OBJECTIVE We sought to assess determinants of clinical decision making in patients with stable coronary artery disease. METHODS The 2936 patients with stable angina pectoris who enrolled in the Euro Heart Survey on Coronary Revascularization were the subject of this analysis. After the diagnosis has been confirmed, physicians decided on treatment: medical management or revascularization thera...

BACKGROUND To assess the outcome of patients with stable angina pectoris treated with percutaneous coronary intervention versus medically treated patients. METHODS Eighty patients with stable angina pectoris and coronary stenosis as confirmed in coronary angiography were treated with (n = 31) or without (n = 49) percutaneous coronary intervention in our department. All patients received optim...

OBJECTIVES To assess the perceptions of patients with stable coronary artery disease of the urgency and benefits of elective percutaneous coronary intervention and to examine how they vary across centers and by providers. DESIGN Cross sectional study. SETTING 10 US academic and community hospitals performing percutaneous coronary interventions between 2009 and 2011. PARTICIPANTS 991 patie...

background: studies have shown controversial effects of obesity on major adverse cardiac events (mace) after percutaneous coronary intervention (pci). we sought to investigate the impact of the body mass index (bmi) on the mid-term outcome following successful pci. methods: between march 2006 and august 2008, 3948 patients underwent successful elective pci in tehran heart center, tehran, iran, ...

regardless of the clinical setting, a good back-up represents one of the most important conditions to ensure guide wire and balloon advancement and stent delivery. as a “mother and child” system, the guideliner catheter (vascular solutions inc., minneapolis, mn, usa) provides an extension to the guide catheter with better coaxial alignment and stability. we report two didactic cases showing the...

conclusions an adjuvant therapy with tlc diet and supplementation with q10 and lc seems to be required for secondary prevention following mi and pci. tlc diet and q10 plus lc appeared to be effective in inflammatory biomarkers of isr as well as ldl reduction. methods this single-blind randomized controlled trial was conducted on 128 subjects. after randomization for treatment allocation, the su...

conclusions preoperative echocardiography, applied before elective and emergency percutaneous coronary interventions, plays a key role in detecting many intervention-related complications in the post-intervention period. case presentation a 65-year-old male patient was admitted to the emergency department and acute inferolateral myocardial infarction was diagnosed. the left atrial hematoma as a...

Left main coronary artery stenosis is an important cause of symptomatic coronary artery disease, although relatively infrequent. The current guidelines recommend coronary artery bypass grafting as the first line treatment and standard of care, but percutaneous coronary intervention is likely to lead to faster reperfusion of coronary flow, avoiding the delays of a major surgical intervention. Ou...