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How To Reverse Coronary Artery Disease With Lifestyle Measures

Dr. Paddy Barrett

You cannot eliminate the plaque entirely, but multiple clinical trials have shown plaque regression using high-intensity cholesterol-lowering treatments, which I have discussed previously. All of these parameters are important and need to be considered when evaluating plaque regression. REVERSAL Investigators.

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Monocyte to High‐Density Lipoprotein Ratio Is Associated With Carotid Plaque: A Retrospective Cohort Study

Journal of the American Heart Association

Carotid plaque (CP) is an independent risk factor for cardiovascular diseases. However, evidence for association of MHR with risk of CP is scarce.Methods and ResultsThis study involved 5260 participants aged >18 years old from the Dalian health management cohort in 2014 to 2022.

Plaque 40
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"A patient just arrived as a transfer for NSTEMI."

Dr. Smith's ECG Blog

Learning Points: Type 1 MI is the type we are most familiar with: rupture of atherosclerotic plaque with production thrombus or platelet fibrin aggregates. Buller, C. Starovoytov, A., Robinson, S., Vuurmans, T., Humphries, K., & & Mancini, G. Spontaneous coronary artery dissection. But not all OMI is atherosclerotic in nature.

SCAD 124
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Is this a STEMI? No, not by definition! Why not? Why is this Important?

Dr. Smith's ECG Blog

This was diagnosed by IVUS (intravascular ultrasound) as a ruptured plaque. As there was ruptured plaque, this is NOT Prinzmetal's angina. It is just as dangerous, as there is a ruptured plaque with thrombus (which lysed) in the proximal LAD. Values: STE60V3 = 2.0, QRS V2 = 10, RAV4 = 15.5, There was good flow. It was stented.

STEMI 40
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90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

Methods STEMI activations between January 2014 and April 2018 at the University of Arizona Medical Center were identified. Widespread ST-depression with reciprocal aVR ST-elevation can be cause by: Heart rate related: tachyarrhythmia (e.g.,

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Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

Dr. Smith's ECG Blog

In my review of the literature, there are many articles which purport to demonstrate an acutely increased risk of plaque rupture from emotional stress, but I could not find any credible case reports that were not at least as likely to be takotsubo. Mechanisms of plaque formation and rupture. Coronary plaque disruption.

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Which patient needs a CT scan?

Dr. Smith's ECG Blog

This was ruptured plaque with thrombus. Angiogram Door to balloon time was 120 minutes (much too long) because of time taken for a CT. Coronary angiogram showed 100% mid LAD occlusion for which she received a DES with excellent angiographic result.