Unprotected left main stenting (ULM) with low SYNTEX score may be considered for PCI with DES. ULM with chronic total occlusion of Dominant Right coronary vessel (CTO- RCA) increase syntax score to more than 32 and advice in such patients… Read the rest
CABG is done for correction of ischemia in CAD patients. Number previous studies have shown benefit of CABG. But in case of LV dysfunction with LVEF less than 35% from sub study of STICH it appears that , subjects got… Read the rest
We all know low gradient reduced ejection fraction severe aortic stenosis, it evaluation and management. But occurrence of low gradient severe aortic stenosis with preserved ejection fraction is controversial and most of often it is concluded as echo error.Classically Severe… Read the rest
Drug eluting stents (DES) have reduced rate of re-stenosis, more so third generation ones. This reduced rate of re-stenosis has come with price of stent thrombosis. DES patients have to be on prolonged dual antiplatelet (DAPT), at least for … Read the rest
Invasive Coronary angiography is gold standard for diagnosing CAD, but this is invasive process and involves exposure to radiation and also contrast agent. Vast majority of angiography done, end with non obstructive CAD diagnosis, to overcome this problem good… Read the rest
Incidence of stroke Following CABG is more than PCI within 30 days of procedure but long term i.e. 4 years follow-up revealed similar incidence of Stroke in both groups. Although stroke incidence was similar in both groups, totally six patients… Read the rest
Revascularization is done for two reasons i.e. improve symptoms and improve survival. In case of silent ischemia symptomatic improvement is out of question.
Several studies have shown that silent ischemia worsens prognosis in patients with stable ischemic heart disease. ACIP … Read the rest