Percutaneous Coronary Intervention Blogs This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

The Need to Improve Evidence-Base Use of Prasugrel
This post was authored by Paul S. Chan, MD, MSc and Salim S. Virani, MD, PhD, FACC, members of the PINNACLE Registry Research and Publications Subcommittee. Approved for use in patients with acute coronary syndrome undergoing percutaneous coronary intervention in … Continue reading → The post The Need to Improve Evidence-Base Use of Prasugrel appeared first on ACC in Touch Blog. (Source: ACC in Touch Blog)
Source: ACC in Touch Blog - July 15, 2014 Category: Cardiology Authors: Admin Tags: Clinical Topics Special Topics acute coronary syndromes NCDR Source Type: blogs

Study Raises Questions About Transfusions In PCI Patients
A very large observational study raises important questions about the role of transfusions in PCI patients in the US. In a study published in JAMA, researchers from Duke and Yale analyzed data from more than 2.25 million percutaneous coronary intervention (PCI) procedures at more than 1,400 hospitals. The data came from the CathPCI Registry, a large ongoing study that includes a significant proportion of all cardiac catheterization procedures in the US. The overall transfusion rate was 2.14% but there was a very wide variation in transfusion practice patterns, ranging from 0 to 13%…. …. Click here to read the Mor...
Source: CardioBrief - February 25, 2014 Category: Cardiology Authors: Larry Husten Tags: Interventional Cardiology & Surgery Policy & Ethics anemia PCI transfusions Source Type: blogs

5 hours of chest pain. How acute is the STEMI?
A male is his 30's with h/o HTN presented after 6 hours of chest pain. The pain was crushing and substernal, associated with nausea, vomiting, and diaphoresis, radiating to his back, 10 out of 10 in intensity, the "worst pains ever experienced". He described the sensation as "an elephant sitting on chest". Here is his EKG by EMS:Obvious anterior STEMI with very large T-waves. Is this consistent with 5 hours of injury?The cath lab was activated prehospital. Patient received 324 aspirin and 3 nitroglycerin tablets sublingually prior to arrival to the ED with mild improvement of pain. Here is the ED EC...
Source: Dr. Smith's ECG Blog - January 24, 2014 Category: Cardiology Authors: Steve Smith Source Type: blogs

Cardiovascular surgeries with high risk of bleeding
: Re-do surgeries Surgeries in the setting of infective endocarditis Coronary artery bypass grafting (CABG) after failed percutaneous coronary intervention (PCI) – bail out procedures Aortic dissection Open surgeries for thoracic and abdominal aorta (Source: Cardiophile MD)
Source: Cardiophile MD - January 9, 2014 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Stents Lose In Comparisons With Surgery And Medical Therapy
Despite the enormous increase in the use of stents in recent decades, there is little or no good evidence comparing their use to the alternatives of CABG surgery or optimal medical therapy in patients also eligible for these strategies. Now two new meta-analyses published in JAMA Internal Medicine provide new evidence that the alternatives to PCI remain attractive and that some of the growth in PCI may have been unwarranted. … Click here to read the full post on Forbes. (Source: CardioBrief)
Source: CardioBrief - December 3, 2013 Category: Cardiology Authors: Larry Husten Tags: Interventional Cardiology & Surgery Policy & Ethics Boston Scientific CABG Coronary artery bypass surgery coronary artery disease European Society of Cardiology Medtronic myocardial infarction Percutaneous coronary intervention stents Source Type: blogs

Study: Closure devices cut complications after cardiac procedure (VIDEO)
The use of vascular closure devices significantly reduced complications and the need for transfusions in obese and overweight patients undergoing transfemoral percutaneous coronary intervention (PCI), but the benefit over manual closure was not seen in lean and normal-weight patients or in those treated with a glycoprotein IIb/IIIa inhibitor, researchers reported.The benefit was also counterbalanced by a small increase in risk of retroperitoneal bleeding, Hitinder S. Gurm, MD, of the University of Michigan Cardiovascular Center in Ann Arbor, and colleagues, wrote online in the Annals of Internal Medicine.Vascular closure d...
Source: Medical Hemostat - November 21, 2013 Category: Technology Consultants Authors: hemostatguy at gmail.com (hemostat guy) Source Type: blogs

Super Saturated Oxygen Therapy to Treat Heart Attack Patients: Interview with CEO of TherOx
According to the American Heart Association, there are more than 1.5 million cases of myocardial infarctions in the US each year. In a majority of these patients, their heart tissue undergoes significant damage post infarction. TherOx, a company based in Irvine, CA, has been developing a novel therapy to improve care for patients who have had heart attacks. Medgadget previously reported on TherOx’s first generation device to deliver hyperbaric levels of oxygen to the heart to restore oxygenation of tissue affected by acute myocardial infarction. The company has now developed a second generation product and Medgadg...
Source: Medgadget - October 22, 2013 Category: Technology Consultants Authors: Gaurav Krishnamurthy Tags: Cardiac Surgery Cardiology Medgadget Exclusive Medicine Source Type: blogs

Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?
Conclusions: Head CT is common in NT-OHCA. Cerebral edema is more common in patients presenting with an initial rhythm of PEA/asystole than in VT/VF and is associated with higher mortality. Management is rarely affected by routine use of early head CT. In those who required urgent PCI, CT was associated with a (non-statistically significant) 21 minute longer mean DBT. Kurkciyan et al., abstracthttp://www.sciencedirect.com/science/article/pii/S0300957201003811Objective: Spontaneous subarachnoid haemorrhage as a cause of out-of-hospital cardiac arrest is poorly evaluated. We analyse disease-specific and emergen...
Source: Dr. Smith's ECG Blog - October 20, 2013 Category: Cardiology Authors: Steve Smith Source Type: blogs

Top stories in health and medicine, October 17, 2013
From MedPage Today: Post-Concussion Cognitive Deficit Lingers. College football players with concussions still showed mild cognitive impairment on the Concussion Resolution Index after commonly looked-for symptoms subsided. IBD Tied to Higher Risk for Heart Trouble. Inflammatory bowel disease (IBD) was associated with increased risks for stroke, myocardial infarction (MI), and ischemic heart disease, particularly in women. Medicare Eases Rule for Bariatric Surgery Centers. Staying the course on bariatric surgery, the Centers for Medicare and Medicaid Services (CMS) eliminated a certification requirement for facilities th...
Source: Kevin, M.D. - Medical Weblog - October 17, 2013 Category: Family Physicians Tags: News GI Heart Neurology Obesity Source Type: blogs

Cardiology MCQ Online 3
Time limit: 0 Quiz-summary 0 of 25 questions completed Questions: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 You are welcome to try this MCQ set and share it among your friends. Answer key with explanation appears after you complete the test and submit it and press on the view questions button. We strongly advise you t...
Source: Cardiophile MD - July 14, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Cardiology MCQ Test 3
Cardiology MCQ Online 3 Time limit: 0 Quiz-summary 0 of 25 questions completed Questions: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 You are welcome to try this MCQ set and share it among your friends. Answer key with explanation appears after you complete the test and submit it and press on the view questions button. W...
Source: Cardiophile MD - July 14, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Large Transmural STEMI with Myocardial "Rupture" of Ventricular Septum
A man in his 60's presented after 4 days of chest pain, with some increase of pain on the day of presentation. Exact pain history was difficult to ascertain. There was some SOB. He had walked into the ED (did not use EMS). Here is his ECG:There is atrial fibrillation at a rate of 95. There is Right Bundle Branch Block with a QR particularly noted in V1-V3 (no rSR', as there is an initial Q-wave diagnostic of infarction in the anterior wall and septum). The Q-waves extend to V5 and are very wide (80 ms in V2). There are also inferior Q-waves which can mimic a left anterior fas...
Source: Dr. Smith's ECG Blog - July 7, 2013 Category: Cardiology Authors: Steve Smith Source Type: blogs

Dramatic Increase in Use of Radial Artery Access for PCI in the U.S.
In the last six years interventional cardiologists have dramatically increased their use of radial access for PCI, according to a retrospective study published in Circulation. Using data from the CathPCI registry on more than 2.8 million procedures between January 2007 and September 2012, Dmitriy Feldman and colleagues found that radial access PCI increased 13-fold, from a negligible 1.2% at the beginning of the study to 16.1% at the end. … Click here to read the full story in Forbes. Infographic from the American Heart Association (Source: CardioBrief)
Source: CardioBrief - June 10, 2013 Category: Cardiology Authors: Larry Husten Tags: Uncategorized american heart association Cardiology Conventional PCI Percutaneous coronary intervention Source Type: blogs

Cardiology MCQ Online 2
Time limit: 0 Quiz-summary 0 of 15 questions completed Questions: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 You are welcome to try this Cardiology MCQ set and share it among your friends. We strongly advise you to verify the answers with standard text books. After completion of test, please send your score for display through the test system so that you can assess your performance compared to other users. You have ...
Source: Cardiophile MD - June 5, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ Source Type: blogs

Cardiology MCQ Test 2
Cardiology MCQ Online 2 Time limit: 0 Quiz-summary 0 of 15 questions completed Questions: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 You are welcome to try this MCQ set and share it among your friends. Answer key with explanation appears after you complete the test and submit it and press on the view questions button. We strongly advise you to verify the answers with standard text books. You have already completed ...
Source: Cardiophile MD - June 5, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ Source Type: blogs