Percutaneous Treatment of Refractory Angina Secondary to Left Subclavian Artery Stenosis in Patients after Coronary Artery Bypass Grafting Ernesto Misael Cintra Osterne1, Evandro Cesar Vidal Osterne1, Vicente Paulo Motta1, Paulo Antonio Marra da Motta1, Cecilio Kassem Salame2, Thomas Edson Cintra Osterne3 Hospital Anchieta – Instituto do Coração de Taguatinga1; Hospital Anchieta Carddio2; Hospi...

INTRODUCTION Alongside the remarkable progress in therapeutic strategies destined to patients with coronary artery disease (CAD), a growing number of patients who suffer from severe and diffuse CAD not amenable for revascularization, continue to experience severe debilitating angina despite optimal medical therapy. The Coronary Sinus (CS) Reducer has emerged as a novel therapeutic strategy for ...

The angina pectoris crisis should be treated with nitroglycerin S.L.. In our days as in the 19th century, the non pharmacological therapeutic approach for angina pectoris (per se and to improve the free interval between crises) is still the same. This consists of the reduction of mental and physical stress, to stop smoking, improve light exercise, reduce obesity, and control other risk factors ...

OBJECTIVES The purpose of this research was to determine if sex and gender differences in the management of acute coronary syndromes (ACS) are associated with differences in prognosis after ACS. BACKGROUND Previous investigators have reported sex/gender differences in the management of patients with ACS, but the impact of these differences on prognosis is unclear. METHODS We analyzed data f...

Enhanced external counterpulsation (EECP) is used to noninvasively treat refractory angina patients, including those with a history of heart failure. The International EECP Patient Registry was used to examine the benefit and safety of EECP treatment, including a 6-month follow-up, in 1,957 patients, 548 with a history of heart failure. The heart failure cohort was older, with more females, a g...

OBJECTIVES We sought to demonstrate that brachytherapy reduces coronary spasm in refractory and highly symptomatic variant angina. BACKGROUND In some patients with variant angina due to extensive vasoconstriction, intensive drug therapy fails to sufficiently relieve symptoms. METHODS In 18 patients with frequent angina episodes despite triple anti-anginal therapy, coronary spasm was induced...