Remove Angina Remove Coronary Artery Bypass Graft Remove Ischemia
article thumbnail

Revascularization Strategies in Stable Coronary Artery Disease: ISCHEMIA Trial Insights

Cardiology Update

In the ISCHEMIA (International Study of Comparative Health Effectiveness with Medical and Invasive Approaches) trial, researchers examined the risk of ischemic events in patients with stable coronary artery disease. years, with 57.1% occurring within 30 days after CABG. Original article: Redfors B et al.

article thumbnail

Percutaneous revascularisation in chronic coronary syndromes: when real-world data unveil the other side of the coin

Heart BMJ

The optimal treatment of chronic coronary syndromes (CCS) represents to date a matter of debate as revascularisation has not shown a real advantage over optimal medical therapy (OMT) alone on long-term overall survival, and has recently been reaffirmed in the latest guidelines as a useful strategy only in case of an ineffective response to OMT.

article thumbnail

ECG in LMCA Stenosis

All About Cardiovascular System and Disorders

Angiography done after initial stabilization showed severe stenosis of distal left main coronary artery. In addition, there were multiple lesions in all three vessels, making a standard indication for an urgent coronary artery bypass grafting. This patient had reported with recent onset angina.

article thumbnail

An athletic 30-something woman with acute substernal chest pressure

Dr. Smith's ECG Blog

Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. It they are static, then they are not due to ischemia. This is better evidence for ischemia than any other data point. Again, cath lab was not activated. What does this troponin level mean? Int J Cardiol.

SCAD 52
article thumbnail

Are there hyperacute T-waves? And how can we know?

Dr. Smith's ECG Blog

Watch what happends as the heart recovers from its episode of ischemia. The ECG shows inferior ischemia. Are the T-waves in leads I and II hyperacute? Hard to tell. How can we know? By the evolution of the ECG! The T-waves deflate, demonstrating that the first one was indeed hyperacute. Smith: not sure why that is.