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Decoding the Menace Within: Unraveling Myocardial Bridges and Exercise-Induced Ischemia

Cardiology Update

As the medical community delves deeper into the intricacies of ANOCA, the study provides a compelling narrative for clinicians and researchers alike, aiming to decipher the complexities of myocardial bridges and their role in exercise-induced ischemia. Original article: Sinha A et al. Circ Cardiovasc Interv.

Exercise 119
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Why is left ventricle more prone for ischemia than right ventricle or atria?

All About Cardiovascular System and Disorders

Why is left ventricle more prone for ischemia than right ventricle or atria?

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Pass the Boards With 5 Free Nuclear Cardiology Sample Questions

BoardVitals - Cardiovascular

The images demonstrate a moderately extensive, mildly severe reversible defect in the mid and distal anterior/anterolateral wall consistent with ischemia. Which of the vessels is likely the culprit vessel causing the ischemia? The patient also had a cardiac CT for calcium scoring pictured below. The technologist performs a MUGA scan.

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ORBITA 2: The power of PCI revealed for stable angina

Cardiology Update

Results revealed ischemia in one cardiac territory in 80% of patients, two territories in 17%, and three territories in 2%. The investigators concluded that in patients with stable angina and minimal medication, confirmed ischemia, and randomized to PCI, the procedure led to better angina outcomes compared to the placebo.

Angina 52
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Ventricular Tachycardia Management

All About Cardiovascular System and Disorders

Monomorphic ventricular tachycardia in the setting of acute myocardial ischemia can also be treated by intravenous lignocaine bolus followed by infusion. Predisposing causes for ventricular tachycardia like ischemia and electrolyte imbalance has to be treated simultaneously to prevent recurrence.

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Treadmill Stress ECG

All About Cardiovascular System and Disorders

The recording in early phase of recovery at 1 minute, shows very little ST segment depression, making us suspect further whether the earlier recording was really due to myocardial ischemia. But the ST segment is down sloping in inferior leads.

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Fractional flow reserve for guiding coronary intervention and functional SYNTAX score

All About Cardiovascular System and Disorders

indicates inducible ischemia while an FFR above 0.80 excludes ischemia in 90% of cases. There is a strong correlation between FFR and inducible myocardial ischemia. It recalculates SYNTAX score by incorporating ischemia producing lesions determined by FFR. Normal FFR is 1.0 and an FFR below 0.75 An FFR below 0.75