Cardiac manifestation of systemic rheumatological conditions, such as RHEUMATIC FEVER. Rheumatic heart disease can involve any part the heart, most often the HEART VALVES and the ENDOCARDIUM.
A condition of markedly elevated BLOOD PRESSURE with DIASTOLIC PRESSURE usually greater than 120 mm Hg. Malignant hypertension is characterized by widespread vascular damage, PAPILLEDEMA, retinopathy, HYPERTENSIVE ENCEPHALOPATHY, and renal dysfunction.
A febrile disease occurring as a delayed sequela of infections with STREPTOCOCCUS PYOGENES. It is characterized by multiple focal inflammatory lesions of the connective tissue structures, such as the heart, blood vessels, and joints (POLYARTHRITIS) and brain, and by the presence of ASCHOFF BODIES in the myocardium and skin.
Involuntary, forcible, rapid, jerky movements that may be subtle or become confluent, markedly altering normal patterns of movement. Hypotonia and pendular reflexes are often associated. Conditions which feature recurrent or persistent episodes of chorea as a primary manifestation of disease are referred to as CHOREATIC DISORDERS. Chorea is also a frequent manifestation of BASAL GANGLIA DISEASES.
Hardening of the KIDNEY due to infiltration by fibrous connective tissue (FIBROSIS), usually caused by renovascular diseases or chronic HYPERTENSION. Nephrosclerosis leads to renal ISCHEMIA.
Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)
Persistent high BLOOD PRESSURE due to KIDNEY DISEASES, such as those involving the renal parenchyma, the renal vasculature, or tumors that secrete RENIN.
... coronary artery disease and aortic stenosis. Angina commonly arises from vasospasm of the coronary arteries. There are multiple ... Nicorandil is a vasodilatory drug used to treat angina. Angina is chest pain that results from episodes of transient myocardial ... "Nitric oxide activity is deficient in spasm arteries of patients with coronary spastic angina". Circulation. 94 (3): 266-71. ... Nicorandil is an anti-angina medication that has the dual properties of a nitrate and ATP-sensitive K+ channel agonist. In ...
"Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute ... Angina Pectoris-Myocardial Infarction Investigations in Japan". Journal of the American College of Cardiology. 38 (1): 11-8. ... However, the idea of coronary artery vasospasm is still believed to contribute to the TTS disease process. The theory of ... The condition is thought to be responsible for 2% of all acute coronary syndrome cases presenting to hospitals. Although TTS ...
He studied angina pectoris, describing the syndrome in Les Angines de Poitrine in 1925; he maintained the belief that coronary ... He described a type of aortic stenosis which was not rheumatic in origin, and described effort syncope in the condition. ...
Using angiography, coronary artery stenosis progressed when using placebo or antioxidant alone, and regressed with the ... or revascularization for worsening angina. It was published in 2001. Heart Protection Study Scandinavian Simvastatin Survival ... was a three-year double-blind trial involving 160 people with coronary heart disease (CHD) who had a low HDL and near normal ... or the Combination for the Prevention of Coronary Disease". New England Journal of Medicine. 345 (22): 1583-1592. doi:10.1056/ ...
These are the left main coronary artery and the right coronary artery. The left main coronary artery splits shortly after ... It can be influenced by narrowing of the heart valves (stenosis) or contraction or relaxation of the peripheral blood vessels. ... Severe narrowings may cause chest pain (angina) or breathlessness during exercise or even at rest. The thin covering of an ... Two small openings above the aortic valve carry blood to the heart itself, the left main coronary artery and the right coronary ...
... coronary artery stenosis in people with unstable angina. Originally thought of as two separate types, A and B, it is now ... Coronary angiogram, with video on the left showing tight, critical (95%) stenosis of the proximal LAD in a patient who had ... "Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in ... First described by Hein J. J. Wellens and colleagues in 1982 in a subgroup of people with unstable angina, it does not seem to ...
High degrees of coronary artery stenosis, which are detected by stress testing methods are often, though not always, ... Limitation in blood flow to the left ventricle can lead to recurrent angina pectoris. Cardiac steal syndrome Duke Treadmill ... The detection of high-grade coronary artery stenosis by a cardiac stress test has been the key to recognizing people who have ... Pharmacologic stress testing relies on coronary steal. Vasodilators are used to dilate coronary vessels, which causes increased ...
They're used to treat bone fractures, osteoarthritis, scoliosis, spinal stenosis, and chronic pain. Examples include a wide ... and coronary stent. Orthopaedic implants help alleviate issues with the bones and joints of the body. ... angina pectoris, and atherosclerosis. Examples include the artificial heart, artificial heart valve, implantable cardioverter- ...
It can induce spasm of the coronary arteries. It is used to diagnose variant (Prinzmetal's) angina. Possible side effects ... Romagnoli E, Niccoli G, Crea F (October 2005). "Images in cardiology: A coronary organic stenosis distal to severe, ergonovine ... "Differences between coronary hyperresponsiveness to ergonovine and vasospastic angina". Jpn Heart J. 41 (3): 257-68. doi: ...
Angina Acute coronary syndrome Anomic aphasia Aortic dissection Aortic regurgitation Aortic stenosis Apoplexy Apraxia ... Valvular heart disease Aortic insufficiency Mitral stenosis Tricuspid valve stenosis Pulmonary valve stenosis Mitral ... Ischemic heart diseases Angina pectoris Acute coronary syndrome Acute myocardial infarction See also Category: ... Pulmonary stenosis (critical) Atrial septal defect Ventricular septal defect Patent ductus arteriosus and Coarctation of aorta ...
Preoperative use is suggested for high-risk patients such as those with unstable angina with stenosis greater than 70% of main ... Percutaneous coronary angioplasty In high risk coronary artery bypass graft surgery where cardiopulmonary bypass time was ... Unstable angina pectoris benefits from counterpulsation. Post cardiothoracic surgery-most common and useful is counterpulsation ... Diastolic inflation increases blood flow to the coronary arteries via retrograde flow. These actions combine to decrease ...
... tricuspid valve stenosis MeSH C14.280.647.250 - coronary disease MeSH C14.280.647.250.125 - angina pectoris MeSH C14.280. ... Coronary Arteriosclerosis MeSH C14.280.647.250.285 - coronary stenosis MeSH C14.280.647.250.285.200 - coronary restenosis MeSH ... coronary stenosis MeSH C14.907.553.470.250.285.200 - coronary restenosis MeSH C14.907.553.470.250.290 - coronary thrombosis ... angina pectoris, variant MeSH C14.280.647.250.125.575 - microvascular angina MeSH C14.280.647.250.250 - coronary aneurysm MeSH ...
Angina (coronary artery stenosis) Carotid artery stenosis which predispose to (strokes and transient ischaemic episodes) Renal ... cervical or thoracic spinal stenosis Subglottic stenosis (SGS) Tracheal stenosis Obstructive jaundice (biliary tract stenosis) ... artery stenosis The types of stenoses in heart valves are: Pulmonary valve stenosis, which is the thickening of the pulmonary ... prinzmetal angina); stenosis is usually used when narrowing is caused by lesion that reduces the space of lumen (e.g. ...
Acute coronary syndromes: ST elevation MI (STEMI), non-ST Elevation MI (NSTEMI), and unstable angina Evaluation of coronary ... These comorbidity conditions include aortic aneurysm, aortic stenosis, extensive three-vessel coronary artery disease, diabetes ... Coronary angiography is a diagnostic procedure that allows visualization of the coronary vessels. Fluoroscopy is used to ... A common example of cardiac catheterization is coronary catheterization that involves catheterization of the coronary arteries ...
The main cause of angina is coronary artery disease, but can result from other non-atherosclerotic causes such as anemia and ... Fractional flow reserve (FFRmyo): Testing the blood flow through a stenosis of a coronary artery to determine the perfusion of ... Stable angina results if the angina resolves with rest or nitroglycerin, but can progress to unstable angina which is a form of ... Coronary artery disease (CAD)- Coronary artery disease is a general term for any reduction in coronary circulation. One such ...
... including the consequent inability of the coronary arteries to adequately supply blood to the myocardium (see "Angina" below), ... Symptoms related to aortic stenosis depend on the degree of stenosis. Most people with mild to moderate aortic stenosis do not ... Innasimuthu A L, Morris G, Rao G K, Perry R A; Left Dominant Coronary arterial system and Aortic stenosis: an association, ... Angina in setting of heart failure also increases the risk of death. In people with angina, the 5-year mortality rate is 50% if ...
For instance, a coronary stent patient who develops restenosis may experience recurrent chest pain (angina) or suffer from a ... Some research indicates calculating "area stenosis" is also a valid measure of actual vessel stenosis compared to diameter ... "binary stenosis". The term "binary" means that patients are placed in 2 groups, those who have ≥50% stenosis and those who have ... The diagnostic threshold for restenosis in both ISR or PARS is ≥50% stenosis. If restenosis occurs after a procedure, follow-up ...
Stroke (mainly the ischemic type) Carotid artery stenosis does not occur more often in diabetes, and there appears to be a ... Macrovascular disease leads to cardiovascular disease, to which accelerated atherosclerosis is a contributor: Coronary artery ... disease, leading to angina or myocardial infarction ("heart attack") Diabetic myonecrosis ('muscle wasting') Peripheral ...
... angina and acute coronary syndrome. An X-ray of the chest and blood tests may be performed.[citation needed] In "stable" angina ... coronary angiography may be used to identify stenosis of the coronary arteries and suitability for angioplasty or bypass ... Coronary interventions as angioplasty and coronary stent; Coronary artery bypass grafting (CABG) Statins, which reduce ... Typically, coronary artery disease occurs when part of the smooth, elastic lining inside a coronary artery (the arteries that ...
... "crescendo angina"). New-onset angina is also considered unstable angina, since it suggests a new problem in a coronary artery. ... Some types of valvular heart disease include valvular stenosis, vascular prolapse and regurgitation. Oral infections may pose ... Acute coronary syndrome (ACS) is a syndrome (a set of signs and symptoms) due to decreased blood flow in the coronary arteries ... Grech ED, Ramsdale DR (June 2003). "Acute coronary syndrome: unstable angina and non-ST segment elevation myocardial infarction ...
AS chronically may develop left ventricular hypertrophy and also are at risk of developing coronary artery stenosis. With ... or myocardial ischemia due to increased myocardial oxygen demand and seek medical help with symptoms of exercise induced angina ... Supravalvular aortic stenosis is a congenital obstructive narrowing of the aorta just above the aortic valve and is the least ... Supravalvular aortic stenosis is due to diffuse or discrete narrowing of ascending aorta. The murmur associated with it is ...
... is a technique used in coronary catheterization to measure pressure differences across a coronary artery stenosis (narrowing, ... There also was a non-significant higher number of patients of residual angina sufferers (81% versus 78%). In the FFR group, ... May 2007). "Percutaneous coronary intervention of functionally nonsignificant stenosis: 5-year follow-up of the DEFER Study". J ... June 1996). "Measurement of fractional flow reserve to assess the functional severity of coronary-artery stenoses". N. Engl. J ...
By about 1990, lumen stenosis of the coronary arteries was more commonly treated by the angioplasty technique than by coronary ... The patient became and remained angina free after this treatment. This initial patient's result was electively rechecked, by ... see coronary circulation) which had a high grade stenosis, about 80%, of the lumen. Gruentzig presented the results of his ... Gruentzig's first successful coronary angioplasty treatment on an awake human was performed on 16 September 1977, in Zurich, ...
... such as having any coronary stenosis greater than 50 percent or having angina symptoms that are unresponsive to medical therapy ... The use of PCI in addition to anti-angina medication in stable angina may reduce the number of patients with angina attacks for ... "Mortality after coronary artery bypass grafting versus percutaneous coronary intervention with stenting for coronary artery ... Percutaneous coronary intervention (PCI) is a procedure used to treat narrowing of the coronary arteries of the heart found in ...
placebo on the culprit coronary lesion in patients with unstable angina or non-Q-wave myocardial infarction. TIMI 3 Registry ... Age ≥ 65 years? Yes (+1) ≥ 3 Risk Factors for CAD*? Yes (+1) Known CAD (stenosis ≥ 50%)? Yes (+1) ASA Use in Past 7d? Yes (+1) ... is a scoring system from 0-3 referring to levels of coronary blood flow assessed during percutaneous coronary angioplasty: TIMI ... TIMI 3 is normal flow which fills the distal coronary bed completely Elliott M. Antman, MD; Marc Cohen, MD; Peter J. L. M. ...
Prinzmetal's angina: Chest pain is caused by coronary vasospasm. More common in women younger than 50 years. Person usually ... Aortic stenosis: This condition happens when the person has underlying congenital bicuspid valve, aortic sclerosis, or history ... Acute coronary syndrome Stable or unstable angina Myocardial infarction ("heart attack"): People usually complained of a ... Less than 20% of all cases of chest pain admissions are found to be due to coronary artery disease. The rate of chest pain as a ...
Applying permissive hypotension to the latter patient category may result in decreased coronary perfusion and result in ... carotid artery stenosis, and compromised renal (kidney) function, where hypotension may induce sludge (thickening of blood) and ... such as angina pectoris) may not. ...
... and only coronary stenosis, anemia, and exercise have experimentally been shown to cause transformation. Most observers agree ... Whether angina causes collateral development is still debatable, but at least one investigator, Fujita, believes that angina is ... even in the case of complete left main coronary artery stenosis. The native collaterals are small vessels, with a narrow ... Fujita found that 2 of 19 patients without preinfarct angina had collaterals and 9 of 18 patients with angina had them. No ...
He was also one of the first to describe angina pectoris in patients without obstructive coronary artery disease, also now ... This formula is used to study the severity of aortic valve stenosis and mitral valve stenosis. Gorlin was a very early pioneer ... developed the Gorlin formula used to calculate valve areas in aortic valve stenosis and mitral valve stenosis. Gorlin was born ... known as microvascular angina. In addition, he was one of the first to recognize that significant left main coronary artery ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ...
Ischemia in the heart due to prolonged coronary vasospasm can lead to angina, myocardial infarction and even death. ... referred to as percutaneous coronary intervention or angioplasty, involves placing a stent at the site of stenosis in an artery ... in the blood and inducing coronary vasodilation which will allow for more coronary blood flow due to a decreased coronary ... L-type calcium channel blockers can induce dilation of the coronary arteries while also decreasing the heart's demand for ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ... This includes valvular heart disease (such as mitral stenosis, mitral regurgitation, and tricuspid regurgitation), hypertension ... In men, coronary disease is more frequent, while in women, high systolic blood pressure and valvular heart disease are more ... Since most cases of AF are secondary to other medical problems, the presence of chest pain or angina, signs and symptoms of ...
Foster, B. J. (2000-09-01). «Kawasaki disease complicated by renal artery stenosis» Archives of Disease in Childhood 83 (3): ... Radford, Dorothy J.. (1976-06-01). «Mucocutaneous Lymph Node Syndrome With Coronary Artery Aneurysm» Archives of Pediatrics & ... Gaixotasun hau pairatzen dutenek aukera handiak dituzte arteria koronarioaren tronbosia, angina, miokardio infartua edo bat- ...
"Effect of estrogen plus progestin on risk for biliary tract surgery in postmenopausal women with coronary artery disease. The ... Pyloric stenosis. *Achlorhydria. *Gastroparesis. *Gastroptosis. *Portal hypertensive gastropathy. *Gastric antral vascular ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ...
Coronary heart disease, aortic stenosis, cardiomyopathy, electrolyte problems, heart attack[2][3]. ... or recent angina, the wide complex tachycardia is much more likely to be ventricular tachycardia.[8] ... Ventricular tachycardia can occur due to coronary heart disease, aortic stenosis, cardiomyopathy, electrolyte problems, or a ... Ventricular tachycardia can occur due to coronary heart disease, aortic stenosis, cardiomyopathy, electrolyte problems (e.g., ...
... ilapin deng milabas a kasalesayan ning sakit pangvascular antimo reng atherosclerotic coronary heart disease at ing o angina, ... Endocarditis - Mitral regurgitation - Mitral valve prolapse - Mitral stenosis - Aortic valve stenosis - Aortic insufficiency - ... Coronary artery bypass surgery[mag-edit , alilan ya ing pikuwanan]. Pun bulung: Coronary artery bypass graft surgery ... Coronary artery bypass surgery during mobilization (freeing) of the right coronary artery from its surrounding tissue, adipose ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ... I65) Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction *(I65.0) Occlusion and stenosis of ... I65.2) Occlusion and stenosis of carotid artery. *(I65.3) Occlusion and stenosis of multiple and bilateral precerebral arteries ... I66) Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction *(I66.0) Occlusion and stenosis of ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ... James, TN (Dec 1965). "Anatomy of the coronary arteries in health and disease". Circulation. 32 (6): 1029. doi:10.1161/01.cir. ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ...
Coronary artery disease, also known as "ischemic heart disease",[57] is a group of diseases that includes: stable angina, ... This sheath has a balloon and a tiny wire mesh tube wrapped around it, and if the cardiologist finds a blockage or Stenosis, ... Coronary circulationEdit. Main article: Coronary circulation. Coronary circulation is the circulation of blood in the blood ... As the left and right coronary arteries run on the surface of the heart, they can be called epicardial coronary arteries. These ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ...
Coronary artery aneurysm(英语:Coronary artery aneurysm). *Coronary artery dissection(英语:Coronary artery dissection) ... stenosis(英语:Pulmonary valve stenosis). *insufficiency(英语:Pulmonary valve insufficiency) ... Prinzmetal's angina(英语:Prinzmetal's angina). *心绞痛. *急性冠状动脉综合症 *心肌梗死 ... Coronary thrombosis(英语:Coronary thrombosis). *Coronary vasospasm(英语:Coronary
Stable angina[edit]. Main article: Angina pectoris. In "stable" angina, chest pain with typical features occurring at ... coronary angiography may be used to identify stenosis of the coronary arteries and suitability for angioplasty or bypass ... Coronary artery bypass grafting (CABG). Medications[edit]. *Statins, which reduce cholesterol, reduce the risk of coronary ... The first investigation is an electrocardiogram (ECG/EKG), both for "stable" angina and acute coronary syndrome. An X-ray of ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ... Carotid artery stenosis. *precerebral. *Anterior spinal artery syndrome. *Vertebrobasilar insufficiency *Subclavian steal ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ...
Angina pectoris (Prinzmetal's angina, Stable angina) · Acute coronary (Unstable angina, Myocardial infarction / heart attack) ... mitral (regurgitation, prolapse, stenosis) · aortic (stenosis, insufficiency) · tricuspid (stenosis, insufficiency) · pulmonary ... CAD · Coronary thrombosis · Coronary vasospasm · Coronary artery aneurysm · Coronary artery dissection · Myocardial Bridge ... Ornish, Dean; एवं अन्य (1990). "'Can lifestyle changes reverse coronary heart disease?' The Lifestyle Heart Trial". Lancet. 336 ...
Coronary artery disease, leading to angina or myocardial infarction ("heart attack"). *Diabetic myonecrosis ('muscle wasting') ... Carotid artery stenosis does not occur more often in diabetes, and there appears to be a lower prevalence of abdominal aortic ...
"Renal Artery Stenosis". Retrieved 2015-06-23.. *^ a b "Vascular Diseases: MedlinePlus". ... Coronary artery aneurysm. *head / neck *Intracranial aneurysm. *Intracranial berry aneurysm. *Carotid artery dissection ... Renal artery stenosis - is the narrowing of renal arteries that carry blood to the kidneys from the aorta.[2] ... versus medical therapy for hypertensive patients with renal artery stenosis". The Cochrane Database of Systematic Reviews. 12 ( ...
Stomach cancer, coronary heart disease, inflammation of the stomach lining, gallbladder inflammation[1]. ... coronary heart disease, and inflammation of the stomach lining or gallbladder inflammation.[1] ... Pyloric stenosis. *Achlorhydria. *Gastroparesis. *Gastroptosis. *Portal hypertensive gastropathy. *Gastric antral vascular ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ... Heart murmurs may indicate the presence of valvular heart disease, either as a cause (e.g. aortic stenosis) or as a result (e.g ... coronary catheterization may be used to identify possibilities for revascularisation through percutaneous coronary intervention ... X-ray images are called angiograms.[44] Heart failure may be the result of coronary artery disease, and its prognosis depends ...
... coronary catheterization may be used to identify possibilities for revascularisation through percutaneous coronary intervention ... Heart murmurs may indicate the presence of valvular heart disease, either as a cause (e.g. aortic stenosis) or as a result (e.g ... including angina, does not typically occur due to heart failure.[13] ... X-ray images are called angiograms.[44] Heart failure may be the result of coronary artery disease, and its prognosis depends ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ... If stenosis is mild, monitoring the condition closely suffices. However, severe stenosis, or damage to other valves in the ... Tricuspid Valve Stenosis is a valvular heart disease that narrows the opening of the heart's tricuspid valve. It is a ... "Problem: Tricuspid Valve Stenosis". Retrieved 2017-10-31.. .mw-parser-output cite.citation{font-style:inherit}. ...
Acute coronary syndrome *Stable or unstable angina. *Myocardial infarction ("heart attack") - People usually complained of a ... Aortic stenosis - This condition happens when the person has underlying congenital bicuspid valve, aortic sclerosis, or history ... Prinzmetal's angina - Chest pain is caused by coronary vasospasm. More common in women younger than 50 years. Person usually ... Splitting of second heart sound is heard in severe stenosis.[12]. *Hypertrophic cardiomyopathy - It is the hypertrophy of ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ... segment depression and T wave inversion in right precordial leads is usually seen in severe RVH such as in pulmonary stenosis ...
Angina pectoris *Prinzmetal's angina. *Stable angina. *Acute coronary syndrome *Myocardial infarction. *Unstable angina ...
... coronary artery disease and aortic stenosis. Angina commonly arises from vasospasm of the coronary arteries. There are multiple ... Nicorandil is a vasodilatory drug used to treat angina. Angina is chest pain that results from episodes of transient myocardial ... "Nitric oxide activity is deficient in spasm arteries of patients with coronary spastic angina". Circulation. 94 (3): 266-71. ... Nicorandil is an anti-angina medication that has the dual properties of a nitrate and ATP-sensitive K+ channel agonist. In ...
"Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute ... Angina Pectoris-Myocardial Infarction Investigations in Japan". Journal of the American College of Cardiology. 38 (1): 11-8. ... However, the idea of coronary artery vasospasm is still believed to contribute to the TTS disease process. The theory of ... The condition is thought to be responsible for 2% of all acute coronary syndrome cases presenting to hospitals. Although TTS ...
Angina pectoris 413.0 Angina decubitus 413.1 Prinzmetal angina 414 Other forms of chronic ischemic heart disease 414.0 Coronary ... 433.0 Occlusion and stenosis of basilar artery 433.1 Occlusion and stenosis of carotid artery 433.2 Occlusion and stenosis of ... 414.11 Aneurysm of coronary vessels 414.12 Dissection of coronary artery 414.8 Ischemic heart disease, chronic, other 414.9 ... 440 Atherosclerosis 440.1 Stenosis of renal artery 440.2 Peripheral Arterial Disease 440.21 Peripheral Arterial Disease with ...
Angina and Acute Coronary Syndrome. *Aortic Aneurysm. *Aortic Dissection. *Aortic Ectasia. *Aortic Stenosis ...
... coronary artery disease - CAD) milyen val sz n s ggel kell fenn llnia egy adott diagnosztikai vizsg lat el tt (pre-test ... The performance of non-invasive tests to rule-in and rule-out significant coronary artery stenosis in ... patients with stable angina: a meta-analysis focused on post-test disease probability ... v vizsg l m dszerek teljes t k pess ge a szignifik ns coronariastenosis meg llap t s ban vagy kiz r s ban stabil angina ...
Angina pectoris † 1 2/1545 (0.13%) 2. 0/1547 (0.00%) 0. Coronary artery disease † 1 1/1545 (0.06%) 1. 1/1547 (0.06%) 1. ... Aortic valve stenosis † 1 1/1545 (0.06%) 1. 0/1547 (0.00%) 0. ...
The iPower Study: Coronary microvascular dysfunction in women with angina and no obstructive coronary stenosis. ... Coronary flow velocity reserve predicts adverse prognosis in women with angina and no obstructive coronary artery disease: ... Impaired coronary flow velocity reserve is associated with cardiovascular risk factors but not with angina symptoms. Research ...
I am/have/hadcoronary artery stenosis. I am/have/hadfluorescein angiography. ... I am/have/hadcoronary angioplasty. I am/have/hadstable angina. ... Coronary Steal Via Natural Internal Mammary Artery-To-Coronary ... The Value of PET Quantitative Analysis of Coronary Physiology in Coronary Microvascular Disease With the aging of the ... In industrialized countries, coronary artery disease (CAD) is the leading cause of death, consequence of myocardial infarction ...
Examples of different heart diseases that can affect this organ are arrhythmia, coronary artery disease, pulmonary stenosis, ... and angina. The symptoms that are experienced will depend heavily on what type of heart disease a person is diagnosed with. The ... it has been shown to be effective in offering aid for those that wish to prevent the development of many dangerous coronary ...
Chest pain and angina. Congenital heart disease Coronary heart disease Heart attacks Heart failure Heart Transplantation. High ... Aortic Stenosis. Arrhythmias, acquired and inherited. Bradycardia, sick sinus syndrome and heart block. Cardiomyopathy, ... Stable angina. Supraventricular tachycardia Syncope and vasovagal episodes. Ventricular assist devices. Valvular heart disease ... surgeons are trained at the top institutes in India and abroad and are completely dedicated to the treatment for coronary heart ...
Angiographic pictures revealed 90% ostial LAD stenosis, which was successfully treated with placement of a coronary stent. Her ... female with history of coronary artery disease and history of CABG presented with signs and symptoms of unstable angina. ... Discussion: Pancreatitis after coronary intervention is reported in few case reports. Proposed mechanisms include contrast ... Contrast-induced pancreatitis was seen in a patient with coronary artery disease and ESRD on hemodialysis, suggesting ...
Cardiac failure or coronary artery disease causing unstable angina. *Blood Pressure related diseases including Hypertension & ... Heart Related & Cardiovascular diseases including aortic stenosis, idiopathic hypertrophic subaortic stenosis and general ...
... widens coronary arteries on coronarospasm besides it influences unchangeable vessel segments in spots of their partial stenosis ... Adalat is used at hypertension (high blood pressure) and to treat angina. Dosage and direction. The common dose for Adalat ... The medicine prevents coronaspasm by decreasing tonus of smooth muscles of coronary arteries. Adalat increases coronary ... severe aortic stenosis, subaortic stenosis, acute myocardial infarction with left ventricular failure, acute form of ...
Chest Pain Without Epicardial Stenosis - Diagnosis and Treatment of Spasm and Microvascular Angina By Bina Ahmed ... Patients with angina-like chest pain and objective evidence of ischemia in the setting of non-flow limiting epicardial coronary ... Close more info about Chest Pain Without Epicardial Stenosis - Diagnosis and Treatment of Spasm and Microvascular Angina ... Close more info about Chest Pain Without Epicardial Stenosis - Diagnosis and Treatment of Spasm and Microvascular Angina ...
Coronary angiography showed diffuse atherosclerosis with critical stenosis of the RCA, the left main (LM) artery, the LAD, and ... and the right coronary artery (RCA) 18 years ago, was admitted to the our department with stable angina class II/III according ... and stable angina, who was treated with primary percutaneous coronary intervention (PCI) of the left anterior descending artery ... Critical stenosis of the left subclavian artery (LSA) (A) with angiographic proof of subclavian steal syndrome (B), balloon ...
... acute coronary syndrome (unstable angina in 41%, NSTEMI in 19%, STEMI in 6%), stable angina in 24% and progressive NYHA class ... Outcomes of percutaneous coronary intervention in patients with severe aortic stenosis and coronary artery disease have ... Percutaneous coronary intervention in patients with severe aortic stenosis: Implications for TAVI. 28th February 2012. 1109 ... Additionally, patients with severe aortic stenosis and high STS score (≥10) had a higher 30 day post percutaneous coronary ...
While claims regarding a significant discount in angina and even discount in coronary artery stenosis have been made by the ... Ornish program directors, actual regression in atherosclerosis or prevention of coronary heart illness has only been proven in ...
Angina Pectoris, CVOD Cerebrovascular occlusive disease/ Stroke, cerebrovascular accident as a result of carotid stenosis) are ... coronary heart disease / acute myocardial infarction, ...
The revisiting of Coronary Calcium Score as a Powerful Tool in Preventive Cardiology. The release of the latest AHA/ACC ... This was despite the presence of anatomically and functionally significant stenoses. PCI did however resolve ischemia more ... ORBITA trial was presented and published.The results of this trial indicated that among patients with stable angina, ... This has led to the resurgence of Cardiac CT for coronary calcium scoring as a valuable tool for cardiologists in the field of ...
... coronary artery disease with unstable angina, aortic stenosis, idiopathic hypertrophic subaortic stenosis), recent stroke ...
Test IMR and CFR to diagnose coronary microvascular dysfunction, CMD. ... Those with angina but NOCAD or INOCA are at high risk of major adverse coronary events. ... Up to 50-65% of patients who have angina but non-obstructive CAD are believed to have coronary microvascular dysfunction (CMD). ... Angina after percutaneous coronary intervention: the need for precision medicine. Int J Cardiol. 2017;248:14-19. doi: 10.1016/j ...
1. Which of the following is not classified under acute coronary syndrome?*. *. a. Unstable Angina. ... b. Known CAD with more than 50% stenosis. *. c. Aspirin use in the past 7 days. ... 6. Which of the following is not included when calculating a TIMI score for Unstable angina/NSTEMI?*. *. a. Age greater than or ... Acute Coronary Syndrome *Please take the quiz below the video to receive credit. ...
Angina. *Aortic Stenosis. *Aortic Valve Disease. *Arrhythmias. *Atherosclerosis. *Atrial Fibrillation. *Atrial Septal Defect ...
Aortic Stenosis. Aplastic Anemia. Bruits. Cardiac Hypertrophy. Cardiomyopathy. Congenital Defects. Coronary Bypass ... Angina. Angioplasty. ...
Induction or exacerbation of angina has been seen in less than 1% of coronary artery disease patients treated with nicardipine ... Advanced Aortic Stenosis. Do not use nicardipine in patients with advanced aortic stenosis because of the afterload reduction ... Increases in frequency, duration, or severity of angina have been seen in chronic oral therapy with nicardipine capsules. ... angina pectoris, atrioventricular block, ST segment depression, inverted T wave, deep-vein thrombophlebitis), Digestive ( ...
Post su elective coronary angioplasty scritto da dottorknock ... undergoing coronary angiography because of angina and evidence ... with invasive coronary angiography. Assuming that the found ischemia is due to significant stenosis in the main coronary ... Coronary artery surgery study (CASS): a randomized trial of coronary artery bypass surgery. Survival data.[No authors listed] ... The traditional coronary obstructive paradigm conditioned, for some decades, the treatment of chronic coronary syndromes (CCS, ...
Prinzmetal or variant angina is a differential for acute coronary syndrome.. *. Angina at rest with transient 12-lead ECG ... 3 coronary artery disease risk factors. 2. 8.3. Prior coronary stenosis ,50%. 3. 13. ... Angina, ST-segment deviation, T-wave inversion, and positive troponin. Unstable angina. New or worsening angina, ST-segment ... Table 1.2.2Diagnostic Algorithm for Acute Coronary Syndrome. ST-segment elevation myocardial infarction. Angina and ST-segment ...
2016 New review (published August 2017): Drug-eluting stents versus bare metal stents for patients with acute coronary syndrome ... New review (published in February 2018): Exercise-based cardiac rehabilitation for patients with stable angina ... Transcatheter versus surgical aortic valve replacement for severe aortic stenosis in people with low surgical risk ... for percutaneous coronary intervention (PCI): a network meta-analysis ...
50 % diameter stenosis is significant. But significance does not mean we should tackle the lesion by aggression. ... Crazy thoughts in cardiology . . . perplexing relation between NTG and coronary stents !. What is the role of magnet in ... Symptom means Angina on exertion ) ... as we are playing our game in the most critical coronary high ...
Reduced symptoms of CAD: reduced Angina threshold, reduced pain.. *Improved psychosocial well being: reduced anxiety, muscular ... Wait 3 months after coronary bypass surgery before water exercise.. * Patients are knowledgeable for monitoring RPEs, heart ... Severe valvular stenosis. * Hypertrophic cardiomyopathy. * Acute pulmonary emboli. Examples of education series incorporated in ... Use 10 bpm less than angina or chest pain threshold (For example: if a patient normally gets chest pain at a heart rate of 100 ...
The Impact of Renal Artery Stenosis on High Blood Pressure * The Relationship of Heavy Exercise and Coronary Artery ... Angina and Its Cardiovascular Signals * The Dangers of Excessive Blood Clotting * The Impact of Vascular Heart Disease ...
  • Inderal LA is indicated to decrease angina frequency and increase exercise tolerance in patients with angina pectoris . (
  • In angina pectoris, the value and safety of dosage exceeding 320 mg per day have not been established. (
  • Metabolomic Evaluation of the Consequences of Plasma Cystathionine Elevation in Adults with Stable Angina Pectoris. (
  • To determine the metabolic consequences of an elevated plasma cystathionine concentration in adults with stable angina pectoris (SAP), we conducted both targeted and untargeted metabolomic analyses. (
  • Ong P, Athanasiadis A, Borgulya G, Mahrholdt H, Kaski JC, Sechtem U. High prevalence of a pathological response to acetylcholine testing in patients with stable angina pectoris and unobstructed coronary arteries. (
  • In angina pectoris, Propranolol generally reduces the oxygen requirement of the heart at any given level of effort by blocking the catecholamine-induced increases in the heart rate, systolic blood pressure, and the velocity and extent of myocardial contraction. (
  • Subsequently, myocardial ischaemia, angina pectoris signalling pathways, and neurohumoral and inflammatory responses are considered to be key players in atherosclerotic heart disease. (
  • This article discusses newer insights into the pathophysiology of chronic (refractory) angina pectoris, resulting from stable atherosclerotic CAD, and suggests some potential additional treatments. (
  • Shi and Xu patient subtype groups of CHD with angina pectoris were identified. (
  • Many CHD patients have angina pectoris, which might be due to coronary artery obstruction, anemia, abnormal heart rhythms or heart failure. (
  • Given the persistence of these high number of incidences and the substantial global health burden due to CHD with angina pectoris, there is a clear need for the development of novel approaches, such as precision medicine, for the treatment of CHD with angina pectoris. (
  • A general term for diseases of the heart caused by insufficient blood supply to the myocardium, e.g., atherosclerotic coronary artery disease, angina pectoris, unstable angina, and myocardial infarction. (
  • Includes angina pectoris and myocardial infarction. (
  • See also angina pectoris , cardiac rehabilitation . (
  • We investigated the relationship between the monocyte subsets and the severity of CAD assessed by coronary angiography (CAG) in patients with stable angina pectoris (SAP). (
  • Methods We investigated 79 patients with stable angina pectoris who underwent both 64-slice or dual-source CTCA and FFR measurement of discrete coronary stenoses. (
  • The collateral blood flow was considered to be of great importance, and causing the coronary steal syndrome, leading to angina pectoris. (
  • Most patients with angina pectoris report of retrosternal chest discomfort rather than frank pain. (
  • Chest pain lasting only a few seconds is not usually angina pectoris. (
  • Angina decubitus is a variant of angina pectoris that occurs at night while the patient is recumbent. (
  • A positive Levine sign (characterized by the patient's fist clenched over the sternum when describing the discomfort) is suggestive of angina pectoris. (
  • A mechanism for angina pectoris in patients with aortic stenosis and normal coronary arteries. (
  • Dieses Health Technology Assessment (HTA) dient der Bewertung (1) der diagnostischen Genauigkeit, (2) der Nutzen-Risiko-Absch tzung und (3) der Langzeitkosteneffektivit t der FFR zur Indikationsstellung der PCI bei stabiler Angina pectoris und angiographisch mittelgradigen Stenosen. (
  • In fact, failure of diseased coronary arteries to deliver adequate oxygen to heart tissue is the most common cause of angina pectoris - substernal pain (under breastbone) or pressure brought on by exertion and relieved by rest. (
  • Humphries KH, Pu A, Gao M, Carere RG, Pilote L. Angina with "normal" coronary arteries: sex differences in outcomes. (
  • The ACOVA Study (Abnormal COronary VAsomotion in patients with stable angina and unobstructed coronary arteries). (
  • The FDA has approved this drug based on studies primarily on patients with chronic angina with major blockages of the arteries. (
  • a procedure to open narrowed or blocked blood vessels that supply blood to the heart (coronary arteries). (
  • 123 I-MIBG defects were highly positive at areas supplied by angina-provoking coronary arteries. (
  • Coronary angiography is a procedure that uses a special dye (contrast material) and x-rays to see how blood flows through the arteries in your heart. (
  • The test can show how many coronary arteries are blocked, where they are blocked, and the severity of the blockages. (
  • The inflammatory substances released during myocardial ischaemia are relevant to progression of the atherosclerotic process in the narrowed coronary arteries. (
  • The patient was immediately transferred to the cardiac catheter laboratory, where angiography revealed angiographically normal coronary arteries but extensive anteroapical and inferoapical ballooning consistent with Takotsubo cardiomyopathy. (
  • The prime goal of surgical revascularization is to obtain complete revascularization by bypassing all severe stenotic coronary arteries having a diameter larger than 1 mm. (
  • In the order of frequency, the commonest site of aneurysm in the coronary anatomy is right coronary artery, circumflex followed by anterior descending arteries. (
  • Anomalies of the coronary arteries may be found incidentally in 0.3-1% of healthy individuals. (
  • The medication belongs to a class of drugs called calcium channel blockers and decreases trans-membrane calcium ion flux through calcium channels to the myocardiocytes and cells of smooth muscles of coronary and peripheral vessels and arteries. (
  • Nitric oxide activity is deficient in spasm arteries of patients with coronary spastic angina. (
  • The most common thing to go wrong with the heart, what you think of, when somebody has heart disease, is clogged coronary arteries. (
  • Those coronary arteries sit on the outside of the heart and are like little fuel lines. (
  • This patient had blockages in the coronary arteries and subsequent bypass surgery. (
  • The article focuses on a new standardized method of radiographic visualization of the coronary arteries. (
  • Reports on the advances in the magnetic resonance (MR) angiography of coronary arteries. (
  • Angina commonly arises from vasospasm of the coronary arteries. (
  • Lower levels of nitric oxide are present in spastic coronary arteries. (
  • In humans, the nitrate action of nicorandil dilates the large coronary arteries at low plasma concentrations. (
  • During this 10-year period, the patient remained completely asymptomatic and the arteriogram at 10 years showed no narrowing in the coronary arteries. (
  • The blockage or occlusion of the coronary artery is due to atherosclerosis (see figure 70 ), which alters the ability of the coronary arteries to dilate. (
  • Figure 2 ) Coronary angiography and pulmonary arteriography did not show significant stenosis in the coronary arteries, and there was no defect in the pulmonary artery. (
  • Cardiac computed tomography (CT) has the capacity to directly visualize the coronary arteries. (
  • Imaging the coronary arteries is difficult because of their small diameters and the motion during the cardiac cycle. (
  • Visualizing the lumen of coronary arteries using contrast-enhanced CTA requires maximal temporal and spatial resolution. (
  • Further, this adrenaline surge triggers the arteries to tighten, thereby raising blood pressure and placing more stress on the heart, and may lead to spasm of the coronary arteries that supply blood to the heart muscle. (
  • Through these arteries, called the coronary arteries, the heart muscle (myocardium) gets the oxygen and other nutrients it needs to pump blood. (
  • As a child, the inner lining of the coronary arteries is quite smooth, allowing blood to flow easily. (
  • As a person ages, the cholesterol and calcium content in the walls of the coronary arteries increases, making them thicker and less elastic. (
  • Unhealthy habits, such as a diet high in cholesterol and other fats , smoking , and lack of exercise accelerate the deposit of fat and calcium within the inner lining of coronary arteries. (
  • Coronary heart disease is caused by any problem with the coronary arteries that keeps the heart from getting enough oxygen- and nutrient-rich blood. (
  • Figure on right shows how atherosclerosis impedes blood flow through coronary arteries while blood clots block blood flow. (
  • Oxygen is brought to the working heart tissue by the coronary arteries with each beat of the heart. (
  • Coronary arteries that are narrowed by atherosclerotic plaques can rupture causing injury to the coronary blood vessel resulting in blood clotting which blocks the flow of blood to the heart muscle. (
  • In a large number of women endothelial dysfunction, small vessel size and diffuse atherosclerosis have been identified as causes of ischemia without evidence of blockade in the coronary arteries. (
  • This condition is also known as angina with normal coronary arteries. (
  • Patients with angina and normal coronary arteries at angiography, fulfilling the diagnostic criteria of cardiac syndrome X (CSX), have an excellent prognosis based on the past evidence. (
  • The Women's Ischemic Syndrome Evaluation study (WISE study), the largest and most thoroughly investigated cohort of middle-aged women with cardiac syndrome X, showed that 5-year annualized event rates for cardiovascular events were 16.0% in women with nonobstructive coronary artery disease (CAD) (stenosis in any coronary artery of 1%-49%) and 7.9% in women with normal coronary arteries (stenosis of 0% in all coronary arteries). (
  • There are similarities in histopathology between atherosclerosis and aortic stenosis--risk factors are similar, including lipoprotein deposits, active inflammation, and calcification of the valve. (
  • We studied the relationship of coronary artery calcification (CAC), a marker of coronary atherosclerosis, with prevalent clinical coronary artery disease (CAD) and established cardiovascular disease (CVD) risk factors in a type 1 diabetic population. (
  • The mechanism by which a tricuspid aortic valve becomes stenotic is judged to be similar to that of atherosclerosis, as the initial plaque of AS is like that in coronary artery disease [4]. (
  • This can be caused by diseases such as atherosclerosis, coronary artery disease and aortic stenosis. (
  • Despite current methods of identifying patients with coronary artery atherosclerosis, many individuals suffer cardiovascular events in the absence of established risk factors. (
  • Thus, current diagnostic paradigms for the detection of coronary artery atherosclerosis are inadequate. (
  • Cardiac CT can be performed to detect coronary artery stenoses and assess nonobstructive stages of coronary atherosclerosis either through calcium measurement or the analysis of calcified and noncalcified plaque. (
  • Coronary artery atherosclerosis is approaching epidemic proportions in the United States and worldwide. (
  • Yasunobu Y, Hayashi K, Shingu T, Yamagata T, Kajiyama G, Kambe M. Coronary atherosclerosis and oxidative stress as reflected by autoantibodies against oxidized low-density lipoprotein and oxysterosis. (
  • Three cross-sectional studies of women with or without stenosis on coronary angiography each showed markedly less atherosclerosis among estrogen users. (
  • 1 The pathology of aortic stenosis includes processes similar to those in atherosclerosis, including lipid accumulation, inflammation, and calcification. (
  • Methods and Results We prospectively studied 85 consecutive patients with unstable angina who stabilized on medical therapy but were found to require angioplasty for treatment of obstructive coronary disease. (
  • Dobutamine stress echocardiography is widely performed as a useful diagnostic tool in patients with known or suspected coronary artery disease. (
  • Dobutamine induced ST segment elevation in absence of significant coronary artery disease is a rare condition and is supposed to be a consequence of severe coronary artery spasm. (
  • Group 1 consisted of 10 patients who had new onset of refractory rest angina and ischemic ST-T changes, but no infarction, single-vessel coronary disease without collateralization, and normal left ventricular (LV) angiograms. (
  • The effects of acetylcholine administration on coronary stenoses in relation to serum lipids level were evaluated in 18 patients (15 men, 3 women) with coronary artery disease and stable angina. (
  • While IHD care has focused around detection and treatment of obstructive coronary artery disease (CAD), it is clear that symptomatic patients with evidence of ischemia do not always have obstructive CAD. (
  • Ischemia and No Obstructive Coronary Artery Disease (INOCA): developing evidence-based therapies and research agenda for the next decade. (
  • Emergence of nonobstructive coronary artery disease: a woman's problem and need for change in definition on angiography. (
  • Persistent chest pain and no obstructive coronary artery disease. (
  • Coronary microvascular dysfunction is highly prevalent in women with chest pain in the absence of coronary artery disease: results from the NHLBI WISE study. (
  • Hasdai D, Holmes DR Jr, Higano ST, Burnett JC Jr, Lerman A. Prevalence of coronary blood flow reserve abnormalities among patients with nonobstructive coronary artery disease and chest pain. (
  • Prevalence and predictors of nonobstructive coronary artery disease identified with coronary angiography in contemporary clinical practice. (
  • The Seattle Angina Questionnaire (SAQ) is a self-administered, 19-item questionnaire, a cardiac disease-related quality-of-life measure. (
  • Severe stenosis was observed in 34%, and of these patients 60% had single-vessel disease (not left main coronary artery disease). (
  • Since invasive coronary angiography (ICA) is still the gold standard for ruling out obstructive coronary disease, it can be considered in patients with normal MPI with persisting symptoms. (
  • Given the FF's known underlying coronary artery disease (CAD), NIOSH investigators concluded that the physical exertion of responding to the call and suppressing the fire triggered his heart attack, which caused his death. (
  • NIOSH investigators conclude that given the FF's underlying coronary heart disease (CHD), responding to the structure fire alarm probably triggered his sudden cardiac death. (
  • This study will evaluate the effect of ranolazine compared to placebo on the average weekly angina frequency in subjects with chronic stable angina and coronary artery disease (CAD) who have a history of type 2 diabetes mellitus (T2DM), and whether ranolazine can reduce the frequency of angina (chest pain) attacks, compared to a placebo. (
  • BACKGROUND: Recent studies show that coronary microcirculatory impairment is an independent predictor of poor outcomes in patients with cardiovascular disease. (
  • You are going to have surgery on your heart and you are at high risk for coronary artery disease. (
  • From this perspective, the illness pattern has changed during the last century and a half from infectious diseases to more culturally influenced diseases, such as coronary artery disease (CAD). (
  • BACKGROUND: The use of non-invasive imaging to identify ruptured or high-risk coronary atherosclerotic plaques would represent a major clinical advance for prevention and treatment of coronary artery disease. (
  • 18)F-NaF uptake was compared with histology in carotid endarterectomy specimens from patients with symptomatic carotid disease, and with intravascular ultrasound in patients with stable angina. (
  • Future studies are needed to establish whether this method can improve the management and treatment of patients with coronary artery disease. (
  • Objective To determine the efficacy of statin treatment on risk of coronary heart disease in patients with familial hypercholesterolaemia. (
  • Subjects 2146 patients with familial hypercholesterolaemia without prevalent coronary heart disease before 1 January 1990. (
  • Main outcome measures Risk of coronary heart disease in treated and "untreated" (delay in starting statin treatment) patients compared with a Cox regression model in which statin use was a time dependent variable. (
  • Conclusion Lower statin doses than those currently advised reduced the risk of coronary heart disease to a greater extent than anticipated in patients with familial hypercholesterolaemia. (
  • Familial hypercholesterolaemia is a monogenic disorder associated with a greatly increased risk of coronary heart disease. (
  • In two observational studies, secular trends suggest that statins have roughly halved the risk of coronary heart disease in patients with familial hypercholesterolaemia. (
  • Aortic stenosis (AS) is most common valvular disease. (
  • 50% of these patients have underlying coronary artery disease. (
  • The present study aimed to compare the clinical outcome of patients with coronary artery disease (CAD) who underwent a revascularization using conventional coronary angiography or a physiologically guided revascularization with Fractional Flow Reserve (FFR). (
  • Finding the best course of treatment for coronary artery disease (CAD) is a recurring challenge in everyday clinical practice. (
  • Among patients with intermediate to high risk of coronary artery disease, the use of contrast during dobutamine echocardiography improved the visualization of myocardial segments both at rest and peak stress. (
  • Although contrast improved the detection of coronary disease, there were still 32% of patients with discordance results between dobutamine echocardiography and coronary angiography. (
  • Takotsubo cardiomyopathy is an increasingly recognised syndrome characterised by transient apical left ventricular dysfunction in the absence of significant coronary artery disease. (
  • She had no modifiable risk factors for coronary artery disease. (
  • It is characterised by transient apical left ventricular ballooning in the absence of significant coronary artery disease. (
  • Surgical treatment of coronary artery disease should increase regional coronary flow reserve and not increase any early or late morbidity and mortality more than the other treatment modalities. (
  • In the past 50 years, surgical treatment of coronary artery disease has been adapted rapidly worldwide and several techniques have been developed to decrease total surgical risks and to improve early and late results with the highest level of quality of life. (
  • In spite of the last guidelines that offer stents for single or multiple vessels disease, the fact is that surgical revascularization has better outcomes in all groups of coronary artery patients. (
  • Return of angina during the first 6 months depends on incomplete revascularization or graft failure, whereas progression of native-vessel disease and grafts are serious risk factors for the late recurrence of angina. (
  • Coronary artery disease (CAD) is the most common pathology which prepossesses cardiologists and cardiac surgeons in the past century. (
  • Coronary Heart Disease Get the facts about coronary heart disease. (
  • Symptomatic aortic stenosis requires valvular repair or replacement, and a new valve slows the progression of disease. (
  • Presence of angina does not necessarily indicate coexisting coronary artery disease (CAD). (
  • Exclusion criteria were definite need for surgical revascularization or high likelihood of need for revascularization within 6 months, nonatheromatous cardiovascular (CV) disease, or previous revascularization for renal artery stenosis. (
  • A new study by researchers at the University of Cambridge has revealed the existence of a link between coronary heart disease and levels of interleukin-6 (IL-6). (
  • Coronary heart disease is the leading cause of death amongst adults in the developed world. (
  • The research team has identifies a rouge bacteria, Chlamydia, that wrecks the immune system causing coronary artery disease and miscarriages. (
  • A new study has found a link between the gene for the HDL-associated protein paraoxonase 1 (PON1) and adverse cardiac events such as coronary artery disease. (
  • To improve the treatment of patients with coronary heart disease (CHD), personalized treatments based on potential biomarkers could make a difference. (
  • also known as coronary heart disease or ischaemic heart disease . (
  • Severe obstructive coronary artery disease. (
  • A 52 yrs old gentleman, nonhypertensive, nondiabetic and known case of rheumatic heart disease with mitral stenosis and atrial fibrillation has presented to casualty with a history of chest pain, shortness of breath class 2-3 associated with productive cough and pyrexia for 1-2 weeks. (
  • Coronary angiogram revealed left main Aneurysm measuring 14 × 28 mm with single-vessel disease (critical ostial lesion in the LAD-Figure 1 ). (
  • Several reports have confirmed CTA's diagnostic accuracy for identifying significantly obstructive disease, and the severity of such stenosis was also predictive of major adverse cardiac events (5-7) . (
  • Although coronary artery anomalies are far less common than acquired coronary artery disease, their impact on premature cardiac morbidity and mortality among adults is not trivial. (
  • Most people with aortic stenosis do not develop symptoms until the disease is advanced. (
  • Although previous studies have shown that circulating monocytes contribute to the progression of coronary atherosclerotic lesions, the relationship between the severity of coronary artery disease (CAD) and the 2 distinct monocyte subsets has not previously been evaluated. (
  • 2,3 In the elderly, etiologies for aortic stenosis include calcification of a normal tricuspid aortic valve, calcification of a congenital bicuspid valve, and rheumatic valve disease. (
  • 3 Calcific aortic stenosis (referred to as "degenerative" or "senile type") affects trileaflet aortic valves, frequently in patients with other risk factors for atherosclerotic disease. (
  • 5 This form of aortic stenosis is associated with slow disease progression and presentation in patients between the ages of 70 and 90 years. (
  • rheumatic disease, homozygous hypercholesterolemia, and radiation heart disease are considered other less common causes of aortic stenosis. (
  • since aortic stenosis can progress slowly or in some cases quickly, regular follow-up is required to detect progression of disease (via echocardiography). (
  • 2 It is theorized that the reason for this may be progression from aortic sclerosis to aortic stenosis, or may be comorbid dyslipidemia, underlying inflammation (local or systemic), or endothelial dysfunction causing sclerosis and coronary artery disease. (
  • Pure aortic stenosis is rare to develop in rheumatic heart disease. (
  • Coronary calcium in adults with type 1 diabetes: a stronger correlate of clinical coronary artery disease in men than in women. (
  • Millions of people have received stents for stable coronary artery disease (CAD) at a cost of billions of dollars. (
  • OBJECTIVE -To determine the independent risk factors for coronary artery disease (CAD) in type 1 diabetes by type of CAD at first presentation. (
  • Both type 1 and type 2 diabetes increase the risk of coronary artery disease (CAD) ( 1 ). (
  • Coronary revascularisation in chronic kidney disease. (
  • Chronic kidney disease (CKD) is associated with a high burden of coronary artery disease, myocardial infarction and cardiovascular death. (
  • Part 1: stable coronary artery disease. (
  • Detection and treatment of coronary artery disease in CKD patients has been hampered by the limitations of screening tests, the lack of direct evidence for therapeutic interventions in this specific population, and concerns about therapy-related adverse effects. (
  • current evidence regarding the treatment of coronary artery disease in patients with CKD, with the focus on coronary revascularisation by percutaneous coronary intervention or coronary artery bypass grafting. (
  • Risk factors commonly associated with coronary artery disease-including age, male gender, hyperlipidemia, evidence of active inflammation-seem to play a role in the development of AS, and both diseases are often present in the same individual [5-7]. (
  • Relation of aortic valve sclerosis to risk of coronary heart disease in African-Americans. (
  • Coronary artery disease is the most common thing to go wrong with the heart. (
  • Aortic stenosis: a new face for an old disease. (
  • Background - Coronary angiograms are important in the diagnostic workup of patients with suspected coronary artery disease. (
  • Percutaneous coronary intervention (PCI) is emerging as the main treatment option for coronary artery disease and the number of PCI procedures are rapidly increasing worldwide ( 1-4 ). (
  • Consequently, there is an impetus to develop improved noninvasive imaging modalities to better detect coronary artery disease (CAD) and determine the prognosis of future cardiovascular events. (
  • Based on data from the Framingham Heart Study, a person's lifetime risk of developing symptomatic coronary artery disease (CAD) after the age of 40 is 49% in men and 32% in women. (
  • Assess your aptitude of the causes, symptoms and appropriate courses of action surrounding coronary artery disease that presents in a stable manner. (
  • Although TTS has generally been considered a self-limiting disease, spontaneously resolving over the course of days to weeks, contemporary observations show that the rates of cardiogenic shock and death in TTS are comparable to those of acute coronary syndrome (ACS) patients. (
  • F r die Bestimmung der klinischen und gesundheits konomischen Langzeitkonsequenzen der FFR-Messung im Kontext des deutschen Gesundheitssystems wurde ein entscheidungsanalytisches Markov-Modell entwickelt, das German Coronary Artery Disease Outcome Model (German CADOM). (
  • A major cause of death and disability, coronary heart disease claims more lives in the United States than the next 7 leading causes of death combined. (
  • Lack of sufficient blood is called ischemia, so coronary heart disease is sometimes called ischemic heart disease. (
  • The cause of coronary heart disease is related to multiple risk factors. (
  • Heredity: Coronary heart disease runs in the family. (
  • The most devastating sign of coronary heart disease is abrupt, unexpected cardiac arrest . (
  • More common symptoms of coronary heart disease include the following. (
  • How does coronary artery disease develop? (
  • Coronary artery disease remains the leading cause of death in developed countries despite significant progress in primary prevention and treatment strategies. (
  • What Is Coronary Artery Disease In Celiac Disease and/or Gluten Sensitivity? (
  • Vitamin D deficiency and coronary artery disease: A review of the evidence. (
  • It is important to identify risk factors for atherosclerotic disease when assessing the likelihood of unstable angina. (
  • Key among these is assessing patient history of coronary artery disease (CAD), peripheral vascular disease , and cerebrovascular disease, with positive responses to any of these questions leading to increased likelihood that current ischemic symptoms are due to ACS. (
  • Caution should be exercised in implanting a THV in patients with clinically significant coronary artery disease. (
  • The Edwards SAPIEN XT transcatheter heart valve is indicated for use in patients with symptomatic heart disease due to either severe native calcific aortic stenosis or failure (stenosed, insufficient, or combined). (
  • The Edwards SAPIEN XT transcatheter heart valve is indicated for use in patients with symptomatic heart disease due to either severe native calcific aortic stenosis or failure (stenosed, insufficient, or combined) of a surgical bioprosthetic aortic valve who are judged by a heart team, including a cardiac surgeon, to be at high or greater risk for open surgical therapy (i.e. (
  • Considerable epidemiological evidence has accumulated regarding the effect of postmenopausal estrogens on coronary heart disease risk. (
  • As the disease worsens, these compensatory mechanisms become inadequate, leading to symptoms of heart failure, angina, or syncope. (
  • In asymptomatic patients, serial Doppler echocardiography is recommended every six to 12 months for severe aortic stenosis, every one to two years for moderate disease, and every three to five years for mild disease. (
  • Medical management of concurrent hypertension, atrial fibrillation, and coronary artery disease will lead to optimal outcomes. (
  • Aortic valve stenosis affects 3% of persons older than 65 years and is the most significant cardiac valve disease in developed countries. (
  • Serial Doppler echo-cardiography is recommended annually for severe aortic stenosis, every one or two years for moderate disease, and every three to five years for mild disease. (
  • Many patients with asymptomatic aortic stenosis have concurrent cardiac conditions, such as hypertension, atrial fibrillation, and coronary artery disease, which should also be carefully managed. (
  • Aspirin prophylaxis should be considered in adults with a 10-year risk of cardiovascular disease of 6 percent or greater, which is common with aortic stenosis. (
  • It is not known, however, if this applies to unstable angina patients who stabilize on medical therapy. (
  • Conclusions In unstable angina patients who stabilize medically, subsequent short-term stenosis progression and coronary events are common. (
  • The unstable coronary lesion (particularly complex stenoses) is often not stabilized and will continue to progress over the ensuing months. (
  • compared to men, women who present with acute coronary syndrome/unstable angina as well as stable angina are more likely to have non-obstructive CAD on coronary angiography, and yet have a high IHD morbidity and mortality. (
  • Unstable angina -- Ch. 5. (
  • Resting iodine 123-labeled metaiodobenzylguanidine ( 125 I-MIGB) scintigraphy was performed in 19 patients with unstable angina to determine if it can detect myocardial ischemia and identity the angina-provoking coronary artery. (
  • Thus resting 123 I-MIBG scintigraphy is a useful noninvasive method to detect coronary stenoses provoking repetitive ischemia in patients with unstable angina in its acute phase. (
  • Your angina that is becoming worse, not going away, occurring more often, or happening at rest (called unstable angina ). (
  • Though in stable situations many (risk) factors determine the velocity of progression to plaque formation, before a critical stenosis in a coronary artery is formed an occlusion may already occur, resulting from an unstable plaque. (
  • What change/event in the atherothrombotic process can lead to ACS (MI, stroke, unstable angina)? (
  • How does unstable angina differ from stable angina? (
  • In unstable angina, troponins may be normal. (
  • What is the initial emergency department treatment of unstable angina in Wellens syndrome? (
  • Patients presenting with symptoms consistent with unstable angina should generally receive medications and other therapies and measures that may help prevent myocardial infarction (MI). (
  • Angiographic and clinical characteristics of patients with unstable angina showing an ECG pattern indicating critical narrowing of the proximal LAD coronary artery. (
  • Acute myocardial infarction in a patient with unstable angina. (
  • A 58-year-old-man with unstable angina developed a violent retrosternal and interscapular pain during coronary angiography with no associated ECG abnormalities. (
  • Pathophysiologic Events Culminating in the Clinical Syndrome of Unstable Angina. (
  • Alternatively, if the process leads to severe stenosis but the artery nonetheless remains patent, then unstable angina occurs. (
  • Oxidative stress may be greatly increased in unstable angina. (
  • Unstable angina is a form of acute coronary syndrome (ACS) along with non-ST elevation myocardial infarction (NSTEMI) and ST elevation MI (STEMI). (
  • ACS, including unstable angina, is most commonly caused by a cascade of chronic inflammatory processes in coronary vessels that leads to the development of stable and/or unstable plaques with or without embolisms, leading to a mismatch between cardiac myocyte demand and oxygenated blood delivery. (
  • Either outcome can lead to complete obstruction of the vessel with cardiac myocyte damage and changes to the ECG (consistent with STEMI) or transient or incomplete obstruction of the vessel with or without myocyte damage or ECG changes, which would be consistent with NSTEMI or unstable angina. (
  • Unstable angina can present in a variety of ways. (
  • On admission he was asymptomatic and the ECG showed mild T wave inversion in the precordial leads that resolved without cardiac enzyme elevation (fig 1 A). Coronary angiography showed a tight stenosis of the first diagonal branch and a 40% stenosis of the mid-left anterior descending coronary artery (LAD). (
  • Cardiac syndrome X and microvascular coronary dysfunction. (
  • Effects of sex on coronary microvascular dysfunction and cardiac outcomes. (
  • Coronary angiography is often done along with cardiac catheterization . (
  • During cardiac catherization, the functional flow reserve (FFR) can be measured as the maximum available blood flow in a stenosed coronary segment. (
  • However, cardiac troponin was elevated suggesting acute coronary syndrome. (
  • Cardiac catheterization with coronary angiography demonstrated anomalous origin of single coronary artery from right sinus of valsalva and dividing into left main and right coronary artery. (
  • Etiology of coronary occlusion was atherosclerotic plaque and hence was present throughout cardiac cycle and no dynamic cause could be seen. (
  • of 126 nontraumatic sudden deaths in young adults, cardiac abnormality was found in 64 cases (51%), with coronary artery abnormalities being the most common cardiac abnormality (39 of 64 patients (61%)) [ 1 ]. (
  • 1 This column will address age-related changes in cardiac valves, with a focus on aortic valvular stenosis. (
  • The Manchester Acute Coronary Syndromes (MACS) decision rule has been shown to effectively risk stratify patients with suspected cardiac chest pain in the emergency department, and to safely identify approximately a quarter of patients who could be discharged following a single blood test. (
  • Methods - The authors conducted a study using the Cardiac Care Network Variations in Revascularization Practice in Ontario database of 2,718 patients undergoing an index cardiac catheterization for an indication of stable angina between April 2006 and March 2007 at one of 17 cardiac hospitals in Ontario. (
  • Conclusions - The absence of traditional cardiac risk factors, female gender, and lack of typical angina symptoms are all associated with a higher frequency of normal cardiac catheterizations. (
  • As such, cardiac CT coronary artery calcium (CAC) detection and coronary CT angiography (CTA) are well positioned to identify these 2 groups of individuals. (
  • Cardiac syndrome X (CSX) is broadly defined as typical angina-like chest pain with evidence of myocardial ischemia in the absence of flow-limiting stenosis on coronary angiography. (
  • Cardiac syndrome X has been largely replaced by MVA, and it is diagnosed when the pathogenesis is unkown (ie, without epicardial artery stenosis or abnormal flow reserve). (
  • [ 21 ] In postmenopausal women with cardiac syndrome X, estrogen replacement therapy improves coronary endothelial function, decreases anginal frequency, and improves exercise-induced angina. (
  • Aortic valve stenosis affects 3 percent of persons older than 65 years and leads to greater morbidity and mortality than other cardiac valve diseases. (
  • Mitral stenosis -- Ch. 11. (
  • The patient had undergone percutaneous balloon mitral valvotomy in 1999 and had undergone coronary angiogram in the same year, which revealed normal coronaries with normal left main anatomy. (
  • 2D-Echo revealed RWMA +ve with Hypokinetic LAD Territory, Moderate LV Dysfunction, and Tight mitral stenosis. (
  • 5. Hemodynamically significant primary valvular or outflow tract obstruction (e.g. aortic or mitral valve stenosis, asymmetric septal hypertrophy, malfunctioning prosthetic valve). (
  • Ischemia-related stenoses were identified and classified as "complex" (irregular borders, overhanging edges, or thrombus) or "smooth" (absence of complex features). (
  • At initial angiography, there were 198 stenoses (≥50%, 102), of which 85 (54 complex and 31 smooth) were ischemia related. (
  • At restudy, 21 ischemia-related stenoses and 8 non-ischemia-related stenoses progressed (25% versus 7%, P =.001). (
  • Seventeen of the 21 ischemia-related stenoses that progressed developed into total occlusion compared with 3 of the 8 non-ischemia-related stenoses ( P =.02). (
  • Changes in average stenosis severity and in absolute stenosis diameter were significantly larger in ischemia-related stenoses than in non-ischemia-related stenoses ( P =.03). (
  • Data indicates that coronary microvascular dysfunction (CMD), due to endothelial and non-endothelial dependent mechanisms, may be an explanation in at least half of these symptomatic women who have evidence of myocardial ischemia. (
  • Angina in the remaining patients is due to left ventricular hypertrophy, which can cause coronary ischemia by other mechanisms. (
  • RESULTS -A total of 108 incident CAD events occurred during the 10-year follow-up: 17 cases of ECG ischemia, 49 cases of angina, and 42 cases of hard CAD (5 CAD deaths, 25 nonfatal MI or major Q waves, and 12 revascularization or ≥50% stenosis). (
  • Angina is chest pain that results from episodes of transient myocardial ischemia. (
  • A coronary stenosis of ≥70% was considered to be severe for the left anterior descending artery (LAD), left circumflex artery (LCx) and right coronary artery (RCA). (
  • Given the gradual reduction in luminal diameter of a coronary artery caused by atherosclerotic plaque formation, the increased oxygen demand of the heart during exercise ultimately results in a perturbation of the balance between myocardial oxygen consumption (O 2 demand) and coronary blood flow (O 2 supply), the so-called ischaemic threshold. (
  • 18F-fluoride positron emission tomography for identification of ruptured and high-risk coronary atherosclerotic plaques: a prospective clinical trial. (
  • 806 patients (mean age 71 y, 63% men, mean renal arterial stenosis 76%) with substantial anatomical atherosclerotic stenosis in ≥ 1 renal artery that was potentially suitable for endovascular revascularization and whose doctors were uncertain that the patients would definitely benefit from revascularization. (
  • Coronary artery aneurysm is one of the rarest anomalies that we see in our medical practice and they are mostly associated with obstructive lesions due to atherosclerotic changes. (
  • The most common cause of coronary aneurysm mostly seems to be atherosclerotic. (
  • We are reporting an interesting case with anomalous left main coronary artery originating from right aortic sinus having retroaortic course complicated by significant atherosclerotic narrowing of the vessel and its percutaneous management. (
  • A percutaneous transluminal coronary angioplasty (PTCA) of the first diagonal branch was performed with a satisfactory result (30-50% residual stenosis). (
  • Coronary angiography was repeated at 6 - 18 months after percutaneous coronary intervention and the patients were clinically followed up. (
  • Transient RCA spasm and distal LAD spasm were observed during percutaneous coronary intervention of LAD in 2 patients . (
  • If a blockage is found, your provider may perform a percutaneous coronary intervention (PCI) to open the blockage. (
  • Furthermore, outcomes in FFR guided percutaneous coronary intervention (PCI) and instantaneous wave‑free ratio (iFR) guided PCI were compared. (
  • FFR is the current gold standard for deciding if revascularization is required in angiographically ambiguous coronary artery stenosis and is recommended by the 2014 ESC/EACTS guidelines on myocardial revascularization and the 2011 ACCF/AHA/SCAI guidelines for percutaneous coronary intervention (PCI) ( 3 , 4 ). (
  • Prasugrel as antiplatelet therapy in patients with acute coronary syndromes or undergoing percutaneous coronary intervention. (
  • Percutaneous transmyocardial laser revascularisation for severe angina: the PACIFIC randomised trial. (
  • Vascular access and subsequent methods to obtain haemostasis are commonly overlooked components of coronary angiography, yet most complications related to diagnostic coronary angiography and percutaneous coronary interventions come from groin bleeds. (
  • Ever Heard of Percutaneous Transvenous Selective Coronary Angiography? (
  • Does Prior Percutaneous Coronary Intervention Adversely Affect Early and Mid-Term Survival After Coronary Artery Surgery? (
  • Objectives To determine the association between previous percutaneous coronary intervention (PCI) and results after coronary artery bypass graft surgery (CABG). (
  • Stenosis progression (≥20% diameter reduction or new total occlusion) was assessed by automated edge detection. (
  • ST segment elevation is uncommon and is almost always associated with prior myocardial infarction or transient total coronary occlusion. (
  • However, controversy exists over whether microcirculatory resistance, a measure of coronary microcirculatory status, is dependent on epicardial stenosis severity. (
  • A rather new method used to determine the severity of a coronary stenosis is the instantaneous wave-free ratio (iFR). (
  • CTCA and conventional coronary angiography (CCA), and QCT and quantitative coronary angiography (QCA), were performed to determine the severity of a stenosis that was compared with FFR measurements. (
  • Ask patients about the frequency of angina, severity of pain, and number of nitroglycerin pills used during angina episodes. (
  • Percentage of left ventricular stroke work loss: a simple hemodynamic concept for estimation of severity in valvular aortic stenosis. (
  • Value and limitations of continuous-wave Doppler echocardiography in estimating severity of valvular stenosis. (
  • Prediction of the severity of aortic stenosis by Doppler aortic valve area determination: prospective Doppler-catheterization correlation in 100 patients. (
  • After excluding 27 patients with a history of coronary bypass surgery, we analysed the remaining 229 patients in our current study. (
  • We performed a prospective cohort trial on 220 patients undergoing elective off-pump coronary artery bypass surgery and taking aspirin to evaluate the effect of aspirin resistance on myocardial injury. (
  • In the past two decades, the main target has been to limit or eliminate side effects of extracorporeal circulation and cardioplegia (off-pump), and general anesthesia (awake coronary bypass). (
  • It allays the concerns of patients who have undergone endoscopic vein harvesting during coronary artery bypass, as well as the concerns of surgeons who prefer endoscopic vein harvesting for their patients. (
  • Since the mid-1990s, surgeons have used endoscopes and tiny incisions at the ankle, knee and groin to remove leg veins during coronary artery bypass surgery (CABG). (
  • Coronary bypass is among the most commonly performed procedures worldwide," says Judson Williams, M.D., M.H.S., the study's first author and a Cardiothoracic Surgical Trials Network fellow at Duke. (
  • Boston now boasts a hospital where robots have joined doctors to offer minimally invasive coronary artery bypass graft surgery to patients with severe blockages. (
  • Coronary bypass graft has been the conventional treatment of choice in anomalous left man coronary artery stenosis. (
  • The widespread use of PCI has resulted in an increasing number of patients being referred for coronary artery bypass graft surgery (CABG) who have undergone prior PCI. (
  • Reduction in coronary revascularization. (
  • Coronary revascularization -- Ch. 8. (
  • Coronary revascularization is only justified for hemodynamically relevant stenosis ( 1 , 2 ). (
  • and hard CAD was determined by angiographic stenosis ≥50%, revascularization procedure, Q waves (MC 1.1-1.2), nonfatal myocardial infarction (MI), or CAD death. (
  • What are the 3 (main) acute coronary syndromes? (
  • Objective The Manchester Acute Coronary Syndromes (MACS) decision rule may enable acute coronary syndromes to be immediately 'ruled in' or 'ruled out' in the emergency department. (
  • Part II: acute coronary syndromes. (
  • Management of patients with CKD presenting with acute coronary syndromes is more complex than in the general population, due to greater diagnostic uncertainty and the lack of direct evidence for therapeutic interventions in this specific population, coupled with concerns about therapy-related adverse effects. (
  • This review summarises the current evidence regarding the treatment of patients with CKD presenting with acute coronary syndromes, in particular with respect to coronary revascularisation strategies. (
  • Angina is chest pain due to inadequate blood supply to the heart. (
  • Our results from this small patient cohort suggest that drug eluting stent implantation for severe organic stenosis in patients with vasospastic angina is linked with high incidence of restenosis and recurrent chest pain . (
  • mean age = 59.9 ± 10.2 years) who had chest pain for angina and underwent coronary angiography were included. (
  • 1 Because it is so often impossible to differentiate chest pain caused by an acute coronary syndrome from less serious causes on the basis of a patient's symptoms, 2 , 3 patients with previous history 4 or ECG, 5 are routinely admitted for serial troponin testing. (
  • anterior chest pain due to a partially blocked coronary artery. (
  • This term refers to midsternal, anterior chest pain due to a partially blocked coronary artery (see figures 53 and 54 ), often felt as a chest pressure like an elephant sitting on one's chest, spreading to the inner aspect of the upper left arm, neck and upper mid back, lasting anywhere from 5 to 10 or more minutes. (
  • This slowing of blood flow causes signs and symptoms of chest pain , or angina . (
  • It is characterized by slowly developing interference with blood flow to heart tissue itself, r esulting in oppressive chest pain called angina and, ultimately, thrombosis (clot) causing heart attack. (
  • Multiple studies have suggested that abnormalities in pain perception are the principal abnormality in patients with chest pain and normal findings on coronary angiography. (
  • Under his leadership, USC surgeons have conducted more than 15,000 open heart surgeries to repair and replace valves or create coronary artery bypasses, and more than 10,000 surgeries for diseases of the lungs, esophagus and chest wall. (
  • It is normally placed inside a coronary artery following balloon angioplasty. (
  • Coronary Artery Angioplasty with Stent Coronary artery angioplasty with stent facts, including who needs it. (
  • During intervention anomalous coronary was cannulated with 6F JR guiding catheter (Brite Tip Cordis company) and lesion was crossed with 0.014 angioplasty guide wire (Boston Scientific) and distally parked in the left circumflex artery. (
  • Right anterior oblique coronary arteriogram of the first patient who underwent the first transluminal coronary angioplasty on September 16, 1977 (left) by Andreas R. Gruentzig, M.D., and on September 16, 1987 (right). (
  • Angioplasty of high-grade stenosis of the left anterior descending artery diagonal bifurcation (see arrow) using a single guiding catheter through which two dilatation devices (USCI Probe) were passed. (
  • After adjusting for several variables, including diabetes, smoking status, hypertension and hypercholesterolaemia, predictors of severe stenosis were male gender, odds ratio (OR) 2.7 (95% confidence interval (CI) 1.5-4.9), older age, OR 1.9 (95% CI 1.02-3.54) previous PCI, OR 2.0 (95% CI 1.0-4.3) and typical angina, OR 2.5 (95% CI 1.4-4.6). (
  • In most clinical settings, however, such as hypertension or angina where there is little correlation between plasma levels and clinical effect, Propranolol Hydrochloride Extended-Release Capsules, USP, have been therapeutically equivalent to the same mg dose of conventional Propranolol as assessed by 24-hour effects on blood pressure and on 24-hour exercise responses of heart rate, systolic pressure, and rate pressure product. (
  • We evaluated predictors for severe stenosis at invasive angiography in patients with persisting symptoms after normal MPI. (
  • Increasing age, male gender, previous PCI and typical symptoms are predictors of severe stenosis at invasive coronary angiography in patients with normal MPI. (
  • The aim of our study was to assess independent predictors of severe coronary stenosis as detected with ICA in patients with normal MPI and persisting symptoms. (
  • Symptoms include angina, and that of heart failure. (
  • People with severe aortic stenosis may be told not to play competitive sports, even if they have no symptoms. (
  • Symptoms usually occur during exercise or activity because the heart muscle's increased demand for nutrients and oxygen is not being met by the blocked coronary blood vessel. (
  • Cardiology referral is recommended for all patients with symptomatic moderate and severe aortic stenosis, those with severe aortic stenosis without apparent symptoms, and those with left ventricular systolic dysfunction. (
  • Transthoracic echocardiography is indicated when there is a loud unexplained systolic murmur, a single second heart sound, a history of a bicuspid aortic valve, or symptoms that might be caused by aortic stenosis. (
  • Aortic valve replacement should be recommended in most patients with any of these symptoms accompanied by evidence of significant aortic stenosis on echocardiography. (
  • Echocardiography is recommended in patients with classic symptoms of aortic stenosis accompanied by a systolic murmur and in asymptomatic patients with a grade 3/6 or louder systolic murmur. (
  • The case of a 58 year old man with variant angina episodes at rest, during exercise test, and dobutamine stress echocardiography is reported, in whom coronary spasm without significant coronary artery stenoses was documented angiographically. (
  • Example : coronary artery spasm in angina. (
  • The patient has been stabilized and then transferred to CT department for CABG (2 grafts LIMA-LAD, SVG-OM) with isolation of left main aneurysm from coronary circulation by proximal and distal ligation (Figures 3(a) and 3(b) ). (
  • Coronary arteriograms demonstrated no coronary stenosis, but collateral circulation arising from circumflex coronary artery to right pulmonary artery. (
  • Severe aortic stenosis can limit the amount of blood that reaches the brain and the rest of the body. (
  • Aortic valve replacement is the only treatment that improves mortality in patients with symptomatic severe aortic stenosis. (
  • A single coronary artery may follow the pattern of a normal RCA or LCA, divide into two branches with distributions of the RCA and LCA, or have a distribution different from that of the normal coronary arterial tree [ 2 ]. (
  • The diminishing of the coronary arterial filling may lead to angina pain. (
  • Presents a case study of a woman in whom a patent ductus arteriosus was used to enter the arterial system for left ventriculography, aortography and selective coronary angiography. (
  • What is arterial stenosis? (
  • Background Recent studies suggest that angiographically complex coronary stenoses are associated with an adverse short-term outcome. (
  • To further address these issues, risk factors, including glycemic control, for angina, ischemic electrocardiogram (ECG), and hard CAD (myocardial infarction [MI], CAD death, or angiographically proven stenosis) were investigated in this prospective study of type 1 diabetes using, for the first time, the 10-year incidence data. (
  • The venous sample needs be mixed blood from renal venous system and coronary venous system. (
  • 2 The development of significant aortic stenosis tends to occur earlier in persons with congenital bicuspid aortic valves and in those with disorders of calcium metabolism, such as in renal failure. (
  • Quantitative angiographic assessment of proximal coronary artery stenosis was performed in 15 patients with consecutive presentations in two categories defined by clinical and angiographic criteria. (
  • Quantitative coronary arteriography, using paired perpendicular angiographic views and digital computation, yielded statistically different lesion dimensions and hemodynamic predictions for the two groups. (
  • To evaluate the clinical and angiographic outcomes of vasospastic angina patients with severe organic stenosis treated by drug-eluting stents . (
  • Kemp HG Jr. Left ventricular function in patients with the anginal syndrome and normal coronary arteriograms. (
  • Aortic stenosis (AS) is the most common cause of left ventricular outflow tract (LVOT) obstruction and is defined by increased blood flow velocity across a narrowed valve orifice. (
  • Reduced left ventricular myocardial blood flow per unit mass in aortic stenosis. (
  • Usefulness of dobutamine echocardiography in distinguishing severe from non severe valvular aortic stenosis in patients with depressed left ventricular function and low transvalvular gradients. (
  • During the asymptomatic latent period, left ventricular hypertrophy and atrial augmentation of preload compensate for the increase in after-load caused by aortic stenosis. (
  • During the asymptomatic latent period, left ventricular hypertrophy and atrial augmentation of preload compensate for the increase in afterload caused by aortic stenosis. (
  • Inderal LA improves NYHA functional class in symptomatic patients with hypertrophic subaortic stenosis . (
  • Camici PG, Crea F. Coronary microvascular dysfunction. (
  • Diastolic dysfunction in aortic stenosis. (
  • Visual assessment of 123 I-MIBG single-photon-emission computed tomograms was related to coronary vessel stenoses revealed by artariography at each vascular territory. (
  • While coronary angiography can identify a coronary stenosis by conventional visual assessment, defining the functional hemodynamic significance of an intermediate stenosis can be difficult. (
  • Following the described comparable accuracy of FFR and iFR, the goal of this meta-analysis was to compare the clinical outcome of patients with CAD in which the stenosis was either evaluated visually by coronary angiography alone, or by hemodynamic assessment using FFR or iFR. (
  • Coronary computed tomography angiography (CTA) allows noninvasive assessment of luminal stenosis, as well as plaque morphology (1-4) . (
  • The anatomical assessment of the hemodynamic significance of coronary stenoses determined either by CTCA, CCA, QCT, or QCA does not correlate well with the functional assessment of FFR. (
  • Echocardiographic assessment of valve stenosis: EAE/ASE reccomandations for clinical practice. (
  • There are some clinical recommendations for the use of coronary CT angiography (CTA) for symptomatic patients, as well as for the use of coronary artery calcium (CAC) measurement in patients who are asymptomatic but are at intermediate risk for CAD events based on the Framingham risk assessment. (
  • There are currently no clinical indications for coronary CTA in asymptomatic individuals for stenosis detection or assessment of coronary artery plaque. (
  • Physiologic changes with maximal exercise in asymptomatic valvular aortic stenosis assessed by Doppler echocardiography. (
  • Takeda S, Rimington H, Chambers J. The relation between transaortic pressure difference and flow during dobutamine stress echocardiography in patients with aortic stenosis. (
  • Aortic valve replacement is recommended for most symptomatic patients with evidence of significant aortic stenosis on echocardiography. (
  • METHODS: In this prospective clinical trial, patients with myocardial infarction (n=40) and stable angina (n=40) underwent (18)F-NaF and (18)F-FDG PET-CT, and invasive coronary angiography. (
  • There were 91 patients who underwent coronary angiography. (
  • A letter to the editor is presented in response to an article about the prevalence and clinical importance of incidentally detected non-coronary cardiovascular findings in patients who underwent coronary multidetector computed tomography angiography, which appeared in the previous issue. (
  • Different forms of aortic stenosis can be distinguished on a clinical basis by age at onset and characteristic echocardiographic findings. (
  • Although the survival rate in asymptomatic patients with aortic stenosis is comparable to that in age-and sex-matched control patients, the average overall survival rate in symptomatic persons without aortic valve replacement is two to three years. (
  • This is called calcific aortic stenosis. (
  • Rajamannan NM, Otto CM. Targeted therapy to prevent progression of calcific aortic stenosis. (
  • Effect of hydroxymethylglutaryl coenzyme a reductase inhibitors on the progression of calcific aortic stenosis. (
  • A randomized trial of intensive lipid-lowering therapy in calcific aortic stenosis. (
  • Intensive lipid-lowering therapy has not been shown to stop the progression of calcific aortic stenosis and is not recommended in the absence of other indications for statin therapy. (
  • Watchful waiting is recommended for most patients with asymptomatic aortic stenosis. (
  • Satisfactory quality of life after surgery depends on the long-term duration of the freedom from angina, heart failure, rehospitalization and reintervention, and improvement of the exercise capacity. (
  • Angina and heart failure possible with β-blockers. (
  • exacerbation of angina, heart failure (rare). (
  • While data indicates that aortic sclerosis appears to increase the risk of myocardial infarction (by 40%), it may also increase the risk of angina, heart failure, and stroke. (
  • Aortic valve stenosis is an abnormal narrowing of the aortic valve of the heart. (
  • Aortic stenosis refers to abnormal orifice narrowing of the aortic valve causing obstruction of blood flow from the left ventricle to the ascending aorta during systole. (
  • A stenosis is an abnormal narrowing in a blood vessel or other tubular organ or structure. (
  • Association of coronary risk factors and use of statins with progression of mild valvular aortic stenosis in older persons. (
  • Though it was thought earlier that rheumatic fever was the commonest cause of aortic valvular stenosis, current evidences is that stenosis developing in congenital bicuspid aortic valve is the most common cause. (
  • Later on, CT Coronary angiogram (Figures 2(a) and 2(b) ) has been done for further evaluation. (
  • Coronary angiogram showing left main aneurysm (14 × 28) with obstructive leison at LAD ostial level. (
  • a) CT Coronary angiogram showing left main aneurysm with ostial LAD stenosis. (
  • a) Post-CABG CT Coronary angiogram showing proximally and distally ligated left main aneurysm with LIMA to LAD grafts and SVG to OM grafts. (
  • Recommended Drug Therapy (Calcium Antagonist versus Beta Blocker) in Patients with Angina associated Conditions(Gibbons et al.ACC/AHA/ACP ASIM Guidelines for the Management of Patients with Chronic stable Angina, J Mm.Coll. (