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Stone, MD Mount Sinai Health System tim.hodson Wed, 04/02/2025 - 15:26 March 31, 2025 Using intravascular imaging (IVI) to guide stent implantation during complex stenting procedures is safer and more effective for patients with severely calcified coronary artery disease than conventional angiography, the more commonly used technique.
A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. Therefore it means acute type 1 ACS plaque rupture with impeded flow and impending full occlusion until proven otherwise.
The primary superiority endpoint was clinically relevant bleeding (Bleeding Academic Research Consortium [known as BARC] types 2, 3, or 5). The primary non-inferiority endpoint was MACCE (a composite of cardiac death, MI, ischaemic stroke, stent thrombosis, or target vessel revascularisation).
The axiom of "type 1 (ACS, plaque rupture) STEMIs are not tachycardic unless they are in cardiogenic shock" is not applicable outside of sinus rhythm. I limit my comments to a number of academic and semantic concepts relating to the arrhythmia in this case: What is an “SVT”? Serial troponin T measurements rose from zero to 2.80
OCT, the magical intraluminal coronary vision, has been a great innovation that helps us to decode many uncertainties in the morphology, behavior and vulnerability of coronary plaques. It is used widely in pre- or post-PCI or even asssit during the implantation of stents. Reference 1. Gonzalo N, Serruys PW, Piazza N, Regar E.
Welcome to 2025 and best wishes for a great academic journey to all readers. Collected from ACC website (Arranged in three heading) These are the creamy academic extract of whatever happened over the last one year. Top 10 Clinical Trials Preventive PCI on Stenosis With Functionally Insignificant Vulnerable Plaque PREVENT (ACC.24)
It is a strange academic habit among cardiologists, that they have subdivided medical management into optimal and suboptimal. otherwise, if you keep getting even the slightest doubt and anxiety over the hidden blocks, go for a stent immediately at a good Institution. (My Academic lessons from this patient.
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