PCI outcomes in small coronary arteries

Dr. TAsk Doctor T Leave a Comment

In a new study, Small Coronary Vessel PCI outcomes, the authors identified coronary arteries < 3mm in diameter as an independent risk factor for early restenosis. Quoting an article published in 1996:“small arteries remains a major challenge to revascularization procedures, as coronary artery bypass grafting(CABG) is limited by high rates of technical failure”, they then identified DES as superior to …

What is an embolism and how does it happen?

Dr. TAsk Doctor T Leave a Comment

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 atheromatoius plaque causing no obstruction is it also called embolus???

I had an echocardiogram that showed pulmonary hypertension. What does it mean?

Dr. TAsk Doctor T Leave a Comment

Question: I just learned that an echocardiogram from 2.5 years ago indicated “mild pulmonary hypertension.” (sPAP was extimated at 38 mmHg.) The echo was done to try to diagnose sudden attacks of shortness of breath that have become less frequent since then.  (No luck with a diagnosis, by the way.)  My brand new pulmonologist wants to do another echo and …

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

Dr. TAsk Doctor T 4 Comments

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 the Left and Right Atrium (an “Atrial-Septal Defect”), or a conduction abnormality to name a few possibilities. It can be diagnosed by EKG, …

Chicken au Champagne

Dr. TAsk Doctor T Leave a Comment

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 however, that even though the wine cooks off while roasting …