Cardiopa(a ischemica a coronarie indenni : terapia medica o2male
|
|
|
- Raymond McDowell
- 5 years ago
- Views:
Transcription
1 Cardiopa(a ischemica a coronarie indenni : terapia medica o2male B.Cas(glioni Cardiologia Interven(s(ca UOC Cardiologia 2 Dipar(mento Cardiovascolare Ospedale di Circolo Fondazione Macchi ASST SeDe Laghi - Varese
2 MINOCA INOCA
3 INOCA - ISCHEMIC HEART DISEASE NO OBSTRUCTED CORONARY ARTERIES The American College of Cardiology-Na(onal Cardiovascular Data Registry and Na(onal Heart, Lung and Blood Ins(tute sponsored WISE (Women s Ischemic Syndrome Evalua(on) databases suggest that at least 3 to 4 million women and men with signs/symptoms suggeseve of myocardial ischemia have no obstruceve CAD In a European consecu(ve registry of pa(ents undergoing clinically indicated coronary angiography, the prevalence of nonobstrucive CAD was 65% among women and 32% in man Such individuals incur healthcare costs and disabiliees similar to those incurred by many with obstruc(ve CAD, in part because of angina and heart failure (HF) hospitaliza(ons and repeat tes(ng. These cost burdens related to hospitalizaeons and repeat angiography are confirmed by a European consecu(ve-pa(ent registry. Circula(on. 2017;135:
4 INOCA
5 LP, aa 62, sesso femminile Ipertensione arteriosa Angina da sforzo Test da sforzo posi(vo per ECG ed angor Scin(grafia posi(va in sede apicale
6 Radico et al. j a c c : c a rd i o v a s c u l a r i n t e r v e nt i o n s,
7 One proposed mechanism contribu(ng to INOCA is coronary microvascular dysfunc0on (CMD), defined as epicardial, microvascular endothelial, or nonendothelial dysfunc(on that limits myocardial perfusion, most oeen detected as reduced coronary flow reserve (CFR). CMD may occur in the absence of obstruc(ve CAD and myocardial diseases, in myocardial diseases, or in obstruc(ve CAD or may be iatrogenic. Coronary vasomotor dysfunc(on, even without flow-limi(ng stenosis, iden(fies pa(ents at risk for cardiac death (WISE : MACE 27% in CFR <2.23 vs MACE 9.3% in CFR >2.32 Circula(on. 2017
8 LP, aa 62, sesso femminile Basale Post ace(lcolina
9 Radico et al. j a c c : c a rd i o v a s c u l a r i n t e r v e nt i o n s,
10 q Condi(ons associated with increased risk for CMD appear similar to those for obstruc(ve CAD and include tradi(onal atherosclerosis risk factors Eta Ipertensione arteriosa Diabete mellito Dislipidemia q q Evidence linking microvascular and inflammatory responses to risk factors indicates that oxida(ve stress, reduced nitric oxide bioavailability, and endothelial ac(va(on are common early features of coronary microvascular responses to atherosclerosis risk factors. Abnormal cardiac adrenergic nerve func(on ( interac(on between autonomic nervous system and endothelium ) Circula(on. 2017
11 Cardiopa(a ischemica a coronarie indenni : terapia medica o2male From: Coronary microvascular dysfunction: an update Eur Heart J. 2013;35(17):
12 pa(ents : 8391 pa(ents NO CAD pa(ents (22.3%) nonobstruc(ve CAD and pa(ents (55.4%) had obstruc(ve CAD MI a 1 anno 0.11%NO CAD 2.47% 3V olm Mortalita a 1 anno 1.38%NO CAD 4.30% % 3V olm CAD non ostrufva rischio di MI da 2 a 4.5 volte superiore a NO CAD Mortalita +MI a 1 anno 1.48%NO CAD 6.19 % % 3V olm JAMA November 5; 312(17):
13 JAMA November 5; 312(17):
14 673 Pazien( B. Delia Johnson et Al European Heart Journal (2006) 27,
15 CONTROLLO FATTORI DI RISCHIO CARDIOVASCOLARE Terapia an6aggregante? Circula(on. 2017;135: , mod.
16 Circula(on. 2017;135:
17 STATINA + ACE INIBITORE Circula(on, 2004
18 Maseri, Am J Cardiol, 1999 G. Siitsch et al. /Interna(onal Journal of Cardiology, 1995
19 Effect of Oral L-arginine on Blood Pressure and Symptoms and Endothelial Func(on in Pa(ents With Systemic Hypertension, Posi(ve Exercise Tests, and Normal Coronary Arteries. Margonato et Al, Am J Cardiol 2004
20 RANOLAZINE Improves Angina in Women With Evidence of Myocardial Ischemia But No Obstruc(ve Coronary Artery Disease. Puja K. Mehta, J Am Coll Cardiol Img 2011;4: pazien2
21
22
23 Coronary Artery Disease/Ivabradine and Ranolazine in Microvascular Angina A. Villano et Al, Am J Cardiol 2013
24 Coronary Artery Disease/Ivabradine and Ranolazine in Microvascular Angina A. Villano et Al, Am J Cardiol 2013
25 From: Coronary microvascular dysfunction: an update, Eur Heart J. 2013;35(17):1101-
26
27 Kuhn s scien(fic revolu(on Adop(on of different ways of thinking that promise new, beier solu(ons in the future Radico et al. j a c c : c a rd i o v a s c u l a r i n t e r v e nt i o n s,
Microvascular Disease: How to Diagnose and What s its Treatment
Microvascular Disease: How to Diagnose and What s its Treatment Laxmi S. Mehta, MD, FACC The Ohio State University Medical Center Assistant Professor of Clinical Internal Medicine Clinical Director of
Women and Coronary Artery Disease:
Women and Coronary Artery Disease: Less is More? Interventional Cardiology 2017 32 th Annual International Symposium Snow Mass March 5-10 Yolande Appelman MD, PhD,FESC EAPCI-Women Interventional Cardiologist
Women s Ischemia and cardiac rehabilitation
Women s Ischemia and cardiac rehabilitation Dr. Pallavi Bellamkonda MD, FACC Financial Disclosures: None 1 Objectives Understanding the Unique presentations of Ischemic Disease in Women: Obstructive Coronary
Module 1: Defini3on Epidemiology of Heart Failure Pathophysiology of Heart Failure Specific Diseases causing Heart Failure and prac3cal case studies
Program: Module 1: Defini3on Epidemiology of Heart Failure Pathophysiology of Heart Failure Specific Diseases causing Heart Failure and prac3cal case studies Module 2: Diagnosis and Inves3ga3on of HF and
Pathophysiology of Coronary Microvascular Dysfunction
Pathophysiology of Coronary Microvascular Dysfunction Cheol Woong Yu, MD, PhD Cardiology Department Division of Internal Medicine Korea University Anam Hospital. Etiologies of Chest Pain without obstructive
Maria Angela S. Cruz-Anacleto, MD
Maria Angela S. Cruz-Anacleto, MD 57/Female Menopausal Non-HTN, non-dm Hypothyroid (s/p RAI 1997) Levothyroxine 100 ug OD 5 Months PTA Chest discomfort Stress Echocardiography 5 Months PTA Chest discomfort
Imaging 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
63 yo woman with chest pain
63 yo woman with chest pain Coronary Microvascular Disease: Does It Exist? EA Amsterdam, MD Distinguished Professor Cardiology and Internal Medicine UC Davis School of Medicine and Medical Center Sacramento,
Stable Ischemic Heart Disease. Ivan Anderson, MD RIHVH Cardiology
Stable Ischemic Heart Disease Ivan Anderson, MD RIHVH Cardiology Outline Review of the vascular biology of atherosclerosis Why not just cath everyone with angina? Medical management of ischemic cardiomyopathy
Kavitha Yaddanapudi Stony brook University New York
Kavitha Yaddanapudi Stony brook University New York 8 million ER visits a year for chest pain 2-10% have Acute coronary syndrome (ACS) Coronary CTA(CCTA) -safe alternative to standard of care (SOC) and
Hybrid 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
Patient referral for elective coronary angiography: challenging the current strategy
Patient referral for elective coronary angiography: challenging the current strategy M. Santos, A. Ferreira, A. P. Sousa, J. Brito, R. Calé, L. Raposo, P. Gonçalves, R. Teles, M. Almeida, M. Mendes Cardiology
La correzione dei fattori di rischio cardiovascolare come prevenzione oncologica. Prof. Marco Metra Cardiology, University of Brescia
La correzione dei fattori di rischio cardiovascolare come prevenzione oncologica Prof. Marco Metra Cardiology, University of Brescia Risk factors in cancer and CV disease Cancer and CAD Epidemiology Pathophysiology
Debate 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
Rikshospitalet, University of Oslo
Rikshospitalet, University of Oslo Preventing heart failure by preventing coronary artery disease progression European Society of Cardiology Dyslipidemia 29.08.2010 Objectives The trends in cardiovascular
Diabetes and Occult Coronary Artery Disease
Diabetes and Occult Coronary Artery Disease Mun K. Hong, MD, FACC, FSCAI Director, Cardiac Catheterization Laboratory & Interventional Cardiology St. Luke s-roosevelt Hospital Center New York, New York
Current and Future Imaging Trends in Risk Stratification for CAD
Current and Future Imaging Trends in Risk Stratification for CAD Brian P. Griffin, MD FACC Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Disclosures: None Introduction
CHRONIC 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
Optimal testing for coronary artery disease in symptomatic and asymptomatic patients
Optimal testing for coronary artery disease in symptomatic and asymptomatic patients Alexandre C Ferreira, MD Clinical Chief of Cardiology Jackson Health System Director, Interventional Cardiology Training
FFR-CT Not Ready for Primetime
FFR-CT Not Ready for Primetime Leslee J. Shaw, PhD, MASNC, FACC, FAHA, FSCCT R. Bruce Logue Professor of Medicine Co-Director, Emory Clinical CV Research Institute Emory University School of Medicine Atlanta,
Chest Pain. Dr Robert Huggett Consultant Cardiologist
Chest Pain Dr Robert Huggett Consultant Cardiologist Outline Diagnosis of cardiac chest pain 2016 NICE update on stable chest pain Assessment of unstable chest pain/acs and MI definition Scope of the
Invited Experts' Case Presentation and 5-Slides Focus Review
Invited Experts' Case Presentation and 5-Slides Focus Review FFR and IVUS in Myocardial Bridging Haegeun, Song. M.D. Heart Institute, Asan Medical Center, Seoul, Korea Myocardial Bridging Common congenital
How to Evaluate Microvascular Function and Angina. Myeong-Ho Yoon Ajou University Hospital
How to Evaluate Microvascular Function and Angina Myeong-Ho Yoon Ajou University Hospital Angina without Coronary Artery Disease (CAD) Prevalence: 20-30% going c-angiography, with a higher prevalence (almost
Diabetes and the Heart
Diabetes and the Heart Association of Specialty Professors April 4, 2013 Jorge Plutzky, MD Co-Director, Preventive Cardiology Director, The Lipid Clinic Cardiovascular Division Brigham and Women s Hospital
Benefit 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
PCIs on Intermediate Lesions NCDR Cath-PCI Registry
Practical Application Of Coronary Physiology in The Cath Lab Talal T Attar, MD, MBA, FACC PCIs on Intermediate Lesions NCDR Cath-PCI Registry Fraction of stenoses 50-70% treated with PCI without further
La terapia alla luce delle linee guida: oltre i beta-bloccanti e gli ace-inibitori
Meet the expert: La cardiopatia ischemica cronica nell anziano La terapia alla luce delle linee guida: oltre i beta-bloccanti e gli ace-inibitori Giorgio Basile Ricercatore Geriatria Università di Messina
Coronary 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
Acute Coronary Syndrome. Cindy Baker, MD FACC Director Peripheral Vascular Interventions Division of Cardiovascular Medicine
Acute Coronary Syndrome Cindy Baker, MD FACC Director Peripheral Vascular Interventions Division of Cardiovascular Medicine Topics Timing is everything So many drugs to choose from What s a MINOCA? 2 Acute
MPS and Calcium Score in asymptomatic patient F. Mut, J. Vitola
MPS and Calcium Score in asymptomatic patient F. Mut, J. Vitola Nuclear Medicine Service, Asociacion Española Montevideo, Uruguay Quanta Diagnostico Nuclear Curitiba, Brazil Clinical history Male 63 y.o.,
Stress Echocardiography in VHD: is myocardial contrac8on a reliable marker for ischemia?
Stress Echocardiography in VHD: is myocardial contrac8on a reliable marker for ischemia? Rosa Sicari CNR, Ins8tute of Clinical Physiology, Pisa, Italy Milano 8 maggio 2012 Stress Echo and Cardiac death
Heart disease remains the leading cause of morbidity and mortality in industrialized nations. It accounts for nearly 40% of all deaths in the United
Heart disease remains the leading cause of morbidity and mortality in industrialized nations. It accounts for nearly 40% of all deaths in the United States, totaling about 750,000 individuals annually
Emerging role of PET in nuclear cardiology. Dr. Erick Alexánderson. Rosas
Emerging role of PET in nuclear cardiology Dr. Erick Alexánderson Rosas PET principles e + e - 180 PET/CT Cyclotron Unit UNAM Cyclotron Radiopharmacy PET Camera CT PET PET CT Perfusion Anatomic evaluation
Biomarcatori in CardiOncologia
DIAGNOSTICA E TERAPIA CARDIOLOGICA Stresa 8 maggio 2015 BIOMARCATORI CARDIACI NELLE PATOLOGIE NON CORONARICHE Biomarcatori in CardiOncologia Paolo Spallarossa Clinica di Mala;e dell Apparato Cardiovascolare
Intervention: How and to which extent is technology helping us?
Cardiological Society of India Congress 12th February 2016 Chennai, India Intervention: How and to which extent is technology helping us? SIMONE BISCAGLIA MD CARDIOVASCULAR INSTITUTE, FERRARA, ITALY Introduction
PET: quantification of perfusion and beyond
PET: quantification of perfusion and beyond Juhani Knuuti Turku PET Centre University of Turku Turku, Finland Juhani.knuuti@utu.fi 27.8.2012 1 Disclosure: Juhani Knuuti, M.D. Juhani Knuuti, M.D. has financial
FFR-Guided PCI. 4 th Imaging and Physiology Summit October 29 th, 2010 Seoul, Korea. Stanford
4 th Imaging and Physiology Summit October 29 th, 2010 Seoul, Korea FFR-Guided PCI William F. Fearon, M.D. Associate Professor Division of Cardiovascular Medicine University Medical Center Disclosure Statement
Stress ECG is still Viable in Suleiman M Kharabsheh, MD, FACC Consultant Invasive Cardiologist KFHI KFSHRC-Riyadh
Stress ECG is still Viable in 2016 Suleiman M Kharabsheh, MD, FACC Consultant Invasive Cardiologist KFHI KFSHRC-Riyadh Stress ECG Do we still need stress ECG with all the advances we have in the CV field?
The best from Euro-Echo Ischemic heart disease. Fausto Rigo,FESC Department of Cardiology Mestre-Venezia Hospital,Italy
The best from Euro-Echo 2011 Ischemic heart disease Fausto Rigo,FESC Department of Cardiology Mestre-Venezia Hospital,Italy faustorigo@alice.it DECLARATION OF CONFLICT OF INTEREST No conflict of interest
Myocardial Perfusion: Positron Emission Tomography
Myocardial Perfusion: Positron Emission Tomography TH. Schindler, MD University Hospitals of Geneva, Cardiovascular Center, Geneva, Switzerland ESC 2010 Stockholm Personal Disclosure Research Grant support
Risk Stratification for CAD for the Primary Care Provider
Risk Stratification for CAD for the Primary Care Provider Shimoli Shah MD Assistant Professor of Medicine Directory, Ambulatory Cardiology Clinic Knight Cardiovascular Institute Oregon Health & Sciences
Investigating the Frequency of Atherosclerosis Risk Factors in Patients Suffering from X Syndrome
Available online at www.ijmrhs.com ISSN No: 2319-5886 International Journal of Medical Research & Health Sciences, 2016, 5, 10:84-90 Investigating the Frequency of Atherosclerosis Risk Factors in Patients
Women and Heart Disease
Women and Heart Disease The Very Latest in Cardiovascular Medicine and Surgery Gretchen L. Wells, MD, PhD, FACC Thomas Whayne Endowed Professor in Women s Heart Health Gill Heart Institute University of
ESC CONGRESS 2010 Stockholm, august 28 september 1, 2010
ESC CONGRESS 2010 Stockholm, august 28 september 1, 2010 CORONARY ARTERY DISEASE AND NUCLEAR IMAGING: AN UPDATE PERFUSION SCINTIGRAPHY IN HIGH-RISK ASYMPTOMATIC PATIENTS Pasquale Perrone Filardi Federico
Management of stable CAD FFR guided therapy: the new gold standard
Management of stable CAD FFR guided therapy: the new gold standard Suleiman Kharabsheh, MD Director; CCU, Telemetry and CHU Associate professor of Cardiology, Alfaisal Univ. KFHI - KFSHRC Should patients
Who Cares About the Past?
Risk Factors, the New Calcium Score, Rheology and Atherosclerosis Progression Arthur Agatston 2/21/15 The Vulnerable Plaque vs. Plaque Burden CT Angiogram Is There a Role for Coronary Artery Calcium Scoring
FFR? FFR-CT? Ischaemia testing?
FFR? FFR-CT? Ischaemia testing? Marco Zimarino, MD, PhD Institute of Cardiology - University G. d Annunzio, Chieti (Italy) Diagnostic management of patients with suspected stable CAD Risk stratification
FFR 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
CLINICAL CONSEQUENCES OF THE
CLINICAL CONSEQUENCES OF THE FAME STUDY TCT ASIA Seoul, Korea, april 26 th, 2012 Nico H. J. Pijls, MD, PhD Catharina Hospital, Eindhoven, The Netherlands GUIDELINES ESC SEPTEMBER 2010 FFR UPGRADED TO LEVEL
Safety 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
Assessing Cardiac Risk in Noncardiac Surgery. Murali Sivarajan, M.D. Professor University of Washington Seattle, Washington
Assessing Cardiac Risk in Noncardiac Surgery Murali Sivarajan, M.D. Professor University of Washington Seattle, Washington Disclosure None. I have no conflicts of interest, financial or otherwise. CME
PET myocard perfusion & viability Riemer Slart
PET myocard perfusion & viability Riemer Slart Nuclear Medicine Physician Dept. of Nuclear Medicine and Molecular Imaging University Medical Center Groningen, the Netherlands Professor in Molecular Imaging,
Coronary Physiology and FFR. David H. Sibley MD FACC, FSCAI, FACP
Coronary Physiology and FFR David H. Sibley MD FACC, FSCAI, FACP Braunwald s Heart Disease, 7 th Edition Control of Coronary Blood Flow 1. CFR = max flow/basal flow and decreases with increasing stenosis
FRANCE 2 : FRench Aor$c Na$onal Corevalve
: FRench Aor$c Na$onal Corevalve and Edwards Registry Mar$ne Gilard, MD University of Brest, France On behalf of the scien/fic commi2ee and the inves/gators M Laskar, P Donzeau- Gouge, K Chevreul, H Eltchaninoff,
Diagnostic and Prognostic Value of Coronary Ca Score
Diagnostic and Prognostic Value of Coronary Ca Score Dr. Ghormallah Alzahrani Cardiac imaging division, Adult Cardiology department Prince Sultan Cardiac Center ( PSCC) Madina, June 2 Coronary Calcium
Σεμινάριο Ομάδων Εργασίας Fractional Flow Reserve (FFR) Σε ποιούς ασθενείς; ΔΗΜΗΤΡΗΣ ΑΥΖΩΤΗΣ Επιστ. υπεύθυνος Αιμοδυναμικού Τμήματος, Βιοκλινική
ΕΛΛΗΝΙΚΗΚΑΡΔΙΟΛΟΓΙΚΗΕΤΑΙΡΕΙΑ Σεμινάριο Ομάδων Εργασίας 2011 Fractional Flow Reserve (FFR) Σε ποιούς ασθενείς; ΔΗΜΗΤΡΗΣ ΑΥΖΩΤΗΣ Επιστ. υπεύθυνος Αιμοδυναμικού Τμήματος, Βιοκλινική GUIDELINES ON MYOCARDIAL
Καηεσθσνηήριες οδηγίες για ηην εκηίμηζη και ηη διάγνωζη ηης ζηαθερής ζηηθάγτης
Καηεσθσνηήριες οδηγίες για ηην εκηίμηζη και ηη διάγνωζη ηης ζηαθερής ζηηθάγτης Francisco de Goya, 1820 Δημήηριος Ρίτηερ, MD, FESC, FAHA Διεσθσνηής Καρδιολογικής Κλινικής Εσρωκλινικής Αθηνών Angina: A diagnosis
Preven'ng AKI. Lessons from Contrast-associated AKI It s all about urine output
Preven'ng AKI Lessons from Contrast-associated AKI It s all about urine output CASE A 76 y/o male comes to the ED complaining of substernal crushing chest pain. The pain started a few hours ago while he
Fractional Flow Reserve and the Results of the FAME Study
Imaging and Physiology Summit Seoul, Korea November 21 st, 2009 Fractional Flow Reserve and the Results of the FAME Study William F. Fearon, M.D. Assistant Professor Division of Cardiovascular Medicine
Fractional Flow Reserve: Review of the latest data
Fractional Flow Reserve: Review of the latest data Michalis Hamilos, MD, PhD, FESC University Hospital of Heraklion Fractional Flow Reserve (FFR) Coronary angiography does not always tell the truth Most
Disclosures. Speaker s bureau: Research grant: Advisory Board: Servier International, Bayer, Merck Serono, Novartis, Boehringer Ingelheim, Lupin
Disclosures Speaker s bureau: Research grant: Advisory Board: Servier International, Bayer, Merck Serono, Novartis, Boehringer Ingelheim, Lupin Servier International, Boehringer Ingelheim Servier International,
CASE 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
Ischemia and Myocardial Infarction with Non-obstructive CAD
Ischemia and Myocardial Infarction with Non-obstructive CAD Noel Bairey Merz MD, Janet Wei MD, Chrissandra Shufelt MD, Margo Minissian ACNP-BC, Saibal Kar MD, Bruce Samuels MD, Babak Azarbal MD, Tim Henry
Cover Page. The handle holds various files of this Leiden University dissertation
Cover Page The handle http://hdl.handle.net/1887/28524 holds various files of this Leiden University dissertation Author: Djaberi, Roxana Title: Cardiovascular risk assessment in diabetes Issue Date: 2014-09-04
FFR in Multivessel Disease
FFR in Multivessel Disease April, 26 2013 Coronary Physiology in the Catheterization Laboratory Location: European Heart House, Nice, France Pim A.L. Tonino, MD, PhD Hartcentrum, Eindhoven, the Netherlands
Welcome! To submit questions during the presentation: or Text:
Welcome! To participate in the interactive Q & A please do the following: 1. Download the Socrative Student App 2. Enter Teacher s Room Code: ZD0F3X5Q 3. Select Quiz: Intermountain Cardiac Stress Testing
Pearls & 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
Evaluating Clinical Risk and Guiding management with SPECT Imaging
Evaluating Clinical Risk and Guiding management with SPECT Imaging Raffaele Giubbini Chair and Nuclear Medicine Unit University & Spedali Civili Brescia- Italy U.S. Congressional Budget Office. Technological
Screening for Asymptomatic Coronary Artery Disease: When, How, and Why?
Screening for Asymptomatic Coronary Artery Disease: When, How, and Why? Joseph S. Terlato, MD FACC Clinical Assistant Professor, Brown Medical School Coastal Medical Definition The presence of objective
Clinical case in perspective. Cases from Poland
Clinical case in perspective Cases from Poland Assoc. Prof. Jacek Legutko, MD, PhD President-Elect of the Association for Percutaneous Cardiovascular Interventions of the Polish Cardiac Society Institute
Diagnostic Challenges
Mechanisms and Outcome of Vasospastic Angina Diagnostic Challenges Udo Sechtem Robert-Bosch-Krankenhaus Stuttgart, Germany I have nothing to disclose. Coronary spasm does it exist at all? And if it does,
Chest Pain in Women ;What is Your Diagnostic Plan? No Need for Noninvasive Test
Chest Pain in Women ;What is Your Diagnostic Plan? No Need for Noninvasive Test Jang-Ho Bae, MD., PhD., FACC. Konyang University Hospital Daejeon, Korea Chest pain in Women ACS Atypical Stable angina F/29
BIOAUTOMATION, 2009, 13 (4), 89-96
Preliminary Results оf Assessment of Systolic and Diastolic Function in Patients with Cardiac Syndrome X Using SPECT CT Tsonev Sv. 1, Donova T. 1, Garcheva M. 1, Matveev M. 2 1 Medical University Sofia
Coronary microvascular dysfunction after elective percutaneous coronary intervention: correlation with exercise stress test results
Department of Cardiovascular Medicine Università Cattolica del Sacro Cuore Rome, Italy Coronary microvascular dysfunction after elective percutaneous coronary intervention: correlation with exercise stress
Unnecessary hospitalisation and investigation of low risk patients presenting to hospital with chest pain
Unnecessary hospitalisation and investigation of low risk patients presenting to hospital with chest pain Michael Perera Advanced Trainee in General and Acute Medicine Leena Aggarwal Director, Medical
Heart Disease in Women: Is it Really Different?
Heart Disease in Women: Is it Really Different? Jennifer Jarbeau, MD Southcoast Physicians Group Cardiovascular Associates of RI Disclosures I have no financial interests to disclose I wish I did! Are
A Normal Reference Coronary Flow Reserve is Associated With a Lower Mortality in Patients With Stable Coronary Artery Disease
A Normal Reference Coronary Flow Reserve is Associated With a Lower Mortality in Patients With Stable Coronary Artery Disease Tim van de Hoef, M.D. Steven AJ Chamuleau 2, Michiel Voskuil 2, Niels van Royen
Diffuse Disease and Serial Stenoses. Bernard De Bruyne Cardiovascular Center Aalst Belgium
Diffuse Disease and Serial Stenoses Bernard De Bruyne Cardiovascular Center Aalst Belgium Atherosclerosis is a Diffuse Disease Serial Stenoses A B P a P m P d When A is isolated, hyperemic flow through
Typical chest pain with normal ECG
Typical chest pain with normal ECG F. Mut, C. Bentancourt, M. Beretta Nuclear Medicine Service, Asociacion Española Montevideo, Uruguay Clinical history Male 41 y.o. Overweight, hypertension, high cholesterol,
Is cardiac rehabilitation necessary?
Is cardiac rehabilitation necessary? M. Ghannem CPRCV Ollencourt Léopold Bellan UCI - CH Gonesse No conflic of interest Is cardiac rehabilitation necessary? Is cardiac rehabilitation recommended. Is coronary
Joshua A. Beckman, MD. Brigham and Women s Hospital
Peripheral Vascular Disease: Overview, Peripheral Arterial Obstructive Disease, Carotid Artery Disease, and Renovascular Disease as a Surrogate for Coronary Artery Disease Joshua A. Beckman, MD Brigham
Evidence-Based Management of CAD: Last Decade Trials and Updated Guidelines
Evidence-Based Management of CAD: Last Decade Trials and Updated Guidelines Enrico Ferrari, MD Cardiac Surgery Unit Cardiocentro Ticino Foundation Lugano, Switzerland Conflict of Interests No conflict
State of the Art. Advances in Cardiovascular Imaging. ESC Congres Stockholm September 1, 2010 Frank E. Rademakers, MD, PhD, FESC
State of the Art Advances in Cardiovascular Imaging ESC Congres Stockholm September 1, 2010 Frank E. Rademakers, MD, PhD, FESC Coronary Artery Disease Content Patho Physiology Imaging requirements Economical
Better CABGs vs Better PCI Devices
CABG vs PCI 2017 Multivessel Coronary Disease Better CABGs vs Better PCI Devices ACC New York, Dec 8, 2017 No Disclosures CABG vs PCI 2017 Stable Multivessel Coronary Disease 1. Are These The two Critical
DECLARATION OF CONFLICT OF INTEREST
DECLARATION OF CONFLICT OF INTEREST Microvascular Coronary Dysfunction in Women with and Ischemic Heart Disease: Lessons from the NHLBI-WISE Study Noel Bairey Merz, M.D., F.A.C.C., F.A.H.A., F.E.S.C. Medical
Peri-operative Troponin Measurements - Pathophysiology and Prognosis
Peri-operative Troponin Measurements - Pathophysiology and Prognosis Allan S. Jaffe, MD.* Consultant - Cardiology & Laboratory Medicine Professor of Medicine Chair, CCLS Division, Department of Laboratory
Recent Clinical Trials in CCTA Implica3ons for Prac3ce
Recent Clinical Trials in CCTA Implica3ons for Prac3ce Tej Sheth Associate Professor of Medicine McMaster University Interven3onal Cardiologist Hamilton Health Sciences and Niagara Health System 65 F,
Focus on Acute Coronary Syndromes
Focus on Acute Coronary Syndromes Emanuele Barbato, MD, PhD, FESC Cardiovascular Center Aalst, Belgium Potential conflicts of interest Consulting fees and honoraria on my behalf go to the Cardiovascular
Imaging in Ischemic Heart Disease: Role of Cardiac MRI
Imaging in Ischemic Heart Disease: Role of Cardiac MRI Chiara Bucciarelli Ducci MD, PhD, FESC, FRCP Consultant Senior Lecturer Cardiologist Bristol Heart Institute, University of Bristol, UK Chair elect,
Heart Failure with Preserved Ejection Fraction (HFpEF): Natural History and Contemporary Management
Heart Failure with Preserved Ejection Fraction (HFpEF): Natural History and Contemporary Management Jason L. Guichard, MD, PhD Greenville Health System Department of Medicine, Carolina Cardiology Consultants
FFR in unstable angina and after MI F
FFR in unstable angina and after MI F June-Hong Kim, MD. PhD Cardiovascular center Pusan National University Yangsan Hospital FFR tells you physiologic stenosis severity rather than anatomical stenosis
Coronary Plaque Sealing: The DEFER Study and more...
Coronary Plaque Sealing: The DEFER Study and more... How Waiting Can Be Beneficial in Stable Coronary Artery Disease Patients ESC, Stockholm, 2005 M. Romanens, 21.09.2005 at www.kardiolab.ch DEFER Study:
What the Cardiologist needs to know from Medical Images
What the Cardiologist needs to know from Medical Images Gerald Maurer Department of Cardiology Medical University of Vienna What kinds of Cardiologists Plumbers Electricians Photographers And then there
Microvascular 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
Omics and coronary atherosclerosis
Omics and coronary atherosclerosis Dr.ssa Rosalinda Madonna Centro Scienze dell Invecchiamento e Medicina Traslazionale CESI-Met Università G. d Annunzio Chieti Geographic Distribution of Relative Mortality
New Insight about FFR and IVUS MLA
New Insight about FFR and IVUS MLA Can IVUS MLA Predict FFR
Do stents deserve the bad press? Mark A. Tulli MD, FACC
Do stents deserve the bad press? Mark A. Tulli MD, FACC Disclosures: None Introduction Stents don t help people. Stents are bad for patients. Heart Treatment Overused WSJ Study Finds Doctors Often Too
Relations of Interest
Relations of Interest Consulting Fees on my behalf go to the Cardiovascular Research Center Aalst Contracted Research between the Cardiovascular Research Center Aalst and several pharmaceutical and device
Emergence of Nonobstructive Coronary Artery Disease A Woman's Problem and Need for Change in Definition on Angiography
Emergence of Nonobstructive Coronary Artery Disease A Woman's Problem and Need for Change in Definition on Angiography Carl J. Pepine, University of Florida Keith C. Ferdinand, Tulane University Leslee
Ischemic heart disease
Ischemic heart disease Introduction In > 90% of cases: the cause is: reduced coronary blood flow secondary to: obstructive atherosclerotic vascular disease so most of the time it is called: coronary artery