Clinical Summary. Live Cases I - IX
|
|
- Damian Harper
- 6 years ago
- Views:
Transcription
1 Clinical Summary Live Cases I - IX
2 Patient: Male, 66 years Diagnosis: Single vessel CAD with normal LVEF Target lesion: proximal RCA Coronary risk factor: Hypertension, smoke (90py) Clinical course: ECG abnormality: Sinusrhythm, 66/min, bifascicular block (LAH+RBBB). Echocardiography LV concentric hypertrophy and diastolic dysfunction type I. Coronary angiogram: RCA-proximal total occlusion with LCA-collaterals, LAD and RCX with coronary sclerosis. June 19 th, Laevocardiography: LVEF 65%, inferobasal aneurysm? Stress echocardiography: preserved vitality of the inferior LV-wall. ICD- implantation for secondary prevention of SCD (after nsvt) on June Problem:
3 Patient: Male, 63 years. Diagnosis: Ischemic cardiomyopathy with reduced LVEF (32%); 2-Vessel CAD (LAD and RCA) Target lesion: proximal LAD Coronary risk factor: Hypertension, smoke (90py) Clinical course: ECG abnormality: Sinus rhythm, 76/min, loss of R-wave and T-wave inversion in V1 V4. cnmr: fibrosis and ischemia of the anteroseptal LV-wall. Coronary angiogram: Successful RCA-PCI, total occlusion of proximal LAD-CTO with collaterals from RCX (?) Laevocardiography: LVEF 32%, anteroseptal hypo-akinesia Problem:
4 University Medicine Berlin, Campus Benjamin Franklin (CBF) Gender: Male Age: 48 Target vessel: RCA mid Relevant Diagnosis: Coronary 2-vessel disease, LVEF 45% Previous STE-ACS 2017/04 with PCI/Scaffold-Implantation LAD mid (04/2017) Coronary Risk Factor: Hypertension, smoking, family history Symptoms: Angina pectoris (CCS II) Coronary Angiography: 04/2017: LAD mid 100%, RCA mid 100% -> PCI LAD (1xBVS) Imaging: Echocardiography 04/2017: LVEF 45%, inferior and anteroseptal: hypokinetic Stress-Echocardiography 08/2017: Preserved viability inferior Procedure: PCI CTO RCA mid Post PCI
5 Patient: Male, 58 years. Diagnosis: Ischemic cardiomyopathy with reduced LVEF (45%) and complex multivessel CAD. Target lesion: proximal LAD Coronary risk factor: Hypertension, DM II, HLP, smoking Clinical course: ECG abnormality: Sinusrhythm, 76/min, loss of R-wave and T-wave inversion in V1 V4. Coronary angiogram: LAD-proximal total occlusion, RIVP-collaterals. RCA with 50% ostial stenosis and good result after proximal stenting. OM1 90% stenosis, OM2 with 75% stenosis, RPLS 75% stenosis. PTCA (2x DES) of OM2 and RPLs. 10/10 Laevocardiography: hypokinesia anterolateral apical and inferior Stress echocardiography (appointment on ) Problem:
6 Patient: Male, (GG), 81years Diagnosis: Normal LVEF ; multivessel CAD Target lesion: proximal RCA Coronary risk factor: Hypertension, DM II, HLP Clinical course: Angina CCS?? ECG abnormality: none Coronary angiogram: RCA-proximal total occlusion, LCA-collaterals? RCX-PCI 5/17 Transthoracal echocardiography: ? Problem: chronic kidney disease (serum creatinine 1.40mg/dl 2008)
7 University Medicine Berlin, Campus Benjamin Franklin (CBF) Gender: Male Age: 58 Target vessel: LAD mid Relevant Diagnosis: Coronary 3-vessel disease, LVEF 62% Previous STE-ACS with PCI LCX mid (05/2015) Previous PCI LCX distal (07/2017) Coronary Risk Factor: Hypertension, dyslipidemia, smoking, family history Symptoms: Angina pectoris (CCS III) Coronary Angiography: 04/2017: LAD mid 100%, RCA prox 80% (small vessel) Imaging: Echocardiography: LVEF 62%, lateral and inferolateral: hypokinetic Procedure: PCI CTO LAD
8 Patient: Female 67 years Diagnosis: LVEF 57%; multivessel CAD Target lesion: total occlusion from the medial LAD segment Coronary risk factor: Hypertension, DM II, HLP, smoke (25py) Clinical course: Clinical presentation: instable angina ECG abnormality: Sinusrhythm, 76/min, LAH,.incomplete RSB Coronary angiogram: 06/17 LAD-CTO of the medial segment, RCA-collaterals Laevocardiography: LVEF 57% No Stressecho or MRI PTCA: 06/17- RCX-PCI
9 Patient: Male, 63 years Diagnosis: Multivessel CAD with normal LVEF (73%) Target lesion: proximal RCA Coronary risk factor: Hypertension, HLP, DM II, smoking (50py), Clinical course: ECG abnormality: SR, 90bpm, LAH, Q in II, III, avf and preterm. T-neg. in III. Transthoracal echocardiography: LV- concentric hypertrophy (IVSd 17mm), no LVOT Coronary angiogram: obstruction or gradient, LVEF 73%, diastolic dysfunction type I. 07/17, RCA-proximal total occlusion, LCA-collaterals PTCA: RIVA-CTO-PCI and PLA-1-PCI, 07/17 cmri: apical akinesia with late enhancement, vitality of the inferoseptal and septal LV -segments, 06/17. Problem: chronic kidney disease, St. IIIa (GFR 62ml/min*1.73, 7/17)
10 University Medicine Berlin, Campus Benjamin Franklin (CBF) Gender: Male Age: 79 Target vessel: RCA proximal Relevant Diagnosis: Coronary 2-vessel disease, LVEF 68% Myocardial infarction (03/2007) PCI LCX, obtuse marginal, RCA mid Previous Stroke, Stenosis of internal carotid artery (80-90%) with endarterectomy (07/2017) Chronic kidney disease Coronary Risk Factors: Hypertension Symptoms: Pre-Syncope (due to carotid stenosis) Coronary Angiography: 12/2016: RCA prox 100%, Left posterolateral 100%, Diagonal 80% Imaging: Stress-Echocardiography 01/2017: Preserved viability inferior (hypokinetic under stress) Procedure: PCI CTO RCA (retrograde)
Clinical Summary. Live Cases I - IX
Clinical Summary Live Cases I - IX Case #1 2017/09/16 Age: 66 Target Vessel: RCA proximal Relevant Diagnosis: Single vessel CAD with normal LVEF Coronary Risk Factors: Hypertension, smoke (90py) ECG abnormality:
More informationJ. Schwitter, MD, FESC Section of Cardiology
J. Schwitter, MD, FESC Section of Cardiology CMR Center of the CHUV University Hospital Lausanne - CHUV Switzerland Centre de RM Cardiaque J. Schwitter, MD, FESC Section of Cardiology CMR Center of the
More informationPatient. Clinical data Indications: Operation date. Comorbidities: Patient code Birth date: / /
Patient Patient code Birth date: / / Sex: Male Height (cm): Female Weight (kg): Risk Factors: Family history of coronary disease: Hypertension Dyslipidemia Peripheral disease Diabetes Comorbidities: No
More informationStable Angina: Indication for revascularization and best medical therapy
Stable Angina: Indication for revascularization and best medical therapy Cardiology Basics and Updated Guideline 2018 Chang-Hwan Yoon, MD/PhD Cardiovascular Center, Department of Internal Medicine Bundang
More informationPearls & Pitfalls in nuclear cardiology
Pearls & Pitfalls in nuclear cardiology Maythinee Chantadisai, MD., NM physician Division of Nuclear Medicine, Department of radiology, KCMH Principle of myocardial perfusion imaging (MPI) Radiotracer
More informationCCS/CAIC/CSCS Position Statement on Revascularization Multi-vessel CAD. Teo et al, Canadian Journal of Cardiology 2014;30:
CCS/CAIC/CSCS Position Statement on Revascularization Multi-vessel CAD Teo et al, Canadian Journal of Cardiology 2014;30: 1482-1491 Parallel Paper: Canadian Cardiovascular Society Guidelines for the Diagnosis
More informationFFR vs icecg in Coronary Bifurcations FIESTA ClinicalTrials.gov Identifier: NCT
FFR vs icecg in Coronary Bifurcations FIESTA ClinicalTrials.gov Identifier: NCT01724957 Dobrin Vassilev MD, PhD Assoc. Prof. in Cardiology Head Cardiology Clinic, Alexandrovska University Hospital Medical
More informationAbnormal, Autoquant Adenosine Myocardial Perfusion Heart Imaging. ID: GOLD Date: Age: 46 Sex: M John Doe Phone (310)
Background: Reason: preoperative assessment of CAD, Shortness of Breath Symptom: atypical chest pain Risk factors: hypertension Under influence: a beta blocker Medications: digoxin Height: 66 in. Weight:
More informationin the Elderly Busan- KOREA, 08 DEC 2018
COMPLEX PCI in the Elderly A/Prof Ho Thuong Dung, MD, PhD, FSCAI, FACC Vice-Director,Thong Nhat Hospital, Hochiminh city Vice-President, Vietnam Society of Cardiac Intervention Busan- KOREA, 08 DEC 2018
More informationSafety of Single- Versus Multi-vessel Angioplasty for Patients with AMI and Multi-vessel CAD
Safety of Single- Versus Multi-vessel Angioplasty for Patients with AMI and Multi-vessel CAD Mun K. Hong, MD Associate Professor of Medicine Director, Cardiovascular Intervention and Research Weill Cornell
More informationEAE Teaching Course. Magnetic Resonance Imaging. Competitive or Complementary? Sofia, Bulgaria, 5-7 April F.E. Rademakers
EAE Teaching Course Magnetic Resonance Imaging Competitive or Complementary? Sofia, Bulgaria, 5-7 April 2012 F.E. Rademakers Complementary? Of Course N Engl J Med 2012;366:54-63 Clinical relevance Treatment
More informationCase based learning: CMR in Heart Failure
Case based learning: CMR in Heart Failure Milind Y Desai, MD FACC FAHA FESC Associate Professor of Medicine Heart and Vascular Institute, Cleveland Clinic Cleveland, OH Disclosures: none Use of Gadolinium
More informationAntonio Colombo. Centro Cuore Columbus and S. Raffaele Scientific Institute, Milan, Italy. Miracor Symposium. Speaker: 15. Parigi: May 16-19, 2017
Parigi: May 16-19, 2017 Miracor Symposium Speaker: 15 Antonio Colombo Centro Cuore Columbus and S. Raffaele Scientific Institute, Milan, Italy Nothing to disclose PiCSO Impulse System Elective high risk
More informationMyocardial Infarction. Reading Assignment (p66-78 in Outline )
Myocardial Infarction Reading Assignment (p66-78 in Outline ) Objectives 1. Why do ST segments go up or down in ischemia? 2. STEMI locations and culprit vessels 3. Why 15-lead ECGs? 4. What s up with avr?
More informationPerioperative Management After Coronary Stenting: Risk Assessment Before Surgery. Christian Seiler No conflict of interest to declare.
Perioperative Management After Coronary Stenting: Risk Assessment Before Surgery Christian Seiler No conflict of interest to declare PCI Long-Term Outcome Perioperative Management After Coronary Stenting:
More informationCoronary interventions
Controversial issues in the management of ischemic heart failure Coronary interventions Maciej Lesiak Department of Cardiology, University Hospital in Poznan none DECLARATION OF CONFLICT OF INTEREST CHF
More informationAcute Myocardial Infarction
Acute Myocardial Infarction Hafeza Shaikh, DO, FACC, RPVI Lourdes Cardiology Services Asst.Program Director, Cardiology Fellowship Associate Professor, ROWAN-SOM Acute Myocardial Infarction Definition:
More informationChronic Total Occlusion: A case for coronary artery bypass grafting
Chronic Total Occlusion: A case for coronary artery bypass grafting Prof. Alfredo R Galassi MD, FESC, FACC, FSCAI Director of Cardiac Catheterization and Interventional Cardiology Unit Department of Medical
More informationSolving the Dilemma of Ostial Stenting: A Case Series Illustrating the Flash Ostial System
Volume 1, Issue 1 Case Report Solving the Dilemma of Ostial Stenting: A Case Series Illustrating the Flash Ostial System Robert F. Riley * and Bill Lombardi University of Washington Medical Center, Division
More informationSTEMI ST Elevation Myocardial Infarction
STEMI ST Elevation Myocardial Infarction Breakout Session One Moderators: Quinn Capers IV, MD and Scott M. Lilly, MD, PhD Cases Presented by: Umair S. Ahmad, MD 1 Outline 1. Multivessel Revascularization
More informationUse of Nuclear Cardiology in Myocardial Viability Assessment and Introduction to PET and PET/CT for Advanced Users
Use of Nuclear Cardiology in Myocardial Viability Assessment and Introduction to PET and PET/CT for Advanced Users February 1 5, 2011 University of Santo Tomas Hospital Angelo King A-V Auditorium Manila,
More informationBenefit of Performing PCI Based on FFR
Benefit of Performing PCI Based on FFR William F. Fearon, MD Associate Professor Director, Interventional Cardiology Stanford University Medical Center Benefit of FFR-Guided PCI FFR-Guided PCI vs. Angiography-Guided
More informationGIANT CORONARY ARTERY ANEURYSM FOLLOWING SIROLIMUS-ELUTING STENT IMPLANTATION. D S Gambhir MD, DM, FAMS. FACC
CASE PRESENTATION TCT : Asia-Pacific GIANT CORONARY ARTERY ANEURYSM FOLLOWING SIROLIMUS-ELUTING STENT IMPLANTATION D S Gambhir MD, DM, FAMS. FACC CEO & Director of Cardiology, Kailash Heart Institute NOIDA
More informationEcho in CAD: Wall Motion Assessment
Echo in CAD: Wall Motion Assessment Joe M. Moody, Jr, MD UTHSCSA and STVHCS October 2007 Relevant References ACC/AHA/ASE 2003 Guideline Update for the Clinical Application of Echocardiography Bayes de
More informationFFR-guided Jailed Side Branch Intervention
FFR-guided Jailed Side Branch Intervention - Pressure wire in Bifurcation lesions - Bon-Kwon Koo, MD, PhD Seoul National University Hospital, Seoul, Korea Bifurcation Lesions Bifurcation Lesions Still
More informationPreface: Wang s Viewpoints
AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram: Part IV, Ischemia and Infarction Presented by: WANG, TZONG LUEN, MD, PhD, JM, FACC, FESC, FCAPSC Professor,
More informationPercutaneous coronary intervention of RIMA. The real challenge!
Percutaneous coronary intervention of RIMA The real challenge! Speaker's name: I do not have any potential conflict of interest Clinical Case 76-year old woman Previous History Actual Disease Diabetes
More informationFlexibility of the COMBO Dual Therapy Stent
TM CaseSpotlight Flexibility of the COMBO Dual Therapy Stent Doctor Peter den Heijer is an of the Catheterization Laboratory at the Department of Cardiology of the Amphia Ziekenhuis, Breda, The Netherlands.
More informationBasic Coronary Angiography DAVID SHAVELLE MD
Basic Coronary Angiography DAVID SHAVELLE MD Basic Coronary Angiography: Take Home Points Cardiovascular Medicine Boards and Clinical Practice Understand normal coronary anatomy Understand different imaging
More informationTotal occlusion at ostial Left internal mammary graft with successful angioplasty and longterm patency result
DOI 10.7603/s40602-014-0017-x ASEAN Heart Journal http://www.aseanheartjournal.org/ Vol. 22, no. 1, 116 121 (2014) ISSN: 2315-4551 Case Report Total occlusion at ostial Left internal mammary graft with
More informationBifurcation stenting with BVS
Bifurcation stenting with BVS Breaking the limits or just breaking the struts? Maciej Lesiak Department of Cardiology University Hospital in Poznan, Poland Disclosure Speaker s name: Maciej Lesiak I have
More informationRole of echocardiography in the assessment of ischemic heart disease 분당서울대학교병원윤연이
Role of echocardiography in the assessment of ischemic heart disease 분당서울대학교병원윤연이 Outline Evaluation of Chest pain Evaluation of MI complications Prediction of Outcomes Evaluation of Chest pain Evaluation
More informationCHRONIC HEART FAILURE : WHAT ELSE COULD WE OFFER TO OUR PATIENTS? Cardiac Rehabilitation Society of Thailand
CHRONIC HEART FAILURE : WHAT ELSE COULD WE OFFER TO OUR PATIENTS? Cardiac Rehabilitation Society of Thailand ENHANCED EXTERNAL COUNTER PULSATION Piyanuj Ruckpanich, MD. Cardiac Rehabilitation Center Perfect
More informationPotential recommendations for CT coronary angiography in athletes
Potential recommendations for CT coronary angiography in athletes B.K. Velthuis Dept. of Radiology UMC Utrecht, the Netherlands EuroPRevent 15 April 2011 Declaration of interest Philips Medical Systems
More informationStress Echocardiography: Illustrative Cases Sunil Mankad, MD, FACC, FCCP, FASE Associate Professor of Medicine Mayo Clinic College of Medicine Director, Transesophageal Echocardiography Associate Director,
More informationISAR-LEFT MAIN: A Randomized Clinical Trial on Drug-Eluting Stents for Unprotected Left Main Lesions
Julinda Mehilli, MD Deutsches Herzzentrum Technische Universität Munich Germany ISAR-LEFT MAIN: A Randomized Clinical Trial on Drug-Eluting Stents for Unprotected Left Main Lesions Background Left main
More informationManaging Hypertrophic Cardiomyopathy with Imaging. Gisela C. Mueller University of Michigan Department of Radiology
Managing Hypertrophic Cardiomyopathy with Imaging Gisela C. Mueller University of Michigan Department of Radiology Disclosures Gadolinium contrast material for cardiac MRI Acronyms Afib CAD Atrial fibrillation
More informationCASE from South Korea
CASE from South Korea Bon-Kwon Koo, MD, PhD, Seoul, Korea Outpatient clinic of a non-interventional cardiologist F/56 Chief complaint: Angina with recent aggravation, CCS II~III Brief history: # Stroke
More informationDr Felix Keng. Imaging of the heart is technically difficult because: Role of Cardiac MSCT. Current: Cardiac Motion Respiratory Motion
Siemens Philips Dr Felix Keng GE Toshiba Role of Cardiac MSCT Current: Structural / congenital heart imaging Extra-cardiac / Great vessel imaging Volumes and ejection fractions (cine + gating) Calcium
More informationSUPPLEMENTAL MATERIAL
SUPPLEMENTAL MATERIAL Table S1: Number and percentage of patients by age category Distribution of age Age
More informationCorrelation Between Regional Wall Motion Abnormalities via 2-Dimensional Echocardiography, and Coronary Angiographic Findings
THE ECHOCARDIOGRAPHY, IRAQI POSTGRADUATE MEDICAL AND CORONARY JOURNAL ANGIOGRAPHIC FINDINGS VOL.11, SUPPLEMENT,2012 Correlation Between Regional Wall Motion Abnormalities via 2-Dimensional Echocardiography,
More informationChronic Total Occlusions. Stephen Cook, MD Medical Director, Cardiac Catheterization Laboratory Oregon Heart & Vascular Institute
Chronic Total Occlusions Stephen Cook, MD Medical Director, Cardiac Catheterization Laboratory Oregon Heart & Vascular Institute Financial Disclosures /see -tee-oh / abbr. Med. Chronic Total Occlusion,
More information12 Lead ECGs: Ischemia, Injury & Infarction. Kevin Handke NRP, FP-C, CCP, CMTE STEMI Coordinator Flight Paramedic
12 Lead ECGs: Ischemia, Injury & Infarction Kevin Handke NRP, FP-C, CCP, CMTE STEMI Coordinator Flight Paramedic None Disclosures Objectives Upon completion of this program the learner will be able to
More informationECG Workshop. Nezar Amir
ECG Workshop Nezar Amir Myocardial Ischemia ECG Infarct ECG in STEMI is dynamic & evolving Common causes of ST shift Infarct Localisation Left main artery occlusion: o diffuse ST-depression with ST elevation
More informationCLINCIAL APPLICATION OF GUIDELINES IN HEART FAILURE
CLINCIAL APPLICATION OF GUIDELINES IN HEART FAILURE SSC Journée d Automne 25 novembre 2010 Dr. Charles Seydoux, spéc. FMH en médecine interne et en cardiologie, Lausanne Dr. Claudia Bösch, Oberärztin Herzinsuffizienz
More informationCase 1. Case 2. Case 3
Case 1 The correct answer is D. Occasionally, the Brugada syndrome can present similar morphologies to A and also change depending on the lead position but in the Brugada pattern the r is wider and ST
More informationAtypical pain and normal exercise test
Atypical pain and normal exercise test F. Mut, M. Beretta Nuclear Medicine Service, Asociacion Española Montevideo, Uruguay Clinical history 67-year old male with several coronary risk factors. Atypical
More informationCan Angiographic Complete Revascularization Improve Outcomes for Patients with Decreased LV Function? NO!
Can Angiographic Complete Revascularization Improve Outcomes for Patients with Decreased LV Function? NO! Young-Hak Kim, MD, PhD Heart Institute, University of Ulsan College of Medicine Asan Medical Center,
More informationImaging ischemic heart disease: role of SPECT and PET. Focus on Patients with Known CAD
Imaging ischemic heart disease: role of SPECT and PET. Focus on Patients with Known CAD Hein J. Verberne Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands International Conference
More informationFFR vs. icecg in Coronary Bifurcations (FIESTA) - preliminary results. Dobrin Vassilev MD, PhD National Heart Hospital Sofia, Bulgaria
FFR vs. icecg in Coronary Bifurcations (FIESTA) - preliminary results Dobrin Vassilev MD, PhD National Heart Hospital Sofia, Bulgaria I would like to express my personal gratitude to Dr. BK Koo for opening
More informationThe MAIN-COMPARE Study
Long-Term Outcomes of Coronary Stent Implantation versus Bypass Surgery for the Treatment of Unprotected Left Main Coronary Artery Disease Revascularization for Unprotected Left MAIN Coronary Artery Stenosis:
More informationCardiac Care Network of Ontario
Cardiac Care Network of Ontario Cardiac Wait Times Patient Triage Business Rules December 2016 TABLE OF CONTENTS 1. Introduction... 3 1.1. Document Purpose... 3 1.2. Document Structure... 3 2. Algorithms...
More information2017 Cardiology Survival Guide
2017 Cardiology Survival Guide Chapter 4: Cardiac Catheterization/Percutaneous Coronary Intervention A cardiac catheterization involves a physician inserting a thin plastic tube (catheter) into an artery
More informationUPMCJAM XCCU CCU 10 PORTERFIELD, CAROL R COLEMAN MD, SILVIA E General
UPMCJAM XCCU CCU 10 PORTERFIELD, CAROL R 784945341 COLEMAN MD, SILVIA E General Medicine 72 years 10/2/1945 Female 0210384908200 AROMATORIO Patient is admitted with acute anterior MI, DES stent LAD. Ejection
More informationCoronary artery Dissection. Dr TP Singh MD,DM
Coronary artery Dissection Dr TP Singh MD,DM 52 M,Non HT, Non DM,Acute IWMI lysed within 4 hours D2 Coronary angiography RCA mid 90% discrete hazy stenosis LAD non significant ifi disease, LCx Normal Taken
More informationWhat oral antiplatelet therapy would you choose? a) ASA alone b) ASA + Clopidogrel c) ASA + Prasugrel d) ASA + Ticagrelor
76 year old female Prior Hypertension, Hyperlipidemia, Smoking On Hydrochlorothiazide, Atorvastatin New onset chest discomfort; 2 episodes in past 24 hours Heart rate 122/min; BP 170/92 mm Hg, Killip Class
More informationBlood supply of the Heart & Conduction System. Dr. Nabil Khouri
Blood supply of the Heart & Conduction System Dr. Nabil Khouri Arterial supply of Heart Right coronary artery Left coronary artery 3 Introduction: Coronary arteries - VASAVASORUM arising from aortic sinuses
More informationNational Intervention Council
National Intervention Council Cardiological Society of India Registry Performa for Coronary, Non- Coronary & Peripheral Interventions Period January 1st 2016 to December 31 st 2016 Dr. (Prof.) N.N. Khanna
More informationOpen-ended coronary circulation: innocent bystander or a road map for intervention?
CASE SERIES Open-ended coronary circulation: innocent bystander or a road map for intervention? Intercoronary communications between normal distal coronary arteries and obstructed coronary arteries are
More informationPreface: Wang s Viewpoints
AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram: Ischemia and Infarction 103.10.07 Presented by: WANG, TZONG LUEN, MD, PhD, JM, FACC, FESC, FCAPSC Professor,
More informationCORONARY ARTERY DISEASES
CORONARY ARTERY DISEASES It has been estimated that over one third of the population eventually will die of CAD, and 20% will develop symptoms when younger than age 60 years. ANATOMY OF THE CORONARY ARTERIES
More informationNon-Invasive Evaluation of Coronary Vasospasm Using a Combined Hyperventilation and Cold-Pressure-Test Perfusion CMR Protocol
Journal of Cardiovascular Magnetic Resonance (2007) 9, 759 764 Copyright c 2007 Informa Healthcare USA, Inc. ISSN: 1097-6647 print / 1532-429X online DOI: 10.1080/10976640701544662 Non-Invasive Evaluation
More informationFractional Flow Reserve: Basics, FAME 1, FAME 2. William F. Fearon, MD Associate Professor Stanford University Medical Center
Fractional Flow Reserve: Basics, FAME 1, FAME 2 William F. Fearon, MD Associate Professor Stanford University Medical Center Conflict of Interest Advisory Board for HeartFlow Research grant from St. Jude
More informationProgress. Four weeks later. What becomes of the broken hearted? What do you think her coronary angiogram shows? 18/06/2018.
What becomes of the broken hearted? Stephen Glen What do you think her coronary angiogram shows? 1. Mid LAD stenosis 2. Ostial LAD stenosis 3. LMS stenosis 4. RCA occlusion 5. Normal Four weeks later CT
More informationDECISION - CTO. optimal Medical Treatment in patients with. Seung-Jung Park, MD, PhD, FACC for the DECISION-CTO Study investigators
DECISION - CTO Drug-Eluting stent Implantation versus optimal Medical Treatment in patients with ChronIc Total OccluSION Seung-Jung Park, MD, PhD, FACC for the DECISION-CTO Study investigators Asan Medical
More informationPercutaneous Coronary Interventions Without On-site Cardiac Surgery
Percutaneous Coronary Interventions Without On-site Cardiac Surgery Hassan Al Zammar, MD,FESC Consultant & Interventional Cardiologist Head of Cardiology Department European Gaza Hospital Palestine European
More informationAll About STEMIs. Presented By: Brittney Urvand, RN, BSN, CCCC. Essentia Health Fargo Cardiovascular Program Manager.
All About STEMIs Presented By: Brittney Urvand, RN, BSN, CCCC Essentia Health Fargo Cardiovascular Program Manager Updated 10/2/2018 None Disclosures Objectives Identify signs and symptoms of a heart attack
More informationCoronary Revascularization for Severe LV Dysfunction Is s. Is the concept of viability testing still viable?
Coronary Revascularization for Severe LV Dysfunction Is s Is the concept of viability testing still viable? Banff 2017 2015 MFMER 3492638-7 Prognosis of Patients With LV Dysfunction and CAD Major determinants
More informationAlex versus Xience Registry Preliminary report
Interventional Cardiology Network Alex versus Xience Preliminary report Mariusz Gąsior 1,2, Marek Gierlotka 1, Lech Poloński 1,2 1 3rd Department of Cardiology, Medical University of Silesia Centre tor
More informationCONGENITAL CORONARY ARTERY ANOMALIES
How to prevent sudden coronary death in the young CONGENITAL CORONARY ARTERY ANOMALIES Cristina Basso, MD, FESC University of Padua, Italy ESC Congress Paris August 29, 2011 DECLARATION OF CONFLICT OF
More informationCommon Codes for ICD-10
Common Codes for ICD-10 Specialty: Cardiology *Always utilize more specific codes first. ABNORMALITIES OF HEART RHYTHM ICD-9-CM Codes: 427.81, 427.89, 785.0, 785.1, 785.3 R00.0 Tachycardia, unspecified
More informationMarch yr. old male, newspaper writer, with worsening dyspnea /orthopnea past few months
Case 1 March 2016 59 yr. old male, newspaper writer, with worsening dyspnea /orthopnea past few months PMH diabetes, celiac disease Reports chest discomfort, positional coughing and pedal edema last 10
More informationCase based learning: CMR in Heart Failure
Case based learning: CMR in Heart Failure Milind Y Desai, MD FACC FAHA FESC Associate Professor of Medicine Heart and Vascular Institute, Cleveland Clinic Cleveland, OH Disclosures: none Use of Gadolinium
More informationLessons learned From The National PCI Registry
Lessons learned From The National PCI Registry w a v e On Behalf of The Publication Committee of the National PCI Registry Objectives & Anticipated Achievements To determine the epidemiology of patients
More informationMicrovascular disease Prevalence and Management
Microvascular disease Prevalence and Management Obstructive disease of the epicardial coronary arteries was recognized as the cause of Angina pectoris >200 years ago sudden thrombotic occlusion of an epicardial
More informationCoronary Artery Imaging. Suvipaporn Siripornpitak, MD Inter-hospital Conference : Rajavithi Hospital
Coronary Artery Imaging Suvipaporn Siripornpitak, MD Inter-hospital Conference : Rajavithi Hospital Larger array : cover scan area Detector size : spatial resolution Rotation speed : scan time Retrospective
More informationHybrid cardiac imaging Advantages, limitations, clinical scenarios and perspectives for the future
Hybrid cardiac imaging Advantages, limitations, clinical scenarios and perspectives for the future Prof. Juhani Knuuti, MD, FESC Turku, Finland Disclosure: Juhani Knuuti, M.D. Juhani Knuuti, M.D. has financial
More informationFRACTIONAL FLOW RESERVE: STANDARD OF CARE
FRACTIONAL FLOW RESERVE: FROM INVESTIGATIONAL TOOL TO STANDARD OF CARE TCT ASIA Seoul, Korea, april 26 th, 2012 Nico H. J. Pijls, MD, PhD Catharina Hospital, Eindhoven, The Netherlands FRACTIONAL FLOW
More informationCurrent Guidelines for Diagnosis of AMI Chest pain ST change on EKG Cardiac Enzymes
Noninvasive Cardiac Imaging in Myocardial Infarction Sangchol Lee Sungkyunkwan University Samsung Medical Center Current Guidelines for Diagnosis of AMI Chest pain ST change on EKG Cardiac Enzymes Do We
More informationJournal of American Science 2017;13(1)
Effect of the Presence of Coronary Collaterals on Biventricular Functions in Patients with Multivessel Coronary Artery Disease, Tissue Doppler Study Mohamed Mahmoud Department of Cardiology, Faculty of
More informationRevascularization after Drug-Eluting Stent Implantation or Coronary Artery Bypass Surgery for Multivessel Coronary Disease
Impact of Angiographic Complete Revascularization after Drug-Eluting Stent Implantation or Coronary Artery Bypass Surgery for Multivessel Coronary Disease Young-Hak Kim, Duk-Woo Park, Jong-Young Lee, Won-Jang
More informationCARDIOLOGY SYMPOSIUM 2015 CAROLINA CARDIOLOGY CONSULTANTS OF GHS
CARDIOLOGY SYMPOSIUM 2015 CAROLINA CARDIOLOGY CONSULTANTS OF GHS STENT, OPERATE, OR MEDICATE? DIFFERING PERSPECTIVES ON CORONARY REVASCULARIZATION JIM BAUCUM, MD FACC SCOTT JOHNSON, MD JANUARY 24, 2015
More informationDebate Should we use FFR? I will say NO.
Debate Should we use FFR? I will say NO. Hyeon-Cheol Gwon Cardiac and Vascular Center Samsung Medical Center Sungkyunkwan University School of Medicine Dr. Hyeon-Cheol Gwon Research fund from Abbott Korea
More informationCoronary Artery Anomalies from Birth to Adulthood; the Role of CT Coronary Angiography in Sudden Cardiac Death Screening
Coronary Artery Anomalies from Birth to Adulthood; the Role of CT Coronary Angiography in Sudden Cardiac Death Screening E O Dwyer 1, C O Brien 1, B Loo 1, A Snow Hogan 1, O Buckley1 2, B 1. Department
More informationI have no financial disclosures
Manpreet Singh MD I have no financial disclosures Exercise Treadmill Bicycle Functional capacity assessment Well validated prognostic value Ischemic assessment ECG changes ST segments Arrhythmias Hemodynamic
More informationImaging and heart failure
Imaging and heart failure Jeroen J Bax Dept of Cardiology Leiden Univ Medical Center The Netherlands Davos, feb 2013 Research grants: Medtronic, Biotronik, Boston, St Jude, BMS imaging, GE Healthcare,
More informationCoronary Revascularization in Patients witj Severe LV Dysfunction.: Is the concept of viability still viable?
Coronary Revascularization in Patients witj Severe LV Dysfunction.: Implications of the STICH trial Is the concept of viability still viable? Banff 2016 3041435-1 Prognosis of Patients With LV Dysfunction
More informationFinal Clinical and Angiographic Results From a Nationwide Registry of FIREBIRD Sirolimus- Eluting Stent: Firebird In China (FIC) Registry (PI R. Gao)
The Microport FIREBIRD Polymer-based Sirolimus- Eluting Stent Clinical Trial Program Update: The FIC and FIREMAN Registries Junbo Ge, MD, FACC, FESC, FSCAI On behalf of Runlin Gao (FIC PI) and Haichang
More informationAre Asian Patients Different? - Updates Of Biomatrix Experience In Regional Settings: BEACON II (3 Yr F up) &
Are Asian Patients Different? - Updates Of Biomatrix Experience In Regional Settings: BEACON II (3 Yr F up) & Biomatrix TM Single Center Experience (Indonesia)(Final 5 Yr F up) T. Santoso University of
More informationCARDIAC AND CORONARY ARTERY ANATOMY NO DISCLOSURES. Axial Anatomy of Heart. Axial Anatomy of Heart. Axial Anatomy of Heart
CARDIAC AND CORONARY ARTERY ANATOMY NO DISCLOSURES NASCI MEETING, ORLANDO FLORIDA 2009 KOSTAKI G. BIS, MD, FACR DEPARTMENT OF RADIOLOGY WILLIAM BEAUMONT HOSPITAL Royal Oak, Michigan OBJECTIVES CARDIAC
More informationJournal of Arrhythmia
Journal of Arrhythmia 28 (2012) 105 110 Contents lists available at SciVerse ScienceDirect Journal of Arrhythmia journal homepage: www.elsevier.com/locate/joa Original Article Prognosis of patients with
More informationIschaemic heart disease. IInd Chair and Clinic of Cardiology
Ischaemic heart disease IInd Chair and Clinic of Cardiology Definition Syndrome due to chronic insufficient oxygen supply to myocardial cells Nomenclature: ischaemic heart disease (IHD), coronary artery
More informationIsolated congenital coronary anomalies: Evaluation by multislice-ct or MRI
Isolated congenital coronary anomalies: Evaluation by multislice-ct or MRI B.K. Velthuis, Dept. of Radiology UMC Utrecht, the Netherlands ESC 2010 Coronary artery anomalies CAA Uncommon 0.3-5% normal population
More informationExercise ECG (TMT) is a commonly used investigation in the
Journal of the association of physicians of india july 2013 VOL. 61 65 Case Reports The Common, Less Common and Uncommon Examples of Exercise ECG MJ Jacob *, Puneet Kumar +, Mudalsha Ravina +, Amrita Tiwari
More informationThe role of Magnetic Resonance Imaging in the diagnosis of viability & Coronary Artery Disease
The role of Magnetic Resonance Imaging in the diagnosis of viability & Coronary Artery Disease G.P. Spanos, MSc, Phd Head of CardioVascular Imaging Tomographia Diagnostic Center Cardiovascular magnetic
More informationSupplementary Online Content
Supplementary Online Content Inohara T, Manandhar P, Kosinski A, et al. Association of renin-angiotensin inhibitor treatment with mortality and heart failure readmission in patients with transcatheter
More informationSuccessful revascularization of LCX-CTO via a underlying
IPS/CTO LIVE 2012 ;@ Asan Medical Center, Seoul, Korea Successful revascularization of LCX-CTO via a underlying collateral l channel The Department of Cardiology, Daini i Okamoto general hospital Masaki
More informationCase Report Left Main Stenosis. Percutaneous Coronary Intervention (PCI) or Coronary Artery Bypass Graft Surgery (CABG)?
Cronicon OPEN ACCESS CARDIOLOGY Case Report Left Main Stenosis. Percutaneous Coronary Intervention (PCI) or Coronary Artery Bypass Graft Surgery (CABG)? Valentin Hristov* Department of Cardiology, Specialized
More informationCardiac Risk Factors and Noninvasive Cardiac Diagnosis-ECG, ECHO, et al. Martin C. Burke, DO, FACOI ACOI IM Board Review Course 2018
Cardiac Risk Factors and Noninvasive Cardiac Diagnosis-ECG, ECHO, et al. Martin C. Burke, DO, FACOI ACOI IM Board Review Course 2018 No Disclosures The American Heart Association Evidence-Based Scoring
More informationMaking the difference with Live Image Guidance
Interventional Cardiology AlluraClarity Making the difference with Live Image Guidance Diagnosis and treatment of coronary artery diseases and atherosclerosis Where/who The First Bethune Hospital of Jilin
More information