By Ever D. Grech
This absolutely up to date, re-creation of ABC of Interventional Cardiology is an easy-to-read, sensible advisor for the non-specialist. It offers the complicated facets of interventional cardiology in a transparent and concise demeanour, and explains different interventions for coronary artery disorder, valvular and structural middle affliction, and electrophysiology, ordered via medical setting.
The ABC of Interventional Cardiology covers the center wisdom on concepts and administration, and highlights the proof base. Illustrated in complete color all through, with new photos and photos, it comprises key facts and guidance, new drugs and units, with options for additional interpreting and extra assets in every one bankruptcy. it truly is excellent for GPs, medical institution medical professionals, clinical scholars, catheter laboratory employees and cardiology nurses.
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Extra info for ABC of Interventional Cardiology
Raco DL, Yusuf S. Overview of randomised trials of percutaneous coronary intervention: comparison with medical and surgical therapy for chronic coronary artery disease. In: Grech ED, Ramsdale DR, eds. Practical Interventional Cardiology. 2nd ed. London: Martin Dunitz, 2002:263–77. Scottish Intercollegiate Guidelines Network. Coronary Revascularisation in the Management of Stable Angina Pectoris. Edinburgh: SIGN, 1998 (SIGN Publication No 32). Serruys PW, Morice MC, Kappetein AP, et al. Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease.
After a few hours, the patient should be encouraged to gradually increase mobility, and in uncomplicated cases, discharge is scheduled for the same or the next day. Before discharge, the arterial access site should be examined and the patient advised to seek immediate medical advice if bleeding or chest pain (particularly at rest) occurs. Outpatient follow-up and drug regimens are provided, as well as advice on modification of risk factors and lifestyle. Complications and sequelae Complications are substantially lower in centres where large numbers of procedures are carried out by adequately trained and experienced operators.
The CARDia study was confined to diabetic patients with multivessel disease randomised to PCI or bypass surgery and 510 patients were recruited. Initially, bare metal stents were used and a switch to the sirolimus-eluting Cypher stent was made when these became available. About 69% of patients in the PCI group received a Cypher stent. 4 Coronary angiograms of a 69-year-old man with limiting angina and exertional breathlessness. There was severe proximal disease (arrows) of the left anterior descending (LAD) and left circumflex arteries (LCx) (a) and occlusion of the right coronary artery (RCA) (b).