A new study, published in the Januari, 2011 issue of the Journal of Thoracic and Cardiovascular Surgery, reviewed 2-year follow-up outcome data of 1468 CABG patients from the SYNTAX trial. Coronary artery bypass grafting (CABG), rather than percutaneous coronary intervention (PCI) continues to be the recommended primary revascularization strategy for patients with stable angina who have coronary triple vessel disease (3-VD) …
Pericarditis and pericardial effusion
Question: I never had any cardiac problems until 6 months ago when I developed a large pericardial effusion which required the doctor to drain a liter of blood. Since then, I had tachycardia and elevated blood pressure. Echos, 24 hour monitor and a stress test have been normal. In August, I had a cardiac MRI which revealed continued pericarditis and …
Mediastinum
Surgical Anatomy Presentation Tufts University School of Medicine: Mediastinum Joan F. Tryzelaar, MD, FACS, FACC 1/21/2010 This is an embedded Microsoft Office presentation, powered by Office Online.
Considerations in the Treatment of Coronary Artery Disease
In determining a treatment strategy for a patient with CAD, there are a variety of considerations that need to be made when selecting the appropriate treatment: Clinical outcomes differ significantly according to the treatment choice, as has been demonstrated by currently available data from the COURAGE, FREEDOM and SYNTAX trials, and emphasize the fact that CABG is superior in the …
Bush undergoes stenting for a blocked artery in his heart
On July 19th President George W. Bush underwent a stent procedure (PCI) for a blocked artery in his heart. The condition was discovered Monday when he had his annual physical. The operation was “performed successfully”. As I wrote before when in 2012 Rosy O’Donnell had a heart attack that was treated with a stent, it is not at all certain that either Mr. Bush or …
Great Vessel Development
Surgical Anatomy Lecture, Tufts University School of Medicine Great Vessel Development Joan F. Tryzelaar, MD, FACS, FACCP 1/21/2010 This is an embedded Microsoft Office presentation, powered by Office Online. Animation: (From: Cardiovascular Embryology, http://www.indiana.edu/~anat550/cvanim/index.html)
Losing weight is hard work!
Losing weight is difficult, and keeping it off may be even harder. In “Physical Activity and Weight Gain Prevention“, published in the March 24, 2010 issue of The Journal of the American Medical Association, middle aged women of normal weight needed at least an hour of moderate exercise a day to prevent gaining more than five pounds over a three-year …
CABG Superior to PCI
CABG Superior to PCI in long-term treatment of coronary artery disease As shown in SYNTAX and other studies, CABG is associated with significantly lower rates of death, myocardial infarction (MI) and target vessel revascularization (TVR) vs. PCI. Results K-M Survival curves Sub group analysis Comments SYNTAX A regional study from Italy[1], published on April 28,2013 in the European Journal Cardio-Thoracic …
Burning Feet after Bypass Surgery
Question: Hi. In July of ’11 I died twice the same night from cardiac arrest. After quad bypass surgery, and beginning to come more and more from some of the strong meds for I guess keeping me sedated, I noticed a tremendous burning on the tops of both feet…neuropathy. The bottoms of my feet are both numb which makes it …
Heart health Risks of US Young People
A new study by the American Heart Association has shown that although the majority of clinical CardioVascular Disease (specifically Coronary Artery Disease and Stroke) events occur at middle and older ages, atherosclerosis begins in childhood and cardiovascular health among adolescents aged 12 to 19 years is alarmingly poor. Cardiovascular health in adolescent males by race/ethnicity (aged 12–19 years): Cardiovascular health in adolescent females by race/ethnicity (aged 12–19 years): Shay …
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