Saphenous Vein Graft Lesions

Jan 2, 2019 by in CARDIOLOGY Comments Off on Saphenous Vein Graft Lesions

PATIENT CASE Print Section Listen A 62-year-old man presented with acute chest pain that started with mild physical activity and lasted for more than 45 minutes after rest. His past…

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Percutaneous Treatment of Aorto-Ostial Lesions

Jan 2, 2019 by in CARDIOLOGY Comments Off on Percutaneous Treatment of Aorto-Ostial Lesions

INTRODUCTION Print Section Listen Aorto-ostial lesions (AOL), located at the origin of the right and left coronary arteries and surgical bypass grafts, are of critical clinical importance. These lesions compromise…

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Bifurcation Lesions

Jan 2, 2019 by in CARDIOLOGY Comments Off on Bifurcation Lesions

INTRODUCTION Print Section Listen Bifurcation lesions remain a challenging topic in interventional cardiology, with multiple approaches and strategies for intervention. Bifurcation lesions account for 15% to 20% of coronary stenoses…

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Spontaneous Coronary Artery Dissection

Jan 2, 2019 by in CARDIOLOGY Comments Off on Spontaneous Coronary Artery Dissection

PATIENT STORY Print Section Listen A 38-year-old woman arrived at the emergency department by private car complaining of substernal chest pain and nausea. Symptoms were relieved after administration of 2…

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Invasive Testing for Coronary Artery Disease

Jan 2, 2019 by in CARDIOLOGY Comments Off on Invasive Testing for Coronary Artery Disease

CORONARY VASCULAR ANATOMY AND AUTOREGULATION OF MYOCARDIAL BLOOD FLOW Print Section Listen The coronary vasculature may be artificially divided into 3 compartments: the epicardial vessels, the coronary microvasculature, and the…

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Heavily Calcified Coronary Lesions

Jan 2, 2019 by in CARDIOLOGY Comments Off on Heavily Calcified Coronary Lesions

PATIENT CASE Print Section Listen A 75-year-old woman was referred to cardiology for evaluation for dizziness. She complains of intermittent dizziness for a year not related to position change, as…

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Fundamentals of Clinical Electrophysiology

Jan 2, 2019 by in CARDIOLOGY Comments Off on Fundamentals of Clinical Electrophysiology

Figure 3-1: Explanation Print Section Listen Figure 3–1A A 30-year-old man with a history of PSVT undergoes electrophysiologic study. During ventricular pacing several electrophysiologic phenomena occur. How many can you…

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Coronary Revascularization in Stable Angina

Jan 2, 2019 by in CARDIOLOGY Comments Off on Coronary Revascularization in Stable Angina

PATIENT CASE Print Section Listen A 54-year-old man presents with a 3-month history of progressive chest pain. He describes a band-like retrosternal heaviness that is brought on by walking more…

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