Coronary Angiography
Coronary Artery Disease
Coronary Disease
Angioplasty, Balloon, Coronary
Fractional Flow Reserve, Myocardial
Carotid Stenosis
Narrowing or stricture of any part of the CAROTID ARTERIES, most often due to atherosclerotic plaque formation. Ulcerations may form in atherosclerotic plaques and induce THROMBUS formation. Platelet or cholesterol emboli may arise from stenotic carotid lesions and induce a TRANSIENT ISCHEMIC ATTACK; CEREBROVASCULAR ACCIDENT; or temporary blindness (AMAUROSIS FUGAX). (From Adams et al., Principles of Neurology, 6th ed, pp 822-3)
Aortic Valve Stenosis
Constriction, Pathologic
Coronary Artery Bypass
Czechoslovakia
Myocardial Infarction
Dogs
Myocardial Ischemia
A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION).
Ultrasonography, Interventional
Blood Flow Velocity
Hemodynamics
Stents
Coronary Aneurysm
Severity of Illness Index
Predictive Value of Tests
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
Coronary Restenosis
Hyperemia
Pyloric Stenosis
Tomography, X-Ray Computed
Mitral Valve Stenosis
Narrowing of the passage through the MITRAL VALVE due to FIBROSIS, and CALCINOSIS in the leaflets and chordal areas. This elevates the left atrial pressure which, in turn, raises pulmonary venous and capillary pressure leading to bouts of DYSPNEA and TACHYCARDIA during physical exertion. RHEUMATIC FEVER is its primary cause.
Sensitivity and Specificity
Coronary Thrombosis
Pulmonary Valve Stenosis
Follow-Up Studies
Cardiac Catheterization
Treatment Outcome
Prospective Studies
Risk Factors
Echocardiography
Dobutamine
Dipyridamole
Electrocardiography
Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.
Angina Pectoris, Variant
Adenosine
Thallium Radioisotopes
Tomography, Spiral Computed
Computed tomography where there is continuous X-ray exposure to the patient while being transported in a spiral or helical pattern through the beam of irradiation. This provides improved three-dimensional contrast and spatial resolution compared to conventional computed tomography, where data is obtained and computed from individual sequential exposures.
Exercise Test
Percutaneous Coronary Intervention
A family of percutaneous techniques that are used to manage CORONARY OCCLUSION, including standard balloon angioplasty (PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY), the placement of intracoronary STENTS, and atheroablative technologies (e.g., ATHERECTOMY; ENDARTERECTOMY; THROMBECTOMY; PERCUTANEOUS TRANSLUMINAL LASER ANGIOPLASTY). PTCA was the dominant form of PCI, before the widespread use of stenting.
Tomography, Emission-Computed, Single-Photon
A method of computed tomography that uses radionuclides which emit a single photon of a given energy. The camera is rotated 180 or 360 degrees around the patient to capture images at multiple positions along the arc. The computer is then used to reconstruct the transaxial, sagittal, and coronal images from the 3-dimensional distribution of radionuclides in the organ. The advantages of SPECT are that it can be used to observe biochemical and physiological processes as well as size and volume of the organ. The disadvantage is that, unlike positron-emission tomography where the positron-electron annihilation results in the emission of 2 photons at 180 degrees from each other, SPECT requires physical collimation to line up the photons, which results in the loss of many available photons and hence degrades the image.
Collateral Circulation
Angina Pectoris
Myocardial Revascularization
Myocardial Perfusion Imaging
Myocardial Stunning
Magnetic Resonance Angiography
Echocardiography, Stress
Coronary Occlusion
Mucocutaneous Lymph Node Syndrome
An acute, febrile, mucocutaneous condition accompanied by swelling of cervical lymph nodes in infants and young children. The principal symptoms are fever, congestion of the ocular conjunctivae, reddening of the lips and oral cavity, protuberance of tongue papillae, and edema or erythema of the extremities.
Retrospective Studies
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Swine
Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA).
Nitroglycerin
Reproducibility of Results
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
Observer Variation
The failure by the observer to measure or identify a phenomenon accurately, which results in an error. Sources for this may be due to the observer's missing an abnormality, or to faulty technique resulting in incorrect test measurement, or to misinterpretation of the data. Two varieties are inter-observer variation (the amount observers vary from one another when reporting on the same material) and intra-observer variation (the amount one observer varies between observations when reporting more than once on the same material).
Myocardium
Multidetector Computed Tomography
Pericardium
A conical fibro-serous sac surrounding the HEART and the roots of the great vessels (AORTA; VENAE CAVAE; PULMONARY ARTERY). Pericardium consists of two sacs: the outer fibrous pericardium and the inner serous pericardium. The latter consists of an outer parietal layer facing the fibrous pericardium, and an inner visceral layer (epicardium) resting next to the heart, and a pericardial cavity between these two layers.
Models, Cardiovascular
Risk Assessment
Renal Artery Obstruction
ROC Curve
Ventricular Function, Left
Myocardial Reperfusion
Generally, restoration of blood supply to heart tissue which is ischemic due to decrease in normal blood supply. The decrease may result from any source including atherosclerotic obstruction, narrowing of the artery, or surgical clamping. Reperfusion can be induced to treat ischemia. Methods include chemical dissolution of an occluding thrombus, administration of vasodilator drugs, angioplasty, catheterization, and artery bypass graft surgery. However, it is thought that reperfusion can itself further damage the ischemic tissue, causing MYOCARDIAL REPERFUSION INJURY.
Organotechnetium Compounds
Vascular Resistance
Feasibility Studies
Vascular Calcification
Deposition of calcium into the blood vessel structures. Excessive calcification of the vessels are associated with ATHEROSCLEROTIC PLAQUES formation particularly after MYOCARDIAL INFARCTION (see MONCKEBERG MEDIAL CALCIFIC SCLEROSIS) and chronic kidney diseases which in turn increase VASCULAR STIFFNESS.
Platelet Aggregation Inhibitors
Angioplasty, Balloon
Coronary Care Units
Technetium Tc 99m Sestamibi
Vasodilation
Aortic Stenosis, Subvalvular
Prognosis
Aortic Stenosis, Supravalvular
Stroke Volume
Aortic Valve
Biological Markers
Measurable and quantifiable biological parameters (e.g., specific enzyme concentration, specific hormone concentration, specific gene phenotype distribution in a population, presence of biological substances) which serve as indices for health- and physiology-related assessments, such as disease risk, psychiatric disorders, environmental exposure and its effects, disease diagnosis, metabolic processes, substance abuse, pregnancy, cell line development, epidemiologic studies, etc.
Arteriosclerosis
Echocardiography, Doppler
Cardiovascular Agents
Cardiotonic Agents
Endarterectomy, Carotid
Carotid Artery, Internal
Microspheres
Ventricular Dysfunction, Left
A condition in which the LEFT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE; MYOCARDIAL INFARCTION; and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the left ventricular wall.
Ultrasonography, Doppler, Duplex
Chi-Square Distribution
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
Image Processing, Computer-Assisted
Laryngostenosis
Arterial Occlusive Diseases
Radiographic Image Interpretation, Computer-Assisted
Heart Ventricles
Multivariate Analysis
Postoperative Complications
Catheterization
Heart Valve Prosthesis Implantation
Tricuspid Valve Stenosis
Adrenergic beta-Antagonists
Disease Progression
Disease Models, Animal
Coronary Artery Bypass, Off-Pump
Endothelium, Vascular
Sirolimus
A macrolide compound obtained from Streptomyces hygroscopicus that acts by selectively blocking the transcriptional activation of cytokines thereby inhibiting cytokine production. It is bioactive only when bound to IMMUNOPHILINS. Sirolimus is a potent immunosuppressant and possesses both antifungal and antineoplastic properties.
Discrete Subaortic Stenosis
Cohort Studies
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Case-Control Studies
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
Angioplasty
Reconstruction or repair of a blood vessel, which includes the widening of a pathological narrowing of an artery or vein by the removal of atheromatous plaque material and/or the endothelial lining as well, or by dilatation (BALLOON ANGIOPLASTY) to compress an ATHEROMA. Except for ENDARTERECTOMY, usually these procedures are performed via catheterization as minimally invasive ENDOVASCULAR PROCEDURES.
Cholesterol, LDL
Regression Analysis
Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.
Pyloric Stenosis, Hypertrophic
Angiography, Digital Subtraction
A method of delineating blood vessels by subtracting a tissue background image from an image of tissue plus intravascular contrast material that attenuates the X-ray photons. The background image is determined from a digitized image taken a few moments before injection of the contrast material. The resulting angiogram is a high-contrast image of the vessel. This subtraction technique allows extraction of a high-intensity signal from the superimposed background information. The image is thus the result of the differential absorption of X-rays by different tissues.
Logistic Models
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Cholesterol, HDL
Magnetic Resonance Imaging, Cine
A type of imaging technique used primarily in the field of cardiology. By coordinating the fast gradient-echo MRI sequence with retrospective ECG-gating, numerous short time frames evenly spaced in the cardiac cycle are produced. These images are laced together in a cinematic display so that wall motion of the ventricles, valve motion, and blood flow patterns in the heart and great vessels can be visualized.
Oxygen Consumption
Analysis of Variance
Magnetic Resonance Imaging
Carotid Artery Diseases
Intracranial Arteriosclerosis
Vascular diseases characterized by thickening and hardening of the walls of ARTERIES inside the SKULL. There are three subtypes: (1) atherosclerosis with fatty deposits in the ARTERIAL INTIMA; (2) Monckeberg's sclerosis with calcium deposits in the media and (3) arteriolosclerosis involving the small caliber arteries. Clinical signs include HEADACHE; CONFUSION; transient blindness (AMAUROSIS FUGAX); speech impairment; and HEMIPARESIS.
Carotid Arteries
Lipids
A generic term for fats and lipoids, the alcohol-ether-soluble constituents of protoplasm, which are insoluble in water. They comprise the fats, fatty oils, essential oils, waxes, phospholipids, glycolipids, sulfolipids, aminolipids, chromolipids (lipochromes), and fatty acids. (Grant & Hackh's Chemical Dictionary, 5th ed)
Stroke
A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)
Organophosphorus Compounds
Thrombolytic Therapy
Propanolamines
Physical Exertion
Tachycardia
Heart Valve Prosthesis
Reference Values
Tomography, Emission-Computed
Radiopharmaceuticals
Vertebrobasilar Insufficiency
Localized or diffuse reduction in blood flow through the vertebrobasilar arterial system, which supplies the BRAIN STEM; CEREBELLUM; OCCIPITAL LOBE; medial TEMPORAL LOBE; and THALAMUS. Characteristic clinical features include SYNCOPE; lightheadedness; visual disturbances; and VERTIGO. BRAIN STEM INFARCTIONS or other BRAIN INFARCTION may be associated.
Cerebrovascular Disorders
Incidence
Aspirin
The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)
Drug-Eluting Stents
Cerebral Angiography
Ergonovine
Ticlopidine
Tunica Intima
Endarterectomy
Ischemic Attack, Transient
Brief reversible episodes of focal, nonconvulsive ischemic dysfunction of the brain having a duration of less than 24 hours, and usually less than one hour, caused by transient thrombotic or embolic blood vessel occlusion or stenosis. Events may be classified by arterial distribution, temporal pattern, or etiology (e.g., embolic vs. thrombotic). (From Adams et al., Principles of Neurology, 6th ed, pp814-6)
Reoperation
Mammary Arteries
Radial Artery
Proportional Hazards Models
Atherosclerosis
Ultrasonography, Doppler, Color
Ultrasonography applying the Doppler effect, with the superposition of flow information as colors on a gray scale in a real-time image. This type of ultrasonography is well-suited to identifying the location of high-velocity flow (such as in a stenosis) or of mapping the extent of flow in a certain region.
Kaplan-Meier Estimate
A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)
Arteriovenous Shunt, Surgical
Ultrasonography, Doppler
Ultrasonography applying the Doppler effect, with frequency-shifted ultrasound reflections produced by moving targets (usually red blood cells) in the bloodstream along the ultrasound axis in direct proportion to the velocity of movement of the targets, to determine both direction and velocity of blood flow. (Stedman, 25th ed)
Role of variability in microvascular resistance on fractional flow reserve and coronary blood flow velocity reserve in intermediate coronary lesions. (1/1816)
BACKGROUND: Fractional flow reserve (FFR) and coronary blood flow velocity reserve (CFR) represent physiological quantities used to evaluate coronary lesion severity and to make clinical decisions. A comparison between the outcomes of both diagnostic techniques has not been performed in a large cohort of patients with intermediate coronary lesions. METHODS AND RESULTS: FFR and CFR were assessed in 126 consecutive patients with 150 intermediate coronary lesions (between 40% and 70% diameter stenosis by visual assessment). Agreement between outcomes of FFR and CFR, categorized at cut-off values of 0.75 and 2.0, respectively, was observed in 109 coronary lesions (73%), whereas discordant outcomes were present in 41 lesions (27%). In 26 of these 41 lesions, FFR was <0.75 and CFR>or=2.0 (group A); in the remaining 15 lesions, FFR was >or=0.75 and CFR<2.0 (group B). Minimum microvascular resistance, defined as the ratio of mean distal pressure to average peak blood flow velocity during maximum hyperemia, showed a large variability (overall range, 0.65 to 4.64 mm Hg x cm(-1) x s(-1)) and was significantly higher in group B than in group A (2.42+/-0.77 versus 1.91+/-0.70 mm Hg x cm(-1) x s(-1); P:=0.034). CONCLUSIONS: Our findings demonstrate the prominent role of microvascular resistance in modulating the relationship between FFR and CFR and emphasize the importance of combined pressure and flow velocity measurements to evaluate coronary lesion severity and microvascular involvement. (+info)Serial intravascular ultrasound analysis of the impact of lesion length on the efficacy of intracoronary gamma-irradiation for preventing recurrent in-stent restenosis. (2/1816)
BACKGROUND: The relation between lesion length and effectiveness of brachytherapy is not well studied. METHODS AND RESULTS: We compared serial (postintervention and follow-up) intravascular ultrasound findings in 66 patients with native coronary artery in-stent restenosis (ISR) who were treated with (192)Ir (15 Gy delivered 2 mm away from the radiation source). Patients were enrolled in the Washington Radiation for In-Stent Restenosis Trial (WRIST; ISR length, 10 to 47 mm; n=36) or Long WRIST (ISR length, 36 to 80 mm; n=30). External elastic membrane, stent, lumen, and intimal hyperplasia (IH; stent minus lumen) areas and source-to-target (intravascular ultrasound catheter to external elastic membrane) distances were measured. Postintervention stent areas were larger in WRIST and smaller in Long WRIST patients (P:<0.0001). At follow-up, maximum IH area significantly increased in both WRIST and Long WRIST patients (P:<0.0001 for both), but this increase was greater in Long WRIST patients (P:=0.0006). Similarly, minimum lumen cross-sectional area significantly decreased in both WRIST and Long WRIST patients (P:<0.05 and P:<0.0001, respectively), but this decrease was more pronounced in Long WRIST patients (P:=0.0567). The maximum source-to-target distance was longer in Long WRIST than in WRIST, and it correlated directly with ISR length (r=0.547, P:<0.0001). Overall, the change in minimum lumen area and the change in maximum IH area correlated with the maximum source-to-target distance (r=0.352, P:=0.0038 and r=0.523, P:<0.0001 for WRIST and Long WRIST, respectively). The variability (maximum/minimum) in IH area at follow-up also correlated with the maximum source-to-target distance (r=0.378, P:<0.0001). CONCLUSIONS: Brachytherapy may be less effective in longer ISR lesions because of the greater variability and longer source-to-target distances in diffuse ISR. (+info)Impact of peri-stent remodeling on restenosis: a volumetric intravascular ultrasound study. (3/1816)
BACKGROUND: Vessel remodeling is an important mechanism of late lumen loss after nonstent coronary interventions. However, its impact on in-stent restenosis has not been systematically investigated. METHODS AND RESULTS: Serial volumetric intravascular ultrasound analyses (poststent and follow-up) were performed in 55 lesions treated with a balloon-expandable stent (ACS MultiLink) using standard stent deployment techniques. The vessel volume (VV), lumen volume (LV), and volume bordered by the stent (SV) were measured using Simpson's method. The volume of plaque and neointima outside the stent (peri-stent volume, PSV) and volume of neointima within the stent (intrastent volume) were also measured. The change of each parameter during the follow-up period (follow-up minus poststent) was calculated and then divided by SV to normalize these values (designated as percent change [%]). As expected, %PSV directly correlated with %VV (P<0.0001, r=0.935), with no significant SV. A highly significant inverse correlation was seen between %PSV and the percent change of intrastent volume (P<0.0001, r=0.517). Consequently, %LV significantly correlated with peri-stent remodeling, as measured by %VV (P<0.0001, r=0.602). CONCLUSION: Positive remodeling of the vessel exterior to a coronary stent occurs to a variable degree after stent implantation. There is a distinct trade-off between positive remodeling and in-stent hyperplasia: in segments in which the degree of peri-stent remodeling is less, intrastent neointimal proliferation is greater and accompanied by more significant late lumen loss. (+info)Magnesium deficiency in patients with recent myocardial infarction and provoked coronary artery spasm. (4/1816)
This study sought to clarify the relationship between magnesium (Mg) deficiency and coronary artery spasm provoked by pharmacologic agents in patients with a recent acute myocardial infarction (AMI). Twenty-three consecutive patients suffering from AMI were investigated with a Mg retention test (Mg: 0.1 mmol/kg for 4 h) in both the acute phase (within I week (3+/-2 days) of onset) and the subacute phase (3-4 weeks (24+/-6 days) of the onset). Early coronary arteriography was performed in all patients. Coronary stenosis in the infarct-related artery was less than 90% in all patients in the subacute phase. The spasm provocation test was performed in the subacute phase and coronary spasm was defined as transient subtotal or total occlusion in association with angina or electrocardiographic ST-segment deviation. Coronary artery spasm was provoked in only 13 of the 23 patients. Compared with the control subjects (12 patients without coronary artery disease or coronary spasm), the 24-h Mg retention was significantly higher in patients with AMI (acute phase: 78+/-27%, subacute phase: 66+/-32%, vs control: 48+/-12%, p<0.05). In the subacute phase, the 24-h Mg retention decreased in patients without coronary spasm (43+/-26%), but a high level of Mg retention was still observed in patients with coronary spasm (84+/-25%). There was no difference in the serum concentrations of Mg, calcium and phosphorus between the 2 groups on both phases. In conclusion, both Mg deficiency and provoked coronary artery spasm were noted in more than half of the Japanese patients with a recent AMI, suggesting a close association between Mg deficiency and AMI. (+info)Seroprevalence of antibodies to microorganisms known to cause arterial and myocardial damage in patients with or without coronary stenosis. (5/1816)
Infections are assumed to play a role in coronary artery disease (CAD) and cardiomyopathies. It is unknown whether the seroprevalence of antibodies to these microorganisms is higher in patients with than without CAD. The seroprevalence of antibodies to Bartonella henselae, Borrelia burgdorferi, Chlamydia pneumoniae, Coxiella burnetii, Helicobacter pylori, human granulocytic Ehrlichia, Leptospira, Rickettsia conorii, and Treponema pallidum was assessed prospectively in patients with exertional dyspnea or anginal chest pain who underwent coronary angiography because of suspected CAD. Patients with normal angiograms (NA) were those in whom no more than 50% stenosis of any coronary artery was found. Patients with CAD were patients who underwent percutaneous transluminal coronary angioplasty. There were 50 patients with CAD (9 female) and 62 with NA (25 female), with a mean age of 62 years. All patients had antibodies to at least one microorganism: to B. henselae, 8% of CAD patients and 5% of NA patients; to B. burgdorferi IgG, 14% CAD and 6% NA; to B. burgdorferi IgM, 6% CAD and 3% NA; to C. pneumoniae lipopolysaccharide (LPS) IgA, 76% CAD and 77% NA; to C. pneumoniae LPS IgG, 80% CAD and 90% NA; to C. burnetii, 0% CAD and 5% NA; to H. pylori, 92% CAD and 68% NA; to human granulocytic Ehrlichia, 8% CAD and 3% NA; to Leptospira IgG, 4% CAD and 2% NA; to R. conorii, 10% in both groups; and to T. pallidum, 2% CAD and 0% NA. The seroprevalence of antibodies to micro-organisms known to induce arterial and myocardial damage does not differ between patients with CAD and NA. (+info)Dobutamine stress echocardiography versus quantitative technetium-99m sestamibi SPECT for detecting residual stenosis and multivessel disease after myocardial infarction. (6/1816)
OBJECTIVE: To compare the relative accuracy of dobutamine stress echocardiography (DSE) and quantitative technetium-99m sestamibi single photon emission computed tomography (mibi SPECT) for detecting infarct related artery stenosis and multivessel disease early after acute myocardial infarction. DESIGN: Prospective study. SETTING: University hospital. METHODS: 75 patients underwent simultaneous DSE and mibi SPECT at (mean (SD)) 5 (2) days after a first acute myocardial infarct. Quantitative coronary angiography was performed in all patients after imaging studies. RESULTS: Significant stenosis (> 50%) of the infarct related artery was detected in 69 patients. Residual ischaemia was identified by DSE in 55 patients and by quantitative mibi SPECT in 49. The sensitivity of DSE and mibi SPECT for detecting significant infarct related artery stenosis was 78% and 70%, respectively, with a specificity of 83% for both tests. The combination of DSE and mibi SPECT did not change the specificity (83%) but increased the sensitivity to 94%. Mibi SPECT was more sensitive than DSE for detecting mild stenosis (73% v 9%; p = 0.008). The sensitivity of DSE for detecting moderate or severe stenosis was greater than mibi SPECT (97% v 74%; p = 0.007). Wall motion abnormalities with DSE and transient perfusion defects with mibi SPECT outside the infarction zone were sensitive (80% v 67%; NS) and highly specific (95% v 93%; NS) for multivessel disease. CONCLUSIONS: DSE and mibi SPECT have equivalent accuracy for detecting residual infarct related artery stenosis of >/= 50% and multivessel disease early after acute myocardial infarction. DSE is more predictive of moderate or severe infarct related artery stenosis. Combined imaging only improves the detection of mild stenosis. (+info)Value of fractional flow reserve in making decisions about bypass surgery for equivocal left main coronary artery disease. (7/1816)
OBJECTIVE: To investigate the value of coronary pressure derived fractional flow reserve (FFR) measurements in supporting decisions about medical or surgical treatment in patients with angiographically equivocal left main coronary artery stenosis. DESIGN: A two centre prospective single cohort follow up study. INTERVENTIONS: FFR of the left main coronary artery was determined in 54 consecutive patients with angiographically equivocal left main coronary artery disease. If FFR was >/= 0.75, medical treatment was chosen; if FFR was < 0.75, surgical treatment was chosen. MAIN OUTCOME MEASURES: Freedom from death, myocardial infarction, or any coronary revascularisation procedure. RESULTS: In 24 patients (44%), FFR was >/= 0.75 and medical treatment was chosen (medical group). In the remaining 30 patients (56%), FFR was < 0.75 and bypass surgery was performed (surgical group). Mean (SD) follow up was 29 (15) months (range 12-65 months). Survival among patients at three years of follow up was 100% in the medical group and 97% in the surgical group. Event-free survival was 76% in the medical group and 83% in the surgical group. CONCLUSIONS: FFR supports decision making in equivocal left main coronary artery disease. If FFR is below 0.75, the decision for bypass surgery is supported. If FFR is above 0.75, a conservative approach is justified. (+info)Coronary thermodilution to assess flow reserve: experimental validation. (8/1816)
BACKGROUND: Fractional flow reserve (FFR) and coronary flow reserve (CFR) are indices of coronary stenosis severity that provide the clinician with complementary information on the contribution of epicardial arteries and microcirculation to total resistance to myocardial blood flow. At present, FFR and CFR can only be obtained by 2 separate guidewires. The present study tested the validity of the thermodilution principle in assessing CFR with one pressure-temperature sensor-tipped guidewire. METHODS AND RESULTS: In an in vitro model, absolute flow was compared with the inverse mean transit time (1/T(mn)) of a thermodilution curve obtained after a bolus injection of 3 mL of saline at room temperature. A very close correlation (r>0.95) was found between absolute flow and 1/T(mn) when the sensor was placed >/=6 cm from the injection site. In 6 chronically instrumented dogs (60 stenoses; FFR from 0.19 to 0.98), a significant linear relation was found between flow velocity and 1/T(mn). A significant correlation was found between CFR(Doppler), which was calculated from the ratio of hyperemic to resting flow velocities, and CFR(thermo), which was calculated from the ratio of resting to hyperemic T(mn) (r=0.76; SEE=0.24; P<0.001). CONCLUSION: The present findings demonstrate the validity of the thermodilution principle to assess CFR. Because the pressure-temperature sensor was mounted in a commercially available angioplasty guidewire, this technique permits simultaneous measurements of CFR and FFR. (+info)
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Thrombus
AUM Cardiovasculars CADence System for
Stenosis degree:LenFr:Pt:Proximal left anterior descending artery:Qn:Angiogram | Semantic Scholar
Fractional Flow Reserve/Instantaneous Wave-Free Ratio Discordance in Angiographically Intermediate Coronary Stenoses An...
Japan Unprotected Left Main Coronary Artery Disease Percutaneous Coronary Intervention (PCI) Strategy On New Generation Stents ...
Intravascular ultrasound predictors of target lesion revascularization after stenting of protected left main coronary artery...
A Closer Look at Fractional Flow Reserve in Complex Anatomic Subsets: Left Main Disease, Bifurcation Lesions, and Saphenous...
Serval - Angiography Versus Hemodynamics to Predict the Natural History of Coronary Stenoses: Fractional Flow Reserve Versus...
Performance of computed tomography-derived fractional flow reserve using reduced-order modelling and static computed tomography...
Fractional flow reserve - Wikipedia
Comparative determinants of 5-year cardiovascular event rates in patients with unprotected left main coronary artery disease.
CIENCIASMEDICASNEWS: Disturbed Coronary Hemodynamics in Vessels With Intermediate Stenoses Evaluated With Fractional Flow...
Comparison of angiography-guided and fractional flow reserve-guided management strategy of percutaneous coronary intervention...
The long-term clinical outcome of T-stenting and small protrusion technique for coronary bifurcation lesions<...
Overview | QAngio XA 3D QFR and CAAS vFFR imaging software for assessing coronary stenosis during invasive coronary angiography...
Results Of The ISAR-LEFT MAIN 2 Trial Presented At TCT 2012 - Redorbit
Differential Prognostic Impact of Treatment Strategy Among Patients With Left Main Versus Non-Left Main Bifurcation Lesions...
Angiography-Derived Fractional Flow Reserve in the SYNTAX II Trial: Feasibility, Diagnostic Performance of Quantitative Flow...
Intracoronary transluminal attenuation gradient in coronary CT angiography for determining coronary artery stenosis
St. Jude Medical Expands Hospital Access to Wireless Fractional Flow Reserve Technology with New Agreement
Effects of Beta-Blockade and Atropine on Ischemic Responses in Left Ventricular Regions Subtending Coronary Stenosis During...
Usefulness of Routine Fractional Flow Reserve for Clinical Management of Coronary Artery Disease in Patients With Diabetes |...
The Heart (Function (The left main coronary artery, on one side of the…
Accuracy of intravascular ultrasound and optical coherence tomography in identifying functionally significant coronary stenosis...
Adenosine myocardial contrast echo in intermediate severity coronary stenoses: a prospective two-center study
Comparison of Sirolimus-Eluting Stenting With Minimally Invasive Bypass Surgery for Stenosis of the Left Anterior Descending...
9781447152446: Physiological Assessment of Coronary Stenoses and the Microcirculation - AbeBooks: 1447152441
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MEDLINE - Results of the search |page 1|
US Patent # 9,700,219. Method and system for machine learning based assessment of fractional flow reserve - Patents.com
CCTA bests angio for undetected lesions | Cardiovascular Business
Looking beyond coronary stenosis : Epicardial to endocardial blood flow is not a free vascular water fall ! | Dr.S...
coronary stenosis - Next Level Nutrition
A new stent design for Left main ostial lesion ! | Dr.S.Venkatesan MD
FFR - Heart Disease - MedHelp
English
Volume 30 - Issue 12 - December, 2018 | Journal of Invasive Cardiology
hemodynamically significant stenosis?
Which lesions should be scored?
US - ACIST Medical Systems
Peripheral vascular system
"Evaluation of transluminal angioplasty of chronic coronary artery stenosis. Value and limitations assessed in fresh human ... Atherosclerosis Peripheral artery disease Peripheral vascular disease Stenosis Systemic circulation Thrombosis "What Is ...
Movat's stain
... showing luminal stenosis in coronary artery atherosclerosis. "Pathology News: Newsletter, Vol. 3, No. 4: April ...
Shepherd's crook
"Percutaneous transluminal angioplasty for shepherd's crook right coronary artery stenosis". Catheterization and Cardiovascular ... In medicine, the term shepherd's crook is used to describe a right coronary artery that follows an unusually high and winding ... and Classifying Congenital Anomalies of the Coronary Arteries". RadioGraphics. 32 (2): 453-468. doi:10.1148/rg.322115097. ISSN ...
Tamara Galloway
"Urinary Bisphenol A Concentration and Angiography-Defined Coronary Artery Stenosis". PLOS ONE. 7 (8): e43378. Bibcode:2012PLoSO ... "Urinary Bisphenol A Concentration and Risk of Future Coronary Artery Disease in Apparently Healthy Men and Women". Circulation ...
Computer-aided simple triage
CAST system is available for the detection of significant (>50%) coronary stenosis in coronary CT angiography (cCTA) studies. ... Halpern, EJ; Halpern, DJ (March 2011). "Diagnosis of coronary stenosis with CT angiography comparison of automated computer ... May 2010). "Automated computer-aided stenosis detection at coronary CT angiography: initial experience". Eur Radiol. 20 (5): ... April 2012). "Feasibility of an automatic computer-assisted algorithm for the detection of significant coronary artery disease ...
Fredrick Arthur Willius
Coronary Thrombosis among Women. Am J M Sc. 1938; 196: 815-818 Ingham, D.W. and F.A. Willius. Congenital Transposition of the ... Interpretation of the Electrocardiographic Findings in Calcareous Stenosis of the Aortic Valve. Ann Intern Med. 1939;13(1):143- ... Coronary Thrombosis Among Persons Less Than Forty Years of Age; a Study of Thirty Cases. Minnesota Medicine, St. Paul. 1939;33: ... Tobacco and Coronary Disease. JAMA. 1940;115(16):1327-1329. Willius, F.A. and T.J. Dry. The Prognosis of Auricular Fibrillation ...
Ostial disease
... , namely coronary ostial stenosis, is the occlusion of coronary ostium. Causing factors include atherosclerosis, ... Angelini, P (2012). "Congenital Coronary Artery Ostial Disease". Tex Heart Inst J. 39 (1): 55-9. PMC 3298900. PMID 22412228. ( ...
Angiography
Coronary angiography can visualize coronary artery stenosis, or narrowing of the blood vessel. The degree of stenosis can be ... Any stenoses found may be treated by the use of balloon angioplasty, stenting, or atherectomy. Fluorescein angiography is a ... One of the most common angiograms performed is to visualize the blood in the coronary arteries. A long, thin, flexible tube ... X-ray images of the transient radiocontrast distribution within the blood flowing inside the coronary arteries allows ...
Samin Sharma
ISBN 978-1-4471-6581-1 Farkouh M, Sharma S, Tomey M, Puskas J, Fuster V. Coronary artery bypass grafting and percutaneous ... Samin Sharma of Mount Sinai is an expert at treating aortic stenosis". nydailynews.com. Retrieved 2020-05-29. "Experts Say ... "Mount Sinai Hospital Earns Highest Ratings in New York State Report on Coronary Angioplasty". www.ptca.org. Retrieved 2022-04- ... In 2009, he performed a coronary angiography and angioplasty procedure on Indian Prime Minister Shri Manmohan Singh. As of 2022 ...
Tetralogy of Fallot
66-8 stenosis of the left pulmonary artery, in 40% a bicuspid pulmonary valve, in 60% right-sided aortic arch, in 25% coronary ... Acquired mitral valve stenosis symptoms also include a wide array such as consciousness losses, angina, general weakness and ... Congenital Mitral valve stenosis symptoms include a wide array such as respiratory infections, breathing difficulties, heart ... This open-heart surgery is designed to relieve the right ventricular outflow tract stenosis by careful resection of muscle and ...
Nicorandil
... coronary artery disease and aortic stenosis. Angina commonly arises from vasospasm of the coronary arteries. There are multiple ... Overall, this leads to relaxation of the smooth muscle and coronary vasodilation. The effect of nicorandil as a vasodilator is ... Lower levels of nitric oxide are present in spastic coronary arteries. L-type calcium channel expression increases in spastic ... In humans, the nitrate action of nicorandil dilates the large coronary arteries at low plasma concentrations. At high plasma ...
R. Ravi Kumar
Had mitral valve stenosis (shrunk) and regurgitation (leaking) and aortic valve stenosis (shrunk). Had robotic double valve ... Patient had coronary artery disease and severe mitral valve leak. Patient had combined robotic mitral valve replacement and ... Patient had aortic valve stenosis (shrunk) and regurgitation (leak) with reduced pumping of the heart. He underwent robotic ... coronary artery bypass surgery. India's first Robotic Aortic Valve Replacement, 2010. 18-year-old patient with complaints of ...
Fractional flow reserve
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 ... FFR measures pressure differences across a coronary artery stenosis (narrowing, usually due to atherosclerosis) to determine ... FFR has certain advantages over other techniques to evaluate narrowed coronary arteries, such as coronary angiography, ...
Ergometrine
Romagnoli E, Niccoli G, Crea F (October 2005). "Images in cardiology: A coronary organic stenosis distal to severe, ergonovine ... It can induce spasm of the coronary arteries. It is used to diagnose variant (Prinzmetal's) angina. Possible side effects ... Sunagawa O, Shinzato Y, Touma T, Tomori M, Fukiyama K (May 2000). "Differences between coronary hyperresponsiveness to ...
Arterial occlusion
Coronary Artery Disease (CAD) results from the stenosis of coronary arteries by an atherosclerotic plaque. The coronary ... "Effect of cigarette smoking on coronary arteries and pattern and severity of coronary artery disease: a review". The Journal of ... "Coronary heart disease". nhs.uk. 2018-10-03. Retrieved 2022-03-20. Zemaitis MR, Boll JM, Dreyer MA (2022). "Peripheral Arterial ... A myocardial infarction (MI), or heart attack, arises from complete occlusion of a coronary artery. The most frequent cause of ...
Outline of cardiology
Fractional flow reserve (FFRmyo): Testing the blood flow through a stenosis of a coronary artery to determine the perfusion of ... Coronary artery disease (CAD)- Coronary artery disease is a general term for any reduction in coronary circulation. One such ... Aortic stenosis - Narrowing of the aortic valve opening that reduces blood flow through the valve. Stenosis commonly occurs ... Coronary artery bypass surgery (CABG): Grafting an artery or vein from elsewhere to bypass a stenotic coronary artery. ...
Rubidium-82 chloride
"Noninvasive assessment of coronary stenoses by myocardial perfusion imaging during pharmacologic coronary vasodilation. VIII. ...
Implant (medicine)
They are 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. ...
Richard Gorlin
This formula is used to study the severity of aortic valve stenosis and mitral valve stenosis. Gorlin was a very early pioneer ... In addition, he was one of the first to recognize that significant left main coronary artery disease was a dire prognostic ... developed the Gorlin formula used to calculate valve areas in aortic valve stenosis and mitral valve stenosis. Gorlin was born ... He was also one of the first to describe angina pectoris in patients without obstructive coronary artery disease, also now ...
U wave
"Exercise-induced U-wave inversion as a marker of stenosis of the left anterior descending coronary artery". Circulation. 60 (5 ... The U wave is the momentum carried by the blood in the coronary arteries and blood vessels. It is possible to take this ... According to V. Gorshkov-Cantacuzene: "The U wave is the momentum carried by the blood in the coronary arteries and blood ... This idea is also proved by the fact that hypertrophy of the left ventricle, myocardial ischemia, coronary and insufficiency ...
Irreversible electroporation
Therefore, IRE has been suggested as preventive treatment for coronary artery re-stenosis after percutaneous coronary ...
Takotsubo cardiomyopathy
"Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute ... 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 ... Zamir, M. (2005). The Physics of Coronary Blood Flow. Springer Science and Business Media. p. 387. ISBN 978-0387-25297-1. "Mayo ...
Oscar Werner Tiegs
He suffered from aortic stenosis, and died of a coronary occlusion in his home in Hawthorn, aged 59. Oscar Tiegs' scientific ...
Pulmonary edema
Recurrence of FPE is thought to be associated with hypertension and may signify renal artery stenosis. Prevention of recurrence ... is based on managing or preventing hypertension, coronary artery disease, renovascular hypertension, and heart failure. There ...
Carotid ultrasonography
Carotid artery stenosis is a major risk factor for stroke, and risk assessment of atherosclerotic carotid plaques is a critical ... Contraindications to the ultrasound contrast include allergy, heart failure, acute coronary syndrome, endocarditis, ventricular ... B-mode ultrasound is able to assess the structure of the carotid arteries and can identify areas of stenosis. B-mode is used ... It is most often used to diagnose carotid artery stenosis, a form of atherosclerosis, and has the capability to assess plaque ...
Intravascular ultrasound
In particular in cases when the degree of stenosis of a coronary artery is unclear, IVUS can directly quantify the percentage ... The arteries of the heart (the coronary arteries) are the most frequent imaging target for IVUS. IVUS is used in the coronary ... In the early 1990s, IVUS research on the re-stenosis problem after angioplasty lead to recognition that most of the re-stenosis ... Only 14% of heart attacks occurred at locations with 75% or more stenosis[citation needed], the severe stenoses previously ...
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., ...
Instantaneous wave-free ratio
Coronary artery blockages or stenoses that limit blood flow to the heart muscle can cause angina and can be treated by stenting ... Instantaneous wave-free ratio is performed using high fidelity pressure wires that are passed distal to the coronary stenosis. ... is a diagnostic tool used to assess whether a stenosis is causing a limitation of blood flow in coronary arteries with ... using invasive coronary pressure wires which are placed in the coronary arteries that are to be assessed. Pressure wires are ...
Chest pain
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 ... Aortic stenosis: This condition happens when the person has underlying congenital bicuspid valve, aortic sclerosis, or history ... If acute coronary syndrome ("heart attack") is suspected, many people are admitted briefly for observation, sequential ECGs, ... Acute coronary syndrome Stable or unstable angina Myocardial infarction ("heart attack"): People usually complained of a ...
Louis Gallavardin
He described a type of aortic stenosis which was not rheumatic in origin, and described effort syncope in the condition. He ... studied angina pectoris, describing the syndrome in Les Angines de Poitrine in 1925; he maintained the belief that coronary ...
List of ICD-9 codes 390-459: diseases of the circulatory system
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 ... 392 Rheumatic chorea 393 Chronic rheumatic pericarditis 394 Diseases of mitral valve 394.0 Mitral stenosis 394.1 Rheumatic ...
CKLF-like MARVEL transmembrane domain-containing 5
... and/or one of its CMTM5 proteins may promote atherosclerosis-based coronary artery disease and the stenosis of coronary artery ... Liu TF, Lin T, Ren LH, Li GP, Peng JJ (December 2020). "[Association between CMTM5 gene and coronary artery disease and the ... They found that high blood plasma levels of CMTM5 mRNA were associated with a higher rate of subsequently developing stenosis ( ... to determine if expression of the CMTM5 gene's or its products can be used as makers for patient susceptibilities to coronary ...
Claude Franceschi
In particular, he worked on the criteria of arterial stenosis of limbs and carotids, Carotid pre-thrombosis, the Pressure- ... and completing Coronary artery bypass surgery, more and more necessary for the aging population. Several randomized controlled ... This data remains the undisputed reference for the stenosis quantification and a quality diagnostic. ...
List of diseases (C)
... syndactyly jejunal atresia Coronaro-cardiac fistula Coronary arteries congenital malformation Coronary artery aneurysm Coronary ... disorder Congenital skin disorder Congenital spherocytic anemia Congenital spherocytic hemolytic anemia Congenital stenosis of ... neuropathy Cervical hypertrichosis peripheral neuropathy Cervical ribs sprengel anomaly polydactyly Cervical spinal stenosis ... Congenital mesoblastic nephroma Congenital microvillous atrophy Congenital mitral malformation Congenital mitral stenosis ...
Cardiac imaging
... examines the pressure drop across the stenosis in suspected ischemic coronary artery that may require percutaneous coronary ... A coronary CT calcium scan is a computed tomography (CT) scan of the heart for the assessment of severity of coronary artery ... Coronary angiography is used to determine the patency and configuration of the coronary artery lumens. Intravascular ultrasound ... "Assessment of Agatston Coronary Artery Calcium Score Using Contrast-Enhanced CT Coronary Angiography". American Journal of ...
Lyme disease
"Detection of Borrelia bissettii in cardiac valve tissue of a patient with endocarditis and aortic valve stenosis in the Czech ... such as diverticulitis and acute coronary syndrome. Diagnosis of late-stage Lyme disease is often complicated by a multifaceted ...
List of circulatory system conditions
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 ... Pulmonary stenosis (critical) Atrial septal defect Ventricular septal defect Patent ductus arteriosus and Coarctation of aorta ... may cause cyanosis in some cases) See also Category:Ischemic heart diseases Angina pectoris Acute coronary syndrome Acute ...
Cardiac catheterization
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 ... Acute coronary syndromes: ST elevation MI (STEMI), non-ST Elevation MI (NSTEMI), and unstable angina Evaluation of coronary ...
Vulnerable plaque
While a single ruptured plaque can be identified during autopsy as the cause of a coronary event, there is currently no way to ... Because artery walls typically enlarge in response to enlarging plaques, these plaques do not usually produce much stenosis of ... Some of the CT derived plaque characteristics can help predict for acute coronary syndrome. In addition, because these lesions ... The clot organizes and contracts over time, leaving behind narrowing(s) called stenoses. These narrowing(s) are responsible for ...
Chromosome 16
Pyloric stenosis, infantile hypertrophic, 2 ITFG3: encoding protein Protein ITFG3 KDM8: encoding protein Lysine demethylase 8 ... Coronary heart disease, susceptibility to, 1 CIAPIN1: Anamorsin (originally, Cytokine induced apoptosis inhibitor 1) CKLF: ...
Cardiac magnetic resonance imaging perfusion
This is often used by cardiologists to determine if a coronary stenosis should be treated either by angioplasty or coronary ... one or more of the coronary arteries that has been previously identified either by standard coronary angiography or CT coronary ... be further investigated with another imaging modality to directly image the coronary arteries such as invasive coronary ... To screen patients who have chest pain and risk factors for coronary artery disease, to assess for ischaemia which may be ...
Computed tomography angiography
Coronary CT angiography (CCTA) is the use of CT angiography to assess the arteries of the heart. The patient receives an ... Stenosis (narrowing) of a renal artery is a cause of hypertension (high blood pressure) in some patients and can be corrected. ... While CTA can produce high quality images of the carotid arteries for grading the level of stenosis (narrowing of the vessel), ... Varying significantly with patient age, sex, and exam protocol, radiation risk models predict coronary CTA to increase lifetime ...
Management of atrial fibrillation
AF in the context of mitral stenosis is associated with a seventeenfold increase in stroke risk. If anticoagulation is required ... results of a randomized controlled pilot study of left atrial appendage occlusion during coronary bypass surgery in patients at ... mitral stenosis) and on the presence of other risk factors, such as diabetes and high blood pressure. Finally, patients under ... a randomized clinical trial of left atrial appendage occlusion during routine coronary artery bypass graft surgery for long- ...
Apicoaortic Conduit
Patients who could benefit from AAC or AVB include those who:[citation needed] Have had coronary artery bypass surgery and have ... Treatment of aortic stenosis with aortic valve bypass (apicoaortic conduit) surgery: An assessment using computational modeling ... Today, AAC is performed clinically on elderly aortic stenosis patients, and has gained in popularity in recent years. In the ... Left ventricular outflow tract obstruction (LVOTO) is caused by narrowing of the aortic valve (aortic stenosis) and other valve ...
Percutaneous aortic valve replacement
Similar to coronary artery stenting procedures, this is accessed via a small incision in the groin, through which the delivery ... Severe symptomatic aortic stenosis carries a poor prognosis. At present there is no treatment via medication, making the timing ... The device is effective in improving functioning in patients with severe aortic stenosis. It is now approved in more than 50 ... Patients with symptomatic severe aortic stenosis have a mortality rate of approximately 50% at 2 years without intervention. In ...
Coronary CT angiography
Stenosis severity and extent of coronary artery disease are important prognostic indicators. However, one of the unique ... 2012). "Quantification of coronary stenosis by dual source computed tomography in patients: a comparative study with ... Coronary CT angiography (CTA or CCTA) is the use of computed tomography (CT) angiography to assess the coronary arteries of the ... It may be useful in the diagnosis of suspected coronary heart disease, for follow-up of a coronary artery bypass, for the ...
Pierre Zalloua
Genome-wide Association Study in a Lebanese Cohort Confirms PHACTR1 as a Major Determinant of Coronary Artery Stenosis. PLoS ... PLoS ONE, 2013;8(1). 3. Large-scale association analysis identifies new risk loci for coronary artery disease. Nature Genetics ... Genetic and environmental influences on total plasma homocysteine and its role in coronary artery disease risk. Atherosclerosis ... Large Scale Association Analysis Identifies Three Susceptibility Loci for Coronary Artery Disease. PLoS One. 2011;6(12) 8. ...
Physical therapy
An example of cardiac surgery is coronary bypass surgery. The primary goals of this specialty include increasing endurance and ... Wise J (April 2015). "Physical therapy is as effective as surgery for lumbar spinal stenosis, study finds". BMJ. 350: h1827. ... Pulmonary disorders, heart attacks, post coronary bypass surgery, chronic obstructive pulmonary disease, and pulmonary fibrosis ... controlled study has shown that surgical decompression treatment and physiotherapy are on par for lumbar spinal stenosis in ...
Cardiology diagnostic tests and procedures
High frequency analysis of the QRS complex may be useful for detection of coronary artery disease during an exercise stress ... rate at the end of exercise is critical to improving the sensitivity of the test to detect high grade heart artery stenosis. ... to assess the evolution of coronary artery disease and evidence of existing damage. A great many more physiologic markers ... Cardiac imaging techniques include coronary catheterization, echocardiogram, intravascular ultrasound, retinal vessel analysis ...
Multan Institute of Cardiology
... pulmonary stenosis and mitral stenosis. The department has modern equipment and provides a complete array of routine and ... Diagnostic coronary angiography Right and left heart catheterization Coronary angioplasty with stent implantation Implantation ... Some of the publications done by the doctors of MIC include the following: Right Ventricular Dysfunction after Coronary Artery ... The types of surgeries offered include: • Coronary artery bypass surgery. • Valve replacements and repair • Surgery for aortic ...
Artificial heart valve
The repairing process of the artificial heart valve regurgitation and stenosis usually requires an open-heart surgery, and a ... coronary arteries, leading to heart attack [myocardial infarction]; or cerebral arteries, leading to stroke). A desirable ... stenosis) and/or let blood flow backwards through the valve (regurgitation). Both processes put strain on the heart and may ...
Vasospasm
... referred to as percutaneous coronary intervention or angioplasty, involves placing a stent at the site of stenosis in an artery ... Another surgical intervention is coronary artery bypass. Coronary artery vasospasm Raynaud's phenomenon, a vasospastic disorder ... in the blood and inducing coronary vasodilation which will allow for more coronary blood flow due to a decreased coronary ... Ischemia in the heart due to prolonged coronary vasospasm can lead to angina, myocardial infarction and even death. Vasospasm ...
IFR (disambiguation)
... a diagnostic medical test used in coronary artery stenosis assessment This disambiguation page lists articles associated with ...
Physical oncology
This is well known to thoracic surgeons: a vein removed to bypass a coronary artery and grafted into the artery position ... The pathogenesis of saphenous vein graft stenosis with emphasis on structural and functional differences between veins and ...
Heart valve
... tricuspid valve stenosis, pulmonary valve stenosis and aortic valve stenosis. Stenosis of the mitral valve is a common ... The heart also has a coronary sinus valve, and an inferior vena cava valve, not discussed here. The heart valves and the ... This is a result of the valve becoming thickened and any of the heart valves can be affected, as in mitral valve stenosis, ... For example, valvular disease of the aortic valve, such as aortic stenosis or aortic regurgitation, may cause breathlessness, ...
Hypertension
Renal artery stenosis (RAS) may be associated with a localized abdominal bruit to the left or right of the midline (unilateral ... Long-term high blood pressure, however, is a major risk factor for stroke, coronary artery disease, heart failure, atrial ... renal artery stenosis, coarctation of the aorta, and primary aldosteronism. As many as one in five people with resistant ... renal artery stenosis (from atherosclerosis or fibromuscular dysplasia), hyperparathyroidism, and pheochromocytoma. Other ...
Neovascularization
Ischemic heart disease develops when stenosis and occlusion of coronary arteries develops, leading to reduced perfusion of the ... Lassaletta, Antonio D.; Chu, Louis M.; Sellke, Frank W. (November 2011). "Therapeutic neovascularization for coronary disease: ...
Aortic valve replacement
Patients with moderate aortic valve stenosis who need another type of cardiac surgery (i.e. coronary artery bypass surgery) ... Aortic stenosis most commonly is the result of calcification of the cusps. Other reasons for stenosis are the bicuspid valve ( ... The origins of the two coronary arteries are sited in two Valsalva sinuses, each named after the coronary artery they supply. ... In cases of symptomatic severe aortic stenosis, AVR is warranted. In cases of asymptomatic but severe aortic stenosis, more ...
Steve Conway (singer)
This caused mitral stenosis, an abnormal narrowing of the mitral valve in the heart. Conway became too ill to stay at home, and ... and damaged his coronary valves. He was not told to seek treatment, and continued working. Groom had always enjoyed singing, ...
Coronary artery bypass surgery
Coronary artery disease is caused when coronary arteries of the heart accumulate atheromatic plaques, causing stenosis in one ... Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage") is a surgical procedure ... The best modalities to accurately detect CAD though are the coronary angiogram and the Coronary CT angiography. Angiogram can ... Severe stenosis is considered when the diameter loss is 2/3 of original diameter or more, that is 90% loss of cross-sectional ...
Aortic Stenosis Workup: Approach Considerations, Echocardiography, Cardiac Catheterization and Coronary Arteriography
Among symptomatic patients with medically treated moderate-to-severe aortic stenosis, mortality from the onset of symptoms is ... Aortic stenosis is the obstruction of blood flow across the aortic valve (see the image below). ... Cardiac Catheterization and Coronary Arteriography. Cardiac catheterization provides an accurate measure of aortic stenosis and ... Generally, the incidence of associated coronary artery disease has been reported to be 50% in patients with aortic stenosis who ...
Search of: Recruiting Studies | Coronary Stenosis - List Results - ClinicalTrials.gov
64-slice coronary CTA reveals more than stenosis
The data signal coronary imagings shift in focus from stenosis to coronary plaque. ... Contrast-enhanced 64-slice CT can accurately detect and characterize atherosclerotic coronary lesions, according to a study ... The data signal coronary imagings shift in focus from stenosis to coronary plaque. ... The data signal coronary imagings shift in focus from stenosis to coronary plaque. ...
Severity of single-vessel coronary arterial stenosis and duration of angina as determinants of recruitable collateral vessels...
... we performed standardized contrast injection of the contralateral coronary artery in 58 consecutive patients, without previous ... To determine the factors that influence the presence of collateral vessels during coronary occlusion, ... Severity of single-vessel coronary arterial stenosis and duration of angina as determinants of recruitable collateral vessels ... right coronary artery: in 10 and left circumflex artery in 3). The presence of collateral vessels during coronary occlusion, ...
Study of angiographic association of atherosclerotic renal artery stenosis with coronary artery disease in Bangladesh
|...
Study of angiographic association of atherosclerotic renal artery stenosis with coronary artery disease in Bangladesh Authors. ... A total of 250 patients with coronary artery involvement, on non-emergent coronary angiogram who underwent either selective or ... Study of angiographic association of atherosclerotic renal artery stenosis with coronary artery disease in Bangladesh. ... ARAS prevalence increased with the number of stenosed coronary arteries (3.8% in 1-vessel, 26.5% in 2-vessel, 52.3%in 3-vessel ...
RePub, Erasmus University Repository:
Guidewire navigation in coronary artery stenosis using a novel magnetic navigation...
Guidewire navigation in coronary artery stenosis using a novel magnetic navigation system: First clinical experience. ... The objective of this study was to investigate the efficacy of guidewire navigation across coronary artery stenoses using ... Guidewire navigation in coronary artery stenosis using a novel magnetic navigation system: First clinical experience. ... Clinical studies are needed to evaluate the potential benefit of the MNS in more complex coronary lesions and tortuous anatomy. ...
Quantification of coronary arterial stenoses by multidetector CT angiography in comparison with conventional angiography:...
Arbab-Zadeh, A & Hoe, J 2011, Quantification of coronary arterial stenoses by multidetector CT angiography in comparison with ... Arbab-Zadeh A, Hoe J. Quantification of coronary arterial stenoses by multidetector CT angiography in comparison with ... T1 - Quantification of coronary arterial stenoses by multidetector CT angiography in comparison with conventional angiography ... Quantification of coronary arterial stenoses by multidetector CT angiography in comparison with conventional angiography: ...
Non-invasive assessment of functionally significant coronary stenoses through mathematical analysis of spectral ECG components ...
Computerized two-lead resting ecg analysis for the detection of coronary artery stenosis after coronary revascularization. Int ... stenosis of 50% or less. The location of stenosis was defined as the following: proximal for lesions in the right coronary ... to quantitative coronary angiography for the detection of relevant coronary artery stenosis (,70%)-a meta-analysis of all ... stenosis in a proximal lesion, or 99% stenosis in a distal lesion; level 2 (mild), 75-90% stenosis in a distal lesion; and ...
Aortic Stenosis Workup: Approach Considerations, Echocardiography, Cardiac Catheterization and Coronary Arteriography
Among symptomatic patients with medically treated moderate-to-severe aortic stenosis, mortality from the onset of symptoms is ... Aortic stenosis is the obstruction of blood flow across the aortic valve (see the image below). ... Cardiac Catheterization and Coronary Arteriography. Cardiac catheterization provides an accurate measure of aortic stenosis and ... Generally, the incidence of associated coronary artery disease has been reported to be 50% in patients with aortic stenosis who ...
IMSEAR at SEARO: Isolated left main coronary ostial stenosis in a young female.
Fractional Flow Reserve-Guided Intervention of Angiographically Nonsignificant Coronary Stenoses<...
Fractional Flow Reserve-Guided Intervention of Angiographically Nonsignificant Coronary Stenoses. Umamahesh C. Rangasetty, ... Fractional Flow Reserve-Guided Intervention of Angiographically Nonsignificant Coronary Stenoses. / Rangasetty, Umamahesh C.; ... Fractional Flow Reserve-Guided Intervention of Angiographically Nonsignificant Coronary Stenoses. Journal of the American ... title = "Fractional Flow Reserve-Guided Intervention of Angiographically Nonsignificant Coronary Stenoses",. author = " ...
Instructions for Classification of Underlying and Multiple Causes of Death - Appendix - 2020
Registry to Gather Long-time Results After Surgical Aortic Valve Replacement With a 'Rapid Deployment Aortic Valve Prothesis ...
Coronary Artery Disease. Aortic Valve Stenosis. Coronary Disease. Myocardial Ischemia. Heart Diseases. Cardiovascular Diseases ... patients with aortic valve stenosis and coronary heart disease with indication for AVR and CABG ... In procedures where the aortic valve replacement (AVR) is combined with a coronary artery bypass graft (CABG), the use of a ... MedlinePlus Genetics related topics: Supravalvular aortic stenosis Genetic and Rare Diseases Information Center resources: ...
Supravalvular Ring Mitral Stenosis Guidelines: Guidelines Summary
Supravalvular mitral ridge containing the dominant left circumflex coronary artery. J Thorac Cardiovasc Surg. 1981 Apr. 81(4): ... encoded search term (Supravalvular Ring Mitral Stenosis) and Supravalvular Ring Mitral Stenosis What to Read Next on Medscape ... Supravalvular Ring Mitral Stenosis Guidelines. Updated: Dec 15, 2020 * Author: Michael D Pettersen, MD; Chief Editor: Howard S ... Mitral stenosis due to fibrous tissue overgrowth after mitral valve repair. J Cardiovasc Surg (Torino). 2003 Feb. 44(1):59-60. ...
Stent: MedlinePlus Medical Encyclopedia
A coronary artery stent is a small, self-expanding, metal mesh tube. It is placed inside a coronary artery after balloon ... Renal artery stenosis. *Abdominal aortic aneurysm (aortic aneurysm repair - endovascular). *Carotid artery disease (carotid ... Coronary heart disease (CHD) (angioplasty and stent placement - heart). *Peripheral artery disease (angioplasty and stent ... Interventional and surgical treatment of coronary artery disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ...
OPSENS - FIRST USE OF dPR FOR THE DIAGNOSIS OF CORONARY STENOSIS WITH THE HEART AT REST - Opsens
FFR is used to assess the incidence of coronary artery stenosis before selecting a treatment. This measurement is taken in the ... OPSENS - FIRST USE OF dPR FOR THE DIAGNOSIS OF CORONARY STENOSIS WITH THE HEART AT REST ... "Second generation fiber optic technology enables accuracy which is becoming even more critical when pressure over coronary ... offers an advanced optical-based pressure guidewire that aims at improving the clinical outcome of patients with coronary ...
Detection of coronary stenoses at rest with myocardial contrast echocardiography<...
... stenosis in group 2 patients. Conclusions - Both the presence and severity of a physiologically significant coronary stenosis ... stenosis in group 2 patients. Conclusions - Both the presence and severity of a physiologically significant coronary stenosis ... stenosis in group 2 patients. Conclusions - Both the presence and severity of a physiologically significant coronary stenosis ... stenosis in group 2 patients. Conclusions - Both the presence and severity of a physiologically significant coronary stenosis ...
Table 2 - Human Parainfluenza Type 4 Infections, Canada - Volume 12, Number 11-November 2006 - Emerging Infectious Diseases...
... peripheral pulmonary stenosis; BOM, bilateral otitis media; URTI, upper respiratory tract infection; PD, pulmonary dysplasia; ... coronary heart disease; COPD, chronic obstructive pulmonary disease; PE, pulmonary edema; MI, myocardial infarction; NPS, ... peripheral pulmonary stenosis; BOM, bilateral otitis media; URTI, upper respiratory tract infection; PD, pulmonary dysplasia; ... TS, throat swab; CHD, coronary heart disease; COPD, chronic obstructive pulmonary disease; PE, pulmonary edema; MI, myocardial ...
Role of serum adiponectin levels and IL-10 as a marker for angiographic stenosis in coronary artery disease Tyagi N, Kaur C -...
Keywords: Adiponectin, coronary artery disease, stenosis. How to cite this article:. Tyagi N, Kaur C. Role of serum adiponectin ... stenosis in lumen diameter in any major epicardial coronary arteries including the left main coronary artery, left anterior ... Role of serum adiponectin levels and IL-10 as a marker for angiographic stenosis in coronary artery disease. Nitin Tyagi, ... There were decreasing levels of Ad from 4.51 to 0.13 μg/mL, with increasing stenosis of coronary arteries from 60% to 100% [ ...
The 'Harmonizing Optimal Strategy for Treatment of coronary artery stenosis - sAfety & effectiveneSS of drug-elUting stents &...
Dive into the research topics of The Harmonizing Optimal Strategy for Treatment of coronary artery stenosis - sAfety & ... The Harmonizing Optimal Strategy for Treatment of coronary artery stenosis - sAfety & effectiveneSS of drug-elUting stents & ... The Harmonizing Optimal Strategy for Treatment of coronary artery stenosis - sAfety & effectiveneSS of drug-elUting stents & ... title = "The Harmonizing Optimal Strategy for Treatment of coronary artery stenosis - sAfety & effectiveneSS of drug-elUting ...
힐링하트 심포지움 - 2019 힐링하트 심포지엄 - Sex difference of coronary stenosis and physiology
Coronary Artery Stenosis with Angioplasty - Medical Illustration, Human Anatomy Drawing, Anatomy Illustration
The first image shows the heart, indicating the location of a blockage within the left anterior descending (LAD) coronary ... This set of medical illustrations depicts coronary artery stenosis with angioplasty. The drawings across the top depict the ... This set of medical illustrations depicts coronary artery stenosis with angioplasty. The drawings across the top depict the ... Blocked Coronary Artery with Balloon Angioplasty and Stent Repair - anim017. Medical Animation. Add to my lightbox. Find More ...
MedStar Authors catalog ›
Results of search for 'su:'Coronary Stenosis/co [Complications]''
Simultaneous assessment of coronary stenosis relevance with automated computed tomography angiography and intravascular ... Optimal intravascular ultrasound criteria for defining the functional significance of intermediate coronary stenosis: an ... Comprehensive assessment of coronary computed tomography angiography by using Leaman and Leiden score in overweight and obese ... Published: 2022; ; ; ; Citation: Coronary Artery Disease. 31(1):25-30, 2022 01 01.; .Institution: MedStar Heart & Vascular ...
MAUDE Adverse Event Report: MEDTRONIC MEXICO RESOLUTE INTEGRITY RX STENT, CORONARY, DRUG-ELUTING
Patient Problems Intimal Dissection (1333); Death (1802); Stenosis (2263) Event Date 11/26/2019. ... It was also reported that a (b)(6) patient with a medical history of hypertension, diabetes and coronary artery disease had a ... MAUDE Adverse Event Report: MEDTRONIC MEXICO RESOLUTE INTEGRITY RX STENT, CORONARY, DRUG-ELUTING. *. ... Lesions treated included the left main, left circumflex, left anterior artery descending and right coronary artery. Adverse ...
ISMICS - Strategies for Optimizing Procedural Outcomes in Patients with Severe Aortic Stenosis and Anomalous Coronary Anatomy
Strategies for Optimizing Procedural Outcomes in Patients with Severe Aortic Stenosis and Anomalous Coronary Anatomy ... Strategies for Optimizing Procedural Outcomes in Patients with Severe Aortic Stenosis and Anomalous Coronary Anatomy. David M. ... CONCLUSIONS: A tailored approach towards management of patients with severe aortic stenosis and anomalous coronary anatomy ... established therapeutic option in patients with severe aortic stenosis (AS). Anomalous coronary artery anatomy is increasingly ...
WHO EMRO | Association between coronary artery disease and hepatitis C virus seropositivity | Volume 24, issue 7 | EMHJ volume...
Keywords: coronary disease, stenosis, atherosclerosis, hepatitis C. Citation: Shoeib O; Ashmawy M; Badr S; El Amroosy M. ... Acute coronary syndrome and chronic infection in the Cork coronary care case-control study. Heart. 2005;91:19-22. PMID:15604325 ... Coronary angiographic findings are not different between HCV-positive and negative patients with more left descending coronary ... stenosis of one of the proximal coronary arteries). These were matched for age, sex and major risk factors (diabetes mellitus, ...
Overreporting of Deaths From Coronary Heart Disease in New York City Hospitals, 2003 | Blogs | CDC
Overreporting of Deaths From Coronary Heart Disease in New York City Hospitals, 2003 - ... Occlusion and stenosis of precerebral arteries. 433. I65. Occlusion and stenosis of precerebral arteries. ... We computed a comparability ratio (coronary heart disease deaths recorded on death certificates divided by validated coronary ... Coronary heart disease (CHD) is the leading cause of death for adults in the United States, and stroke ranks third (1). In New ...
Surgical treatment of coarctation of the aorta concomitant with left main coronary stenosis; report of a case].<...
Coronary angiography showed stenosis at the ostium of left main trunk. Ascending aorta to bilateral external iliac artery ... Coronary angiography showed stenosis at the ostium of left main trunk. Ascending aorta to bilateral external iliac artery ... Coronary angiography showed stenosis at the ostium of left main trunk. Ascending aorta to bilateral external iliac artery ... Coronary angiography showed stenosis at the ostium of left main trunk. Ascending aorta to bilateral external iliac artery ...
A new reduced-order model to assess the true fractional flow reserve of a left main coronary artery stenosis with downstream...
How should I treat a patient with critical stenosis of a bifurcation of the left main coronary artery with an acute angulation...
Coronary angiography showed a 95% stenosis at the trifurcation of the left main coronary artery (LMCA) involving the ostium of ... How should I treat a patient with critical stenosis of a bifurcation of the left main coronary artery with an acute angulation ... Moving image 1. Coronary angiogram showing a 95% stenosis at the trifurcation of LMCA involving the ostium of the LAD, the LCX ... A 49-year-old male with a history of prior coronary bypass graft surgery three months before came back with typical anginal ...
DiseaseArteriesArterialLesionsCalcificationPatientsSevereStentAngioplastyRight coronaOcclusionAngiography showedRenal artery sMitralGraftIncreasing coronary arterySeverityIntermediate coronary stenosisFractional flow reObstructionMyocardial infarctionLeft main coronaryIntravascular ultrasoundDistal to the stenosisAnginaTranscatheter aortic valveOstiumAngiographicProximalMDCTInterventionsClinicalInterventionDiagnosisPulmonaryValvularVentricularEchocardiographyFunctionallyPerfusionChest Pain
Disease60
- Though 64-slice CT does not overcome all of these issues, its superior resolution provides a thorough analysis of atherosclerotic disease beyond stenosis. (diagnosticimaging.com)
- Forty-nine had no previous history of coronary artery disease, while 10 had undergone angioplasty in the past. (diagnosticimaging.com)
- MSCT is more powerful for analyzing the full spectrum of atherosclerotic disease, whether it causes manifest stenosis or not, said Dr. U. Joseph Schoepf, director of CT research and development at the Medical University of South Carolina. (diagnosticimaging.com)
- It needs to be seen whether future generations of MSCT scanners improve stenosis grading by providing a more comprehensive insight as to the location and nature of atheroslerotic disease,' Schoepf said. (diagnosticimaging.com)
- To determine the factors that influence the presence of collateral vessels during coronary occlusion, we performed standardized contrast injection of the contralateral coronary artery in 58 consecutive patients, without previous myocardial infarction, undergoing percutaneous transluminal coronary angioplasty for 1-vessel disease (left anterior descending artery in 45, right coronary artery: in 10 and left circumflex artery in 3). (nih.gov)
- This retrospective observational study aimed to see the angiographic association of atherosclerotic renal-artery stenosis (ARAS) with coronary artery disease in Bangladesh. (banglajol.info)
- Despite good sensitivity and specificity for detecting significant coronary artery disease in patients, disagreement on individual coronary arterial stenosis severity is common between MDCT and the current gold standard, conventional angiography. (elsevier.com)
- On the other hand, the ability to noninvasively assess coronary arterial plaque characteristics and composition in addition to lumen obstruction shows strong promise for improved risk assessment and may at last enable us to move beyond mere coronary stenosis assessment for the management of patients with coronary artery disease. (elsevier.com)
- Methods and results This prospective study evaluated the accuracy of the MCG, a new ECG analysis device used to diagnose ischaemic coronary artery disease (CAD). (bmj.com)
- However, in previous trials that used MCG to detect the presence of relevant coronary artery disease, only a coronary angiography was the gold standard. (bmj.com)
- This prospective study was designed to evaluate the accuracy of MCG in diagnosing patients with coronary artery disease with functionally significant ischaemia defined by not only coronary angiography but fractional flow reserve reference standards. (bmj.com)
- 1-3 While these techniques are recognised as sensitive tests for the detection of coronary artery disease (CAD) in two or more large epicardial vessels, it is also acknowledged that they have a relatively poor specificity. (bmj.com)
- Opsens offers an advanced optical-based pressure guidewire that aims at improving the clinical outcome of patients with coronary artery disease. (opsens.com)
- Interventional and surgical treatment of coronary artery disease. (medlineplus.gov)
- This study aimed to determine the association of interleukin (IL)-10 and adiponectin (Ad) levels with the angiographic severity of coronary artery disease (CAD). (ijcva.com)
- The term "coronary artery disease" (CAD) includes diseases caused due to the atheromatous changes in coronary vessels. (ijcva.com)
- It was also reported that a (b)(6) patient with a medical history of hypertension, diabetes and coronary artery disease had a resolute integrity des implanted. (fda.gov)
- The risk factor for coronary artery disease in this patient was smoking. (asiaintervention.org)
- Background: Coronary artery disease (CAD) is one of the leading causes of death worldwide. (who.int)
- Aims: The aim of this study was to explore the association between hepatitis C viral infection and coronary artery disease. (who.int)
- A consecutive sample of 50 patients with abnormal angiographic findings was matched with another 50 consecutive patients with normal angiographic findings regarding age, sex, and major risk factors for coronary artery disease (diabetes mellitus, hypertension and smoking). (who.int)
- The possible association between HCV positivity and extension of coronary artery disease may refer to the role of HCV in coronary artery disease pathology. (who.int)
- El Amroosy M. Association between coronary artery disease and hepatitis C virus seropositivity. (who.int)
- Many epidemiological studies found an association between several infectious etiologies and coronary artery disease (CAD) mainly due to alterations in blood lipids (3-5). (who.int)
- Evaluation of Acute and Chronic Microvascular Coronary Disease. (routledge.com)
- New York City has one of the highest reported death rates from coronary heart disease in the United States. (cdc.gov)
- We conducted a cross-sectional validation study by using a random sample of death certificates that recorded in-hospital deaths in New York City from January through June 2003, stratified by neighborhoods with low, medium, and high coronary heart disease death rates. (cdc.gov)
- We computed a comparability ratio (coronary heart disease deaths recorded on death certificates divided by validated coronary heart disease deaths) to quantify agreement between death certificate determination and clinical judgment. (cdc.gov)
- Coronary heart disease appears to be substantially overreported as a cause of death in New York City among in-hospital deaths. (cdc.gov)
- Coronary heart disease (CHD) is the leading cause of death for adults in the United States, and stroke ranks third (1). (cdc.gov)
- Age-adjusted deaths from coronary heart disease in New York City (NYC) versus the United States overall. (cdc.gov)
- Coronary artery bypass grafting (CABG) is performed for patients with coronary artery disease (CAD) to improve quality of life and reduce cardiac-related mortality. (medscape.com)
- Patients with stable coronary artery disease and functionally significant stenoses benefit from the combination therapy of PCI plus optimal medical therapy by showing greater symptomatic improvement [ 18 ] and decreasing need for urgent revascularization. (springeropen.com)
- Otsuka, T., Kawada, T., Katsumata, M. & Ibuki, C. Utility of second derivative of the finger photoplethysmogram for the estimation of the risk of coronary heart disease in the general population. (nature.com)
- Coronary artery aneurysms are a rare complication of a variety of disease processes. (appliedradiology.com)
- Kawasaki disease is the most common cause of coronary artery aneurysms worldwide, particularly in children. (appliedradiology.com)
- Interestingly, clinical disease activity and serological markers do not seem to correlate well with coronary artery vasculitis or aneurysm. (appliedradiology.com)
- Systemic lupus erythematosus is an uncommon cause of coronary artery aneurysms, with Kawasaki disease being a much more common cause in children. (appliedradiology.com)
- However, children with known SLE who present with chest pain should be evaluated for coronary artery disease, including aneurysms, with echocardiograms or contrast enhanced CT. (appliedradiology.com)
- Karrar A, Sequeira W, Block J. Coronary artery disease in systemic lupus erythematosus: A review of the literature. (appliedradiology.com)
- To evaluate the acute angiographic and intermediate-term clinical results of patients with non-left main (LM) coronary artery bifurcation disease (CABD) treated with BVS, as compared with those treated with DES, using the jailed semi-inflated balloon technique (JSIBT) for side branch (SB) protection and provisional stenting. (hindawi.com)
- Coronary artery bifurcation disease (CABD) occurs in 15-20% of coronary artery disease (CAD) patients undergoing percutaneous coronary intervention (PCI) [ 1 , 2 ] and remains a considerable challenge in clinical practice despite advances in modern interventional techniques and stents. (hindawi.com)
- DCE perfusion data from 35 subjects (14 subjects with coronary artery disease, 8 subjects with hypertrophic cardiomyopathy, and 13 healthy volunteers) were evaluated. (researchgate.net)
- Coronary artery disease was present in nine workers, cerebrovascular accident in one, and aortic stenosis in one. (cdc.gov)
- 5) Behavior Questionnaire elicited data on behavior which may be associated with coronary heart disease for examined persons ages 25-74. (cdc.gov)
- She had no risk factors for coronary artery disease in her medical history but it was learned that she had undergone a mitral valve replacement 2 years before because of rheumatic mitral stenosis and that no international normalized ratio (INR) analysis had been done in the last 6 months. (who.int)
- Comparison of early and late outcomes of TAVI alone compared to TAVI plus PCI in aortic stenosis patients with and without coronary artery disease. (bvsalud.org)
- The presence of coronary artery disease (CAD) negatively impact procedural outcomes and long-term survival after (TAVI). (bvsalud.org)
- Treatment for aortic stenosis depends on how far the disease has progressed. (chistvincent.com)
- If the patient is deemed to be a good candidate for surgery or TAVR, cardiac catheterization is performed to exclude significant coronary artery disease. (chistvincent.com)
- Impact of age on clinical outcomes of antihypertensive therapy in patients with hypertension and coronary artery disease: A sub-analysis of the Heart Institute of Japan Candesartan Randomized Trial for Evaluation in Coronary Artery Disease. (twmu.ac.jp)
- Optimal Blood Pressure in Patients With Coronary Artery Disease and Chronic Kidney Disease: HIJ-CREATE Substudy. (twmu.ac.jp)
- Relationships between blood pressure lowering therapy and cardiovascular events in hypertensive patients with coronary artery disease and type 2 diabetes mellitus: The HIJ-CREATE sub-study. (twmu.ac.jp)
- Recent randomized controlled trials have challenged the concept that increased high density lipoprotein cholesterol (HDL-C) levels are associated with coronary artery disease (CAD) risk reduction. (biomedcentral.com)
- For instance, lipid profiles are well acknowledged to be associated with the risk of coronary artery disease (CAD) and myocardial infarction (MI) [ 1 ]. (biomedcentral.com)
- Coronary Artery Disease (CAD) is the most prevalent single cause of death and loss of Disability Adjusted Life Years (DALYs) around the world. (verifiedmarketresearch.com)
- This is also the leading cause of hypertension but the eyes, causes of conditions and death, coronary artery disease. (notaclinic.com)
- At increased risk of developing an abdominal aortic aneurysm are men over 60 years of age, smokers, men with arterial disease (coronary or peripheral) and men whose father or brother has/had got an aneurysm. (angionet.gr)
- To assess myocardial perfusion (stress, rest) and late gadolinium enhancement in adult patients with known or suspected coronary artery disease (CAD). (bayer.com)
- Association of Calcium Phosphorus Product and Coronary Artery Calcification in End Stage Renal Disease Patients on Dialysis. (aimdrjournal.com)
Arteries18
- Both magnetic and manual guidewire navigation were attempted in 21 consecutive diseased coronary arteries. (eur.nl)
- CAD is "a condition in which there is an inadequate supply of blood and oxygen to the myocardium," which is due to the coronary arteries occlusion and leads to mismatch of demand-supply of oxygen. (ijcva.com)
- A tailored approach towards management of patients with severe aortic stenosis and anomalous coronary anatomy permits optimal clinical outcomes and low-lying anomalous coronary arteries may require pre-procedural plans for PCI in deployment of TAVR prosthesis. (ismics.org)
- Chronic high-grade narrowing of the coronary arteries induces subendocardial ischemia during the escalation of the myocardial oxygen demand throughout exercise or stress [ 2 ]. (springeropen.com)
- Using a hand-held digital caliper, three neuroradiologists independently measured D stenosis and D normal of 24 stenotic intracranial arteries. (ajnr.org)
- We determined how frequently two observers' measurements of percent stenosis of each of the 24 diseased arteries differed by 10% or less. (ajnr.org)
- Atherosclerotic stenosis of the major intracranial arteries is an important cause of ischemic stroke. (ajnr.org)
- The established methods for measuring extracranial carotid stenosis are not suitable for measuring percent stenosis of a major intracranial artery because the intracranial arteries have several branches, they become slightly narrower in their distal portions, and they are often tortuous (1-3) . (ajnr.org)
- Echocardiography is commonly used as a screening exam, with excellent visualization of the proximal coronary arteries. (appliedradiology.com)
- If you are having this test to look at your heart and the blood vessels that go to it ( coronary arteries ), you may be given a medicine called a beta-blocker to slow your heart rate during the test. (healthwise.net)
- A narrowing (stenosis) or blockage in the coronary arteries. (healthwise.net)
- Intervention group: patients with slow flow coronary arteries in angiography will be treated with standard medicine for two weeks and in case of pain continuation, will be treated with oral pentoxifylline 400 milligram three times a day for two weeks and finally pentoxifylline effect in chest pain reduction will be evaluated. (who.int)
- Note that the arrows point out the two coronary ostia, or openings into the coronary arteries, and how syphilis caused arterial stenosis, or narrowing of these openings, a feature of late syphilis. (cdc.gov)
- Medial calcification is unusual in the coronary arteries and therefore any detectable coronary calcification is taken to reflect calcium within intimal atherosclerotic lesions. (bmj.com)
- Necropsy studies have shown that the amount of intimal calcium in the coronary arteries is related closely to the amount of plaque. (bmj.com)
- The effect of vitamin K1 on arterial calcification activity in subjects with diabetes mellitus: a post hoc analysis of a double-blind, randomized, placebo-controlled trial - Am J Clin Nutr 2021 Oct 12 - 'In individuals with diabetes mellitus, supplementation with 10 mg vitamin K1/d may prevent the development of newly calcifying lesions within the aorta and the coronary arteries as detected using 18F-NaF PET. (qualitycounts.com)
- Cannulation was found to be selective in 12.0% and 31.7% for left and right coronary arteries, respectively. (thecardiologyadvisor.com)
- The coronary arteries are the other important arteries attached to the heart. (heartandstrokehealth.com)
Arterial4
- Arbab-Zadeh, A & Hoe, J 2011, ' Quantification of coronary arterial stenoses by multidetector CT angiography in comparison with conventional angiography: Methods, caveats, and implications ', JACC: Cardiovascular Imaging , vol. 4, no. 2, pp. 191-202. (elsevier.com)
- Currently, there are no standard methods for measuring the severity of intracranial arterial stenosis. (ajnr.org)
- A canine model of the coronary circulation with three compartments was created (arterial, capillary, venous). (escardio.org)
- 4. Indications: Anomalous coronary arterial stenosis when lesions clear to purulent discharge from the superior and inferior labial artery medially. (berea.edu)
Lesions9
- Contrast-enhanced 64-slice CT can accurately detect and characterize atherosclerotic coronary lesions, according to a study published in the July issue of Journal of the American College of Cardiology. (diagnosticimaging.com)
- They found that 64-slice CT could identify both obstructive and nonobstructive lesions with high accuracy in all three coronaries. (diagnosticimaging.com)
- Guidewire navigation using MNS presented a novel, safe, and feasible approach to address coronary artery lesions. (eur.nl)
- Clinical studies are needed to evaluate the potential benefit of the MNS in more complex coronary lesions and tortuous anatomy. (eur.nl)
- Second generation fiber optic technology enables accuracy which is becoming even more critical when pressure over coronary lesions is measured in a resting situation. (opsens.com)
- Lesions treated included the left main, left circumflex, left anterior artery descending and right coronary artery. (fda.gov)
- The tools necessary for correctly identifying complex coronary lesions and plaques. (routledge.com)
- The prognosis of infundibular pulmonary stenosis (IPS) mainly depends on the severity of stenosis in the absence of any additional lesions. (medscape.com)
- Long-term clinical outcomes after percutaneous coronary intervention to treat long lesions in hemodialysis patients in the era of second-generation drug-eluting stents. (twmu.ac.jp)
Calcification7
- Date of event: date of publication journal article: vascular responses to coronary calcification following implantation of newer-generation drug-eluting stents in humans: impact on healing journal: european heart journal year: 2019 ref: doi:10. (fda.gov)
- Resolute integrity drug eluting stents were among a number of drug eluting stents used in a study involving autopsy cases which analysed vascular responses to coronary calcification following implantation of newer-generation drug-eluting stents in humans. (fda.gov)
- The focal dilatation within the proximal right coronary artery contained a small amount of nonocclusive mural thrombus, as well as a thin rim of calcification (Figure 4). (appliedradiology.com)
- The last few years have seen a surge of interest in the measurement of coronary artery calcification to predict and monitor the presence of coronary atherosclerosis. (bmj.com)
- Although IVUS is highly sensitive and specific for calcification, it is invasive, non-quantitative, and only visualises a limited portion of the coronary tree. (bmj.com)
- Kaohsiung J Med Sci 2021 Feb 26 - 'The present cross-sectional clinical study aimed to examine the connection between statin exposure, coronary artery calcification (CAC), and vitamin K-dependent proteins (VKDPs) in patients with cardiovascular (CV) conditions. (qualitycounts.com)
- Delicate valves can suffer from stenosis, becoming blocked by calcification or hardening, so that they constrict the blood flow. (centralamericasurgery.com)
Patients31
- In patients with low cardiac output, the valvular stenosis may be severe even though the transvalvular gradient is low. (medscape.com)
- Color Doppler valve analysis during transesophageal echocardiography (TEE) can be used to accurately diagnose bicuspid aortic valve in patients with severe symptomatic aortic stenosis, according to a prospective study of 51 patients. (medscape.com)
- Most such CT studies focused on high-grade stenoses in coronary sections larger than 2 mm and in patients with relatively normal or slow heartbeats. (diagnosticimaging.com)
- Dr. Alexander Leber and a team of cardiologists and radiologists from the University of Munich in Germany enrolled 59 consecutive patients scheduled for conventional coronary angiography for chest pain. (diagnosticimaging.com)
- The 64-slice CT scanner provided images of diagnostic quality for the entire coronary tree in 55 of 59 patients. (diagnosticimaging.com)
- A total of 250 patients with coronary artery involvement, on non-emergent coronary angiogram who underwent either selective or nonselective renal angiography were enrolled in this study. (banglajol.info)
- 75% stenosis in group 2 patients. (elsevier.com)
- A 1-week duration of doubling the dose of clopidogrel (double-dose antiplatelet therapy (DDAT)) was shown to improve outcome at 1 month compared with conventional dose in acute coronary syndrome (ACS) patients undergoing PCI. (elsevier.com)
- Transcatheter aortic valve replacement (TAVR) is a well- established therapeutic option in patients with severe aortic stenosis (AS). (ismics.org)
- 3 patients patients with anomalous RCA arising from near the left-right coronary commisure with a course cephalad to and remote from the aortic annulus and had uncomplicated deployment of the TAVR (2) and minimally invasive surgical aortic valve replacement (1) requiring no coronary interventions. (ismics.org)
- Patients who will experience little benefit from coronary revascularization are also excluded. (medscape.com)
- Patients with comorbid CAD and ventricular hypertrophy suffer from myocardial hypoperfusion at subcritical epicardial stenosis. (springeropen.com)
- 170 patients underwent MCE during dobutamine stress echocardiography prior to coronary angiography. (escardio.org)
- Patients with SLE frequently have coronary artery manifestations, with atherosclerosis being much more common than aneurysms. (appliedradiology.com)
- Medical treatment in aortic stenosis essentially is reserved for patients who have complications of the disorder, such as heart failure, infective endocarditis, hypertension, or arrhythmias. (medscape.com)
- The medical treatment options are limited in symptomatic patients with aortic stenosis who are not candidates for surgery. (medscape.com)
- Antibiotic prophylaxis for the prevention of bacterial endocarditis is no longer recommended in patients with valvular aortic stenosis. (medscape.com)
- Patients with aortic stenosis who are not candidates for surgery and present with pulmonary congestion may be treated with digoxin. (medscape.com)
- Patients with severe symptomatic aortic stenosis (AS) (n = 249) that underwent TAVI were divided into two groups patients with CAD (subdivided to patients treated with TAVI alone and to patients that underwent PCI before TAVI) and patients with isolated AS. (bvsalud.org)
- Patients with isolated valvular pulmonary stenosis may have a reactive infundibular hypertrophy that could elicit a reactive infundibular obstruction. (medscape.com)
- Patients with mild-to-moderate stenosis live normal lives with no symptoms, apart from the risk of IE. (medscape.com)
- Coronary cannulation failures following transcatheter aortic valve replacement (TAVR) were found to be higher in patients receiving Evolut TAVs, according to a study published in the Journal of American College of Cardiology: Cardiovascular Interventions . (thecardiologyadvisor.com)
- Patients were assessed with left and right coronary angiography before and after the procedure. (thecardiologyadvisor.com)
- Evaluation of the cut-off value for the instantaneous wave-free ratio of patients with aortic valve stenosis. (twmu.ac.jp)
- Variations in the eicosapentaenoic acid-arachidonic acid ratio associated with age in acute myocardial infarction patients undergoing primary percutaneous coronary intervention. (twmu.ac.jp)
- Safety and Efficacy of Low-Dose Prasugrel as Part of Triple Therapy With Aspirin and Oral Anticoagulants in Patients With Atrial Fibrillation Undergoing Percutaneous Coronary Intervention - From the TWMU-AF PCI Registry. (twmu.ac.jp)
- Clinical characteristics of octogenarian patients under- going percutaneous coronary intervention. (bvsalud.org)
- Annual operator volume among patients treated using percutaneous coronary interventions with rotational atherectomy and procedural outcomes : analysis based on a large national registry. (krakow.pl)
- Clinical outcomes in patients undergoing complex, high-risk percutaneous coronary intervention and haemodynamic support with intra-aortic balloon versus Impella pump : real-life single-centre preliminary results. (krakow.pl)
- While transcatheter aortic valve replacement (TAVR) has revolutionized the treatment of aortic stenosis, a new study in the American Journal of Cardiology showed that there may be a high risk of in-hospital mortality for patients who undergo surgical aortic valve replacement (SAVR) after TAVR. (ctsnet.org)
- As with all valvular diseases, exertional dyspnea is the most common presenting symptom (80% of patients with mitral stenosis). (mhmedical.com)
Severe8
- Thus, in a patient with clinical features of severe aortic stenosis but echo/Doppler findings of mild to moderate aortic stenosis, further evaluation with repeat Doppler or cardiac catheterization may be required. (medscape.com)
- We defined percent stenosis of an intracranial artery as follows: percent stenosis = [(1 − (D stenosis /D normal ))] × 100, where D stenosis = the diameter of the artery at the site of the most severe stenosis and D normal = the diameter of the proximal normal artery. (ajnr.org)
- Stenosis was qualitatively classified as mild, moderate, or severe by 1 blinded observer and the results were compared with those of ICA, which was used as the gold standard. (revespcardiol.org)
- Such reversal and cyanosis can occur when the RV is hypoplastic, even with less severe pulmonary stenosis. (medscape.com)
- In neonates with severe pulmonary stenosis, the pulmonary blood flow depends on the patency of the ductus arteriosus. (medscape.com)
- interquartile range [IQR], 77-85 years) presenting with severe aortic stenosis of the native valve and scheduled to undergo TAVR were enrolled. (thecardiologyadvisor.com)
- However, medication is a palliative therapy and is not an effective treatment for severe aortic stenosis. (chistvincent.com)
- The only effective treatment for severe aortic stenosis is to replace the diseased aortic valve. (chistvincent.com)
Stent3
- A coronary artery stent is a small, self-expanding, metal mesh tube. (medlineplus.gov)
- one patient had TAVR with prophylactic placement of an intracoronary stent and wire, experienced acute coronary occlusion following deployment of the TAVR prosthesis and was successfully treated by positioning and expansion of the stent with return of circumflex artery perfusion and hemodynamic stabilization. (ismics.org)
- If stenosis or thrombosis occurs, coronary stenting can be done, though stenosis from vasculitis can be more difficult to stent than stenosis from atherosclerosis. (appliedradiology.com)
Angioplasty3
- It is placed inside a coronary artery after balloon angioplasty . (medlineplus.gov)
- This set of medical illustrations depicts coronary artery stenosis with angioplasty. (medicalillustration.com)
- We did not perform acute coronary syndrome, coronary elevation myocardial infarction, whereas angioplasty because the obstruction embolism should be kept in mind in the rest present with non-ST elevation was in the distal portion of the vessel those with prosthetic valves even in the myocardial infarction [8]. (who.int)
Right corona4
- This image showed focal dilatation of the proximal right coronary artery (RCA), just distal to the origin of the artery (Figures 2 and 3) corresponding to the soft-tissue abnormality identified on the non-contrast CT scan. (appliedradiology.com)
- A few smaller areas of focal dilatation were identified within the distal right coronary artery (Figure 3). (appliedradiology.com)
- The right coronary artery is most commonly affected. (appliedradiology.com)
- We report here a case of embolic portion of the right coronary artery 5 mm (Figure 2). (who.int)
Occlusion5
- The presence of collateral vessels during coronary occlusion, defined as partial or complete epicardial opacification by collateral vessels of the vessel dilated, was related to clinical, angiographic and electrocardiographic parameters. (nih.gov)
- By combining lesion severity with the duration of angina, collateral vessels during coronary occlusion were particularly related to a lesion severity greater than or equal to 70% and duration of angina greater than or equal to 3 months (p less than 0.001). (nih.gov)
- Furthermore, the presence of collateral vessels was associated with an absence of ST-segment shift (greater than or equal to 1 mm) during 1 minute of coronary occlusion (p less than 0.001). (nih.gov)
- Coronary stenosis and occlusion are important complications. (appliedradiology.com)
- However, there remains a risk of acute SB occlusion after MV stenting, especially in a true bifurcation lesion with large plaque burden, very tight stenosis at the SB ostium, diminished baseline SB blood flow, or very blunt bifurcation angulations [ 6 , 7 ]. (hindawi.com)
Angiography showed3
- Coronary angiography showed stenosis at the ostium of left main trunk. (elsevier.com)
- Coronary angiography showed a 95% stenosis at the trifurcation of the left main coronary artery (LMCA) involving the ostium of the left anterior descending artery (LAD), the left circumflex artery (LCX), and the ramus intermedius (RI). (asiaintervention.org)
- Coronary angiography showed insignificant coronary artery stenosis. (frontiersin.org)
Renal artery s1
- Invasive Evaluation of Renal Artery Stenosis. (routledge.com)
Mitral4
- The "Polar Light Sign" is a useful tool to detect discrete membranous supravalvular mitral stenosis. (medscape.com)
- del Nido PJ, Baird C. Congenital mitral valve stenosis: anatomic variants and surgical reconstruction. (medscape.com)
- In this paper, we report a rare case of myocardial infarction, which occurred as a result of a coronary embolism in a patient with prosthetic mitral valve thrombosis. (who.int)
- The classic murmur of mitral stenosis and associated signs are listed in Table 23-1 . (mhmedical.com)
Graft4
- In procedures where the aortic valve replacement (AVR) is combined with a coronary artery bypass graft (CABG), the use of a rapid deployment valve can shorten the duration of cardiac ischemia and the overall intervention duration, which possibly has an influence on clinical results. (clinicaltrials.gov)
- A 49-year-old male with a history of prior coronary bypass graft surgery three months before came back with typical anginal chest pain on exertion. (asiaintervention.org)
- Coronary artery bypass graft surgery is also performed, often with resection of aneurysms. (appliedradiology.com)
- 2020. Intraoperative graft flow profiles in coronary artery bypass surgery: A meta-analysis. . (cornell.edu)
Increasing coronary artery1
- Ad levels showed a significant decrease with increasing coronary artery stenosis. (ijcva.com)
Severity9
- [ 20 ] Two-dimensional and Doppler echocardiography is the imaging modality of choice to diagnose and determine the severity of aortic stenosis. (medscape.com)
- [ 5 ] In general, cardiac catheterization is not necessary to determine the severity of aortic stenosis. (medscape.com)
- Although the presence of aortic stenosis is readily diagnosed with 2D echocardiography, the severity of aortic stenosis cannot be judged based on the 2D echocardiographic images alone. (medscape.com)
- Doppler echocardiography is an excellent tool for assessing the severity of aortic stenosis. (medscape.com)
- The echocardiographic criteria for assessment of aortic stenosis severity are outlined below, in Table 2. (medscape.com)
- The major limitation of Doppler echocardiography in assessing the severity of aortic stenosis is underestimation of the gradient if the sound beam is not parallel to the aortic stenosis velocity jet. (medscape.com)
- Conclusions - Both the presence and severity of a physiologically significant coronary stenosis can be detected at rest by measuring the increase in aBV on myocardial contrast echocardiography that occurs distally to the stenosis without recourse to any form of stress. (elsevier.com)
- Both these markers fluctuate with the increasing levels of coronary artery stenosis and thus their monitoring may be helpful in monitoring the increasing severity of the CAD. (ijcva.com)
- The severity of stenosis can progress with age. (medscape.com)
Intermediate coronary stenosis1
- The Authors' Reply: Which Functional Imaging Should We Refer to When Encountering an Anatomically Intermediate Coronary Stenosis? (sdu.dk)
Fractional flow re4
- Rangasetty, UC & Lui, CY 2008, ' Fractional Flow Reserve-Guided Intervention of Angiographically Nonsignificant Coronary Stenoses ', Journal of the American College of Cardiology , vol. 51, no. 11, pp. 1123. (utmb.edu)
- Lui, Charles Y. / Fractional Flow Reserve-Guided Intervention of Angiographically Nonsignificant Coronary Stenoses . (utmb.edu)
- Crea, F , De Caterina, A & Leone, AM 2013, ' Superiority of fractional flow reserve versus intravascular ultrasound for intermediate coronary stenoses ', JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY , vol. 62, pagg. (unicatt.it)
- Area stenosis associated with non-invasive fractional flow reserve obtained from coronary CT images. (duke-nus.edu.sg)
Obstruction5
- 8 g/dL), a small aortic root, or sequential stenoses in parallel (coexistent LV outflow tract [LVOT] and valvular obstruction). (medscape.com)
- The overall correlation between CT, conventional angio, and intravascular ultrasound for the assessment of stenosis degree, mean plaque areas, and percentage of vessel obstruction was statistically significant. (diagnosticimaging.com)
- Coronary artery obstruction during and after TAVR procedure can occur in 0.5-1.0% of individuals. (ismics.org)
- One cause of obstruction can be compression of an anomalous coronary artery during deployment of the TAVR prosthesis. (ismics.org)
- First described by Elliotson, infundibular pulmonary stenosis (IPS) refers to obstruction of outflow from the right ventricle (RV) within the body of the RV, as opposed to obstruction at the pulmonary valve, pulmonary artery (PA), or its branches. (medscape.com)
Myocardial infarction3
- They are more prone to develop ischemic complications, mainly non-ST-elevation myocardial infarction (NSTEMI), and arrhythmias than their peers with isolated CAD regarding the same degree of coronary stenosis. (springeropen.com)
- Myocardial infarction due to stenosis of the left coronary artery. (medscape.com)
- Diagnostic dilemma of perioperative myocardial infarction after coronary artery bypass grafting: A review. (cornell.edu)
Left main coronary3
- IMSEAR at SEARO: Isolated left main coronary ostial stenosis in a young female. (who.int)
- Tewari S, Roy S, Kapoor A, Sinha N. Isolated left main coronary ostial stenosis in a young female. (who.int)
- How should I treat a patient with critical stenosis of a bifurcation of the left main coronary artery with an acute angulation between the left main artery and the left circumflex artery? (asiaintervention.org)
Intravascular ultrasound4
- The investigators compared 64-slice CT with catheter angiography and intravascular ultrasound to identify and quantify coronary plaque, another departure from previous trials comparing CT exclusively against catheter angiography. (diagnosticimaging.com)
- CT and intravascular ultrasound identified 46 and 55 coronary plaques, with a sensitivity of 84% and 100%, respectively. (diagnosticimaging.com)
- In addition to detection of stenoses, 64-slice CT enables noninvasive analysis of the vessel wall, something that neither catheter angiography nor intravascular ultrasound can do. (diagnosticimaging.com)
- An In-Depth Insight of Intravascular Ultrasound for Coronary Stenting. (routledge.com)
Distal to the stenosis3
- The study endpoint was defined as an intraluminal wire position distal to the stenosis. (eur.nl)
- Most studies of CAD revascularization have been based on and reported according to angiographic criteria which do not consider the relation between the resulting effective flow distal to the stenosis and the demand of a hypertrophied myocardial tissue. (springeropen.com)
- The standard values provided by both methods, and so the revascularization decision, do not consider the relation between the resulting effective flow distal to the stenosis and the demand of a comorbid hypertrophied myocardial tissue. (springeropen.com)
Angina3
- Prinzmetal's angina or coronary artery vasospasm). (fpnotebook.com)
- A variant form of angina pectoris caused by coronary artery vasospasm, usually occurring spontaneously and frequently associated with ST segment elevation. (fpnotebook.com)
- Angina is a specific type of pain in the chest caused by inadequate blood flow through the blood vessels (coronary vessels) of the heart muscle (myocardium). (adam.com)
Transcatheter aortic valve1
- To assess the safety and effectiveness of performing percutaneous coronary intervention (PCI) before transcatheter aortic valve implantation (TAVI). (bvsalud.org)
Ostium2
- Coronary angiogram showing a 95% stenosis at the trifurcation of LMCA involving the ostium of the LAD, the LCX, and the RI branch with angulation between the LMCA and the LCX of nearly 90 degrees. (asiaintervention.org)
- TVAR was considered selective when the catheter was completely engaged, semiselective when the catheter was in front of the coronary ostium, and unsuccessful when it was impossible to obtain selective or semiselective engagement. (thecardiologyadvisor.com)
Angiographic1
- Hence, the study was conducted to evaluate the Ad levels and its correlation with the angiographic stenosis of CAD. (ijcva.com)
Proximal1
- In the more common type, stenosis of the proximal portion of the infundibulum is due to a fibrous or muscle band at the junction of the main cavity of the right ventricle (RV) and the infundibulum. (medscape.com)
MDCT7
- Multidetector computed tomography (MDCT) is a rapidly evolving technology for performing noninvasive coronary angiography. (elsevier.com)
- Discrepant stenosis assessment by MDCT and conventional angiography receives remarkable attention, whereas its significance for patient outcome is less certain. (elsevier.com)
- Anomalous coronary artery anatomy is increasingly being recognized prior to intervention as routine 3-dimensional reconstructed computed tomographic imaging is used as part of pre-procedural planning (MDCT). (ismics.org)
- Role of MDCT for the Diagnosis of Coronary Anomalies and Fistulae. (routledge.com)
- Multidetector computed tomography (MDCT) has been demonstrated as a feasible alternative to invasive coronary angiography (ICA). (revespcardiol.org)
- However, contradictory results have been reported regarding the effect of coronary artery calcium score (CS) on the diagnostic accuracy of MDCT. (revespcardiol.org)
- A total of 484 segments with coronary stenosis ≥ mild were qualitatively evaluated and quantified with MDCT. (revespcardiol.org)
Interventions1
- Freitas1 coronary interventions (PCI) in octogenarians are increasingly indicated. (bvsalud.org)
Clinical1
- Two-dimensional transthoracic echocardiography can confirm the clinical diagnosis of aortic stenosis and provide specific data on LV function. (medscape.com)
Intervention4
- In addition, an antiplatelet regimen is an integral component of medical therapy after percutaneous coronary intervention (PCI). (elsevier.com)
- CABG may be performed as an emergency procedure in the context of an ST-segment elevation MI (STEMI) in cases where it has not been possible to perform percutaneous coronary intervention (PCI) or where PCI has failed and there is persistent pain and ischemia threatening a significant area of myocardium despite medical therapy. (medscape.com)
- Outcomes of Renal Transplant Recipients after Percutaneous Coronary Intervention. (twmu.ac.jp)
- Comparison of safety and effectiveness between the right and left radial artery approach in percutaneous coronary intervention. (krakow.pl)
Diagnosis1
- Mayo Clinic doctors trained in heart and blood vessel conditions (cardiologists) and heart and blood vessel surgery (cardiovascular surgeons) research diagnosis and treatment options for aortic valve stenosis and other heart valve diseases. (mayoclinic.org)
Pulmonary3
- In this article, IPS refers to isolated infundibular pulmonary stenosis with an intact ventricular septum. (medscape.com)
- Infundibular pulmonary stenosis (IPS) has two forms. (medscape.com)
- pulmonary stenosis (or hypoplastic right heart syndrome). (annamariejaworski.com)
Valvular1
- Treatment of valvular aortic stenosis is interventional. (medscape.com)
Ventricular1
- endocarditis, atrial and ventricular mu- ing treatment of coronary embolism. (who.int)
Echocardiography1
- Background - We hypothesized that autoregulatory changes in arteriolar blood volume (aBV) that develop distal to a stenosis can be measured with myocardial contrast echocardiography, allowing coronary stenosis detection at rest without recourse to stress. (elsevier.com)
Functionally3
- Objectives The aim of this study was to evaluate the accuracy of the Multifunction CardioGram (MCG) in detecting the presence of functionally significant coronary ischaemia. (bmj.com)
- The MCG might have the strength to identify functionally significant coronary ischaemia needing an optimal revascularisation. (bmj.com)
- Commentary: Functional coronary artery stenosis-How can we functionally apply this to the operating room? (elsevier.com)
Perfusion1
- In addition the reduction in aortic compliance may result in a decrease in diastolic coronary perfusion, as this is dependent on the recoil of the aorta which has been stretched during systole. (bmj.com)