Cardiology Update

MARCH 25, 2024

In a recent study published in Circulation , examined how diabetes influences outcomes in left main coronary revascularization procedures, specifically PCI versus CABG, is crucial for tailored treatment strategies. Circulation. Original article: Gaba P et al. 2024;149:00–00.

Diabetes 122

Diabetes Coronary Artery Bypass Graft Outcomes Coronary Artery Disease 122

Circulation

MARCH 11, 2024

Circulation, Ahead of Print. BACKGROUND:Diabetes may be associated with differential outcomes in patients undergoing left main coronary revascularization with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).

Coronary Artery Bypass Graft 81

Coronary Artery Bypass Graft Diabetes Coronary Artery Disease Stents 81

Stroke Journal

FEBRUARY 1, 2024

We included all adult patients with anterior circulation LVOs who experienced a failed MT (mTICI 0-2a after multiple attempts to clot retrieval) at the 14 participating centers.

Angioplasty 40

Angioplasty Stroke Strokes Stents 40

All About Cardiovascular System and Disorders

JULY 21, 2024

When medications and/or procedures like balloon angioplasty are unable to re-establish good blood flow to the heart, these blood vessels can be bypassed by an operation known as coronary artery bypass grafting or CABG. Bypass surgery certainly provides much better long term results than balloon angioplasty and stent insertion.

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft Angioplasty Cardiac Rehabilitation Chest Pain 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Computed tomography (CT) of head showed patchy hypo density in right posterior circulation artery (PCA) territory. Our case describes a young patient with posterior circulation stroke caused by a vertebral artery web which was confirmed with DSA. Neurological examination positive for bi nasal superior quadrantanopia. Lenck et al.

Stroke 40

Stroke Strokes Stents Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

1,2 The National Institute of Health Stroke Scale (NIHSS) cutoff for poor outcomes is lower in BAO compared to anterior circulation large vessel occlusions (LVO) due to the scale’s weighted scoring towards cortical signs.3,4 3,4 To bridge this gap, Alemseged et.al Repeat CTA redemonstrated right vertebrobasilar artery tandem occlusion.

Angioplasty 40

Angioplasty Stroke Strokes Circulation 40

AMS Cardiology

NOVEMBER 4, 2023

Exercise helps improve blood circulation, strengthen the heart and manage weight—all of which can help reduce the risk of PAD. Angioplasty and stenting are common interventions to widen narrowed arteries and improve blood flow.

Peripheral Arterial Disease 52

Peripheral Arterial Disease Blood Pressure Diet Exercise 52

Dr. Smith's ECG Blog

APRIL 18, 2024

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. Circulation 2014 2. It is not yet available, but this is your way to get on the list. link] References 1.

STEMI 121

STEMI Chest Pain Myocardial Infarction Stents 121

Dr. Smith's ECG Blog

NOVEMBER 19, 2014

A male in late middle age with a history of RCA stent 8 years prior complained of chest pain. See this article by Widimsky: Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy [link]

Chest Pain 52

Chest Pain Cardiac Arrest Myocardial Infarction Angioplasty 52

Wellnest

JULY 19, 2023

This indicates that restoring normal blood circulation as quickly as possible will result in less damage. Allow the chest to rise between each compression to ensure proper circulation fully. Although both techniques have advantages and limitations, primary angioplasty is the chosen therapy in most cases.

Heart Attack 52

Heart Attack Heart attacks Blood Pressure Myocardial Infarction 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Options include initial angioplasty and/or stenting of the cervical lesion followed by intracranial thrombectomy versus Dotter navigation of catheters through the cervical lesion to first target the intracranial LVO.

Stenosis 40

Stenosis Circulation Angioplasty Stents 40

Dr. Smith's ECG Blog

OCTOBER 26, 2011

An open 90% LAD was stented. A 51 year old male with h/o stent presented with 30 minutes of chest pain: Obvious anterolateral very acute STEMI with hyperacute T-waves He went for immediate PCI, with successful reperfusion of a 100% occluded proximal LAD, and a door to balloon time of 35 minutes. Circulation 1999;99(15):1972-7.

STEMI 52

STEMI Myocardial Infarction Chest Pain Angioplasty 52

Dr. Smith's ECG Blog

AUGUST 9, 2019

Below are 6 anecdotal cases of true complete left main occlusion with no collateral circulation: 3 have STE in aVR 1 has no ST shift in aVR 2 have STD in aVR The ECG can have a variety of presentations in LM Occlusion. You'll see that there is collateral circulation from the RCA. Widimsky P et al. Below is the angiogram.

Myocardial Infarction 52

Myocardial Infarction Ischemia STEMI Cardiogenic Shock 52