal with prothrombin complex concentrate instead of andexanet alfa or administration of a parenteral direct thrombin inhibitor, such as argatroban or bi valirudin during the surgical procedure.This article is protected by copyright. All rights reserved.
Source: Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy - Category: Drugs & Pharmacology Authors: Tags: Case Report Source Type: research
CONCLUSIONS: CCTA is a suitable alternative to TEE for device surveillance post-LAAC. CCTA was more sensitive than TEE for assessing PDL and can delineate the cause of residual LAA contrast patency. PMID: 31217149 [PubMed - as supplied by publisher]
Source: EuroIntervention - Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research
This study evaluated clinical impact of concomitant CAD and coronary revascularization on recurrence of AF after catheter ablation.Methods and ResultsFrom April 2008 to December 2015, 700 consecutive patients were treated with pulmonary vein isolation (PVI) for AF as initial procedure. Of those, 681 patients who simultaneously underwent coronary angiography were investigated. Patients with at least one coronary stenosis ( ≥70%) were classified as having obstructive CAD. Of 681 patients, 90 patients had CAD, and 42 patients underwent percutaneous coronary intervention (PCI) for lesions with perfusion abnormalities on SPE...
Source: Journal of Cardiovascular Electrophysiology - Category: Cardiology Authors: Tags: ORIGINAL ‐ CLINICAL Source Type: research
Conclusion: The present data demonstrated that CMBs were associated with age, hypertension, warfarin treatment, smoking, and a history of ICH. We also found neither CHA2DS2-VASc score nor HAS-BLED score was associated with CMBs in patients with NVAF.Eur Neurol
Source: European Neurology - Category: Neurology Source Type: research
Publication date: Available online 16 May 2019Source: Journal of Cardiology CasesAuthor(s): Takuya Shimizu, Jun-ei Obata, Ken Umetani, Kiyotaka KugiyamaAbstractDrug-coated balloons (DCB) are effective in treating in-stent restenosis (ISR) with neointimal proliferation after bare-metal stent (BMS) implantation, but it is unclear whether DCB are effective in treating BMS-ISR accompanied by thrombosis. An 84-year-old man with previous inferior myocardial infarction and atrial fibrillation developed acute myocardial infarction (AMI) during hospitalization for intracerebral hemorrhage. Emergent coronary angiography (CAG) reveal...
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research
AbstractPurposeDurable pulmonary vein isolation (PVI) is the goal of atrial fibrillation (AF) ablation. The endoscopic ablation system (EAS) is associated with a high rate of persistent PVI. The aim of this study was to analyze the incidence and pattern of conduction gaps in patients with arrhythmia recurrence after an EAS-guided PVI.MethodsRepeat ablations after an EAS-guided PVI were analyzed. After PV angiograms, PV reconnection was assessed. Radiofrequency ablation was delivered at the earliest pulmonary vein (PV) activation site (gap) with the goal of PV re-isolation.First, the incidence of reconnected PVs per patient...
Source: Journal of Interventional Cardiac Electrophysiology - Category: Cardiology Source Type: research
Authors: Campbell BC Abstract In recent years, reperfusion therapies such as intravenous thrombolysis and endovascular thrombectomy for ischaemic stroke have dramatically reduced disability and revolutionised stroke management. Thrombolysis with alteplase is effective when administered to patients with potentially disabling stroke, who are not at high risk of bleeding, within 4.5 hours of the time the patient was last known to be well. Emerging evidence suggests that other thrombolytics such as tenecteplase may be even more effective. Treatment may be possible beyond 4.5 hours in patients selected using brain imagi...
Source: Medical Journal of Australia - Category: General Medicine Tags: Med J Aust Source Type: research
Conclusion: V-A ECMO is capable of preventing hypoxemia and providing effective circulation support during cardiac intervention in patients of severe pulmonary stenosis.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Conclusion: Intracranial artery calcification is common in patients with ischemic cerebrovascular disease and the intracranial carotid artery is most frequently affected. Intracranial arterial calcifications might be associated with imaging markers of SVD and are highly correlated with WMHs, lacunes, and CMBs. Quantification of calcification on CT provides additional information on the pathophysiology of SVD. Intracranial arterial calcification could act as a potential marker of SVD. Introduction Atherosclerosis is a systemic vascular process that is considered a major cause of cerebrovascular and cardiovascular di...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
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