Question: Hello Dr T My name is Ray and I live in the UK. I suffered 2 heart attacks last March within about 5 days of each other (the first one wasn’t picked up on by the Paramedics). I had a stent in my right coronary artery. I am 78.5 KG and 5’10 ½” tall (Ed: BMI=24.78 – normal weight) …
Stents and Arrhythmias Powerpoint Presentation
Stents and Arrhythmias Powerpoint presentation used in the Q&A video session of 4/25/2014 (click on the Powerpoint screen to advance and follow the automations within the slides where necessary): This is an embedded <a target=”_blank” href=”http://office.com”>Microsoft Office</a> presentation, powered by <a target=”_blank” href=”http://office.com/webapps”>Office Online</a>.
“Cardiac perspectives from a heart surgeon”
In March 2013, I participated in a Podcast and several articles, published as “New fronts in heart disease: perspectives from a heart surgeon” in the Digital Journal. In it, I had the opportunity to discuss advances in the the treatment and prevention of heart disease. These were the questions that I addressed during the interview. For the answers I chose from …
Patients with renal failure and CAD
I just posted a review of two articles about the treatment of Coronary Artery Disease in patients with kidney failure. The more I read about results of Stent treatment for CAD, the more I learn about situations where it doesn’t work as well as it should. In particular this is the case in Diabetes, Renal failure and patients with impaired …
Point-Counter Point
Two new articles, published in the July edition of Clinical Research in Cardiology, provide a point-counter point perspective by cardiac surgeons and cardiologists. In them, the proponents used the SYNTAX trial to argue their points. Not surprisingly, the authors reached opposite conclusions. Now, how is that possible? In “Patients should be operated!” Reichenspurner and colleagues argue that “…clinical trials, both …
The Dangers of Surgery after Stenting
In a new article the risks of non-cardiac surgery from within 6 weeks up to a year after placement of a coronary artery stent are discussed. The authors conclude that other surgery can be quite dangerous, presumably because medications, needed to keep the stent open, have to be stopped to avoid the risk of bleeding during the procedure. It has …
Percutaneous Coronary Intervention (PCI) – Risks & Benefits
A 58-year-old man has chest pain at 9:30 a.m.; 3 hours later, he calls for an ambulance. Paramedics arrive, provide standard treatment, and transport him to the nearest emergency department. On his arrival at a small hospital at 1 p.m., the findings are diagnostic of a myocardial infarction with ST-segment elevation. The emergency department physician recommends immediate transfer to a …