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Procedure: Coronary Artery Bypass Graft
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Total 157 results found since Jan 2013.
You MUST recognize this pattern, even if it is not common
Disclaimer: I never state from where I get a case. They come from all over the world. Any case may or may not be from my own institution. Do not make any assumptions.Case: A non-English speaking woman in her 60's with h/o HTN, type II DM, hyperlipidemia, CAD s/p CABG 16 years prior, and end stage renal disease on dialysis presented to the ED at time 0. She had awoken 7 hours prior with severe headache followed by upper chest heaviness and vomited x 2. EMS placed an 18 gauge IV, gave 2 NTG, and aspirin. She stated the pain was not similar to a previous MI. BP was 200 systoli...
Source: Dr. Smith's ECG Blog - November 22, 2013 Category: Cardiology Authors: Steve Smith Source Type: blogs
Critical Care Compendium update
LITFL’s Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Currently there are almost 1,500 entries with more in the works… Some pages are more developed than others, and all the pages are being constantly revised and improved. Links to new references and online resources are added daily, with an emphasis on those that are free and open access (FOAM!).
These pages originated from the FCICM exam study notes created by Dr Jeremy Fernando in 2011, and have been updated, modified and added to since. As such will be particularly us...
Source: Life in the Fast Lane - November 17, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Critical Care Compendium Education eLearning Emergency Medicine Featured CCC LITFL collection Source Type: blogs
Best graft for coronary artery bypass grafting
(CABG) is:
a) Reversed saphenous vein
b) Left radial artery
c) Left internal mammary artery
d) None of the above
Correct answer: c) Left internal mammary artery (LIMA) is till date the best available vessel for CABG. It has good long term patency rate and provides a pulsatile flow. Saphenous vein graft are prone for degeneration and thrombosis. Left radial artery being a free graft unlike the in-situ LIMA graft, is inferior to LIMA graft, but probably superior to RSVG (reversed saphenous vein graft – or simply SVG).
Source: Cardiophile MD - November 3, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance left radial graft LIMA reversed saphenous vein graft RSVG Source Type: blogs
New Insights Into Surgery Versus Stents For Diabetics With Multivessel Disease
Last year the large NHLBI FREEDOM trial demonstrated that bypass surgery was superior to PCI when treating diabetic patients who have multivessel coronary disease. CABG resulted in significant reductions in death and MI, but this was offset slightly by a higher rate of stroke in the CABG group. Now a new report from FREEDOM published in JAMA suggests that the reduction in important clinical endpoints may not translate into large differences in health status and quality of life. … Click here to read the full post on Forbes.
Source: CardioBrief - October 17, 2013 Category: Cardiology Authors: Larry Husten Tags: Interventional Cardiology & Surgery People, Places & Events CABG Conventional PCI Coronary artery bypass surgery JAMA national heart lung and blood institute quality of life Source Type: blogs
Can Inflating A Blood Pressure Cuff Improve Outcomes Following Bypass Surgery?
http://www.forbes.com/sites/larryhusten/2013/08/15/can-inflating-a-blood-pressure-cuff-improve-outcomes-following-bypass-surgery/ For several decades cardiologists have been intrigued by the concept of ischemic preconditioning. A small body of research has consistently found that brief episodes of ischemia (in which reduced blood flow results in damage to tissue) appeared to somehow prepare the body to better handle a major episode of ischemia. Now a new study from Germany published in the Lancet holds out the promise that deliberate ischemic preconditioning prior to bypass surgery might prevent ischemic injury c...
Source: CardioBrief - August 15, 2013 Category: Cardiology Authors: Larry Husten Tags: Interventional Cardiology & Surgery Blood flow Coronary artery bypass surgery ischemia Lancet preconditioning Source Type: blogs
Statins protective against Parkinson's: More evidence; abandoning off-pump CABG surgery?; prasugrel 5 mg, clopidogrel similarly safe, effective; perioperative beta-blocker controversy
Source: Blogs@theHeart.org - August 2, 2013 Category: Cardiology Authors: theheart.org Tags: This week in cardiology from heartwire Source Type: blogs
Cardiology MCQ Online 3
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Source: Cardiophile MD - July 14, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Cardiology MCQ Test 3
Cardiology MCQ Online 3
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You are welcome to try this MCQ set and share it among your friends. Answer key with explanation appears after you complete the test and submit it and press on the view questions button. W...
Source: Cardiophile MD - July 14, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Cardiology Online Test Series 1
Cardiology MCQ
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You are welcome to try this Cardiology MCQ set and share it among your friends. We strongly advise you to verify the answers with standard ...
Source: Cardiophile MD - May 19, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Coming Together to Benefit All
I recently traveled to Israel for the 60th Anniversary Conference of the Israel Heart Society (IHS) in Jerusalem. The two-day conference gathered about 1,300 cardiologists from around the globe, including world-renowned leaders like Douglas Zipes, MD, MACC, and Eugene Braunwald, MD, MACC.
While there, I co-chaired the ACC/IHS Joint Session with Chaim Lotan, MD, FACC, president of IHS, and Basil Lewis, MD, FACC, governor of the ACC Israel Chapter. Updates were given on the management of aortic dissection, pulmonary embolism, clinical trials in PCI vs. CABG, mitral regurgitation, and the role of the autonomic nervous syst...
Source: ACC in Touch Blog - May 3, 2013 Category: Cardiology Authors: Administrator Tags: Membership CV Meetings Source Type: blogs
What is the fundemental difference between facilitated PCI and Pharmaco Invasive approach ?
For STEMI management there are 6 management protocols available
Thrombolysis
Primary PCI
Rescue PCI
Facilitated PCI
Pharmaco -Invasive approach
CABG
*CABG is rarely used except in severe mechanical complication.
There is some issues in differentiating facilitated PCI and Pharmaco Invasive Approach.
What do we facilitate ? How we do it ?
PCI in acute STEMI is done in a thrombotic milleu. So we get sub optimal results .Hence to facilitate it we try using
either 2B-3A antagonists, Newer Heparins, or even thrombolytic agents before submitting them for PCI
Where is this facilitation done ?
Facilitated PCI is done in...
Source: Dr.S.Venkatesan MD - April 30, 2013 Category: Cardiology Authors: drsvenkatesan Tags: Cardiology -Interventional -PCI facilitated PCI vs pharmaco invasive appraoch primary pci rescue pci Source Type: blogs
Does PCI convert “A positive stress test” into “Negative” in all patients with CAD ?
Take Our Poll
Those who answered “Yes” , can leave this article . Those who answered “No” read further .
Take Our Poll
* Logic would tell us myocardial revascularisation should correct stress induced ischemia and it should disappear promptly . This does not happen in all cases real world ! That is why medicine is different from mathematical science .
Some of the reasons for persistence of stress positivity even after an apparently successful PCI are . . .
Incomplete correction of ischemia. (Ideally to be referred as failed PCI )
Error in Identifying culprit 9Angi...
Source: Dr.S.Venkatesan MD - April 9, 2013 Category: Cardiology Authors: drsvenkatesan Tags: Cardiology - Clinical cardiology -ECG Cardiology -Interventional -PCI cardiology -Therapeutics Cardiology -unresolved questions chronic total occlusion (CTO) Clinical cardiology cto chronic total occlusion Diabetes and Heart excercise st Source Type: blogs
