In all likelihood this article has only been read by cardiac surgeons. It provides “new” (actually old) information about what constitutes current and optimal therapy for CAD, and especially what long term outcomes can be expected. For this reason the article was printed in its entirety: Percutaneous coronary intervention versus coronary artery bypass surgery in multivessel disease: a current perspective …
Occluded Artery Trial
The Coronary Intervention for Persistent Occlusion after Myocardial Infarction (Occluded Artery Trial, (OAT) study evaluated treatment of 2166 high-risk, but otherwise stable survivors of a myocardial infarction and persistent total occlusion of the infarct-related coronary artery. High risk criteria included an ejection fraction of <50% or proximal occlusion (TIMI flow =0-1). Treatment was randomized to either routine PCI or stenting with …
The Syntax Trial
Although coronary-artery bypass grafting (CABG) has been the standard of care for patients with left-main or three-vessel coronary disease who require revascularization, percutaneous coronary intervention (PCI) with stenting is also an option in such cases. These two interventions were compared in the SYNTAX trial, which was sponsored by the manufacturer of the Taxus drug-eluting stent. Eighteen hundred patients with previously …
Small vessels are a predictor of restenosis after percutaneous coronary intervention (PCI)
In an article[1] published on October 9,2010 in Vascular Health and Risk Management, a British journal, the outcome of PCI in small coronary arteries was studied. Small coronary arteries (with a diameter of <3 mm) account for about 40%–50% of all coronary stenoses. The study correlated outcomes with another study from 1996 that examined in-hospital mortality by mid-LAD diameter in Coronary …
Excessive Stent Use
In a February 11, 2010 article published in the Wall Street Journal the excessive use of coronary artery stents was exposed. The COURAGE trial, published in 2007, argued that 1 million PCI procedures are performed each year, with at least 30% being performed in stable CAD patients. Based on the COURAGE trial results, 300,000 of these procedures could be deferred. …
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Braised Kale, with poached eggs, crispy pancetta, Kombu butter & fresh ricotta atop toasted whole wheat bread. Follow these easy directions and enjoy! Read through first, so you know what to expect. Serves 2 Wash kale and cut into large bite size pieces (including the stems) and let drain in colander. Open container labeled: (Step 2) Pancetta. Place large sauté …
Heart pain
Q: I have some-more pain in my left hand few days ago.that time i feel uncomfort in my chest little bit pain on one point time to time.i feel very tired in these three days ( one point where i feel pain there are suddenly make a pain and stop )is that heart attack pre?
Heart palpitations and loss of energy
Q; My husband is 56 years old. He is on high blood pressure tablets and his cholesterol is 6. About every 3 weeks, he can suddenly develop rapid heartbeats, for no apparent reason. This can last for about a day, then it slowly comes back to normal and he is fine again, for another 3 weeks, when it happens again …
Ectopic beats and a fast heartbeat sensation
Q: I have a history of anxiety and at present, I am being treated for an overactive thyroid. During that time, I was suffering from ectopic beats and in some instances, palpitations.
Should everybody use a statin to prevent heart disease and stroke?
Q: I have heard that older men and women should take statins to prevent heart disease, even if their cholesterol is normal. Please advice, thanks.