Challenging Concepts in Cardiovascular Medicine: Cases with

This case-based studying publication info 25 demanding situations in cardiovascular medication masking all subspecialty parts of cardiology. it's designed for use by means of trainees yet every one case is supported by means of the observation of a popular professional within the box, permitting readers to enhance their very own administration of those patients.

As the reader works via each one case there are 'Clinical Tips', 'Learning Points' and 'Landmark Trial Summaries' to augment the training strategy in addition to the 'Expert Commentary', supplying an within song on how the specialists technique a lot of these hard instances.

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Extra info for Challenging Concepts in Cardiovascular Medicine: Cases with Expert Commentary

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In diabetics, MACCE rates for ARTS II were better than those for ARTS I-BMS, but worse than for ARTS I-CABG, the difference being primarily driven by a substantially greater need for repeat revascularization following PCI in general. The use of DES did, however, result in a 44% decrease in the need for repeat revascularization compared to BMS [26]. Ultimately, however, both ERACI III and ARTS II were non-randomized, prospectively collected registries and as such, all treatment arms were not enrolled concurrently.

The patient was referred for a specialist cardiology opinion and a plan was made to check a 12-hour troponin T which was subsequently found to be negative. The cardiologist agreed with the diagnosis of troponin-negative UA and arranged for a doctor-led exercise stress test that day. 1). In light of the positive stress test, the decision was made to proceed to coronary angiography with a view to performing percutaneous coronary intervention (PCI), if indicated, the next day. 5 mg od) was commenced at this point.

8 British Cardiovascular Intervention Society. BCIS Audit Returns 2008. pageid=705&navcatid=11. 9 Katritis DG, Ioannidis JP. Percutaneous coronary intervention vs conservative therapy in non-acute coronary artery disease: a meta-analysis. Circulation 2005; 111: 2906–2912. 10 Yusuf S, Zucker D, Peduzzi P, et al. Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomized trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet 1994; 344: 563–570.

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