PCI outcomes in small coronary arteries

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Submitted by Dr T on October 14, 2010 – 12:18pm Question:  Are small coronary arteries predictive of poor outcomes for interventions such as stenting or bypass grafting? Yes! However the size is predictive at different diamenters for PCI (<3mm), vs. CABG (<1.5mm). In a new study, Small Coronary Vessel PCI outcomes, the authors identified coronary arteries < 3mm in diameter …

Halibut cooked en Papillote with Julienned Vegetables

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Submitted by Dr T on October 12, 2010 – 2:42pm I am a big fan of Halibut, but somewhat hesitant to cook fish at home and usually reserve fishy adventures to a visit to dedicated restaurants, of which Portland, Maine, has a better supply than most cities in other parts of the world. This recipe has cured me of that …

What is an embolism and how does it happen?

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Submitted by Dr T on October 11, 2010 – 9:51am Question:  is it possible that an emboli can cause an incomplete obstruction or it is a must that emboli are migratory and cause complete obstruction? Also, if part of blood clot migrate from thrombus and attach to atheromatous plaque causing no obstruction is it also called embolus??? By definition, an …

Since I started taking Zocor, I have had severe leg cramps

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Submitted by Dr T on October 10, 2010 – 5:28pm in Other Question:  I have been taking Zocor for 5 months. About a month ago, I started to have severe leg cramps. Could Zocor be causing this pain? My cholesterol was 240 and is now about 130. Are there any problems with stopping for awhile and starting again? What are …

Cardiac CT for Calcium Scoring

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A cardiac CT scan for coronary calcium is a non-invasive way of obtaining information about the presence, location and extent of calcified plaque in the coronary arteries—the vessels that supply oxygen-containing blood to the heart muscle. Calcified plaque results when there is a build-up of fat and other substances under the inner layer of the artery. This material can calcify …

What is Twisted Coronary Artery Syndrome?

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Submitted by Dr T on October 8, 2010 – 2:55pm in Cardiac Risks I am afraid there is no such thing. There may be tortuous coronary arteries, and there is an Acute Coronary Artery Syndrome. Tortuous coronary arteries are sometimes the result of atherosclerosis and have more than usual turns in their course over the surface of the heart. This …

What does right atrial hypertrophy mean? What treatments are available?

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What does right atrial hypertrophy mean? What treatments are available? Submitted by Dr T on October 8, 2010 – 2:04pm in Cardiac Risks Right atrial hypertrophy or enlargement is a result an increased amount of blood in the Right Atrium. This can be due to obstruction downstream, backwards flow across a leaking (“tricuspid”) valve, a defect in the wall between …

Chicken au Champagne

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Submitted by Dr T on October 4, 2010 – 7:47pm Chicken au Champagne Unlike Mireille, I am not enough of a Champagne aficionado to splurge on Veuve Clicquot for food, and never drink Vermouth or Pernod. The first change therefore is to use a cheaper Champagne instead of the exalted version the CEO of that company uses. There is no question …