Ever D. Grech's ABC of Interventional Cardiology PDF

By Ever D. Grech

ISBN-10: 0727915460

ISBN-13: 9780727915467

Huge, and occasionally complicated, facets of interventional cardiology are awarded in a transparent, concise and balanced demeanour. this simple to learn textual content, supplemented by way of quite a few photographs and pics, will entice a large readership, together with scientific scholars, kinfolk medical professionals, physicians, and cardiology.

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Mortality data collected since the 1970s show a significant fall in mortality in the 1990s corresponding with increased use of combinations of thrombolytic drugs, the intra-aortic balloon pump, and coronary angiography with revascularisation by either percutaneous intervention or bypass surgery. Before these measures, death rates of 80% were consistently observed. Cardiogenic shock is the commonest cause of death in acute myocardial infarction. Although thrombolysis can be attempted with inotropic support or augmentation of blood pressure with the intra-aortic balloon pump, the greatest mortality benefit is seen after urgent coronary angiography and revascularisation.

Adjunctive pharmacotherapy and coronary intervention. In: Grech ED, Ramsdale DR, eds. Practical interventional cardiology. 2nd ed. London: Martin Dunitz, 2002:207{24 x Steinhubl SR, Berger PB, Mann JT 3rd, Fry ET, DeLago A, Wilmer C, et al. Early and sustained dual oral antiplatelet therapy following percutaneous coronary intervention. A randomized controlled trial. JAMA 2002;288:2411-20 9 Non-coronary percutaneous intervention Ever D Grech Although most percutaneous interventional procedures involve the coronary arteries, major developments in non-coronary transcatheter cardiac procedures have occurred in the past 20 years.

3%). Similar benefits were seen in the subset of patients who underwent percutaneous coronary intervention. The impact this study will have on the use of glycoprotein IIb/IIIa inhibitors in this clinical situation remains unclear. In another group of studies (n=16 770), patients were given a glycoprotein IIb/IIIa inhibitor or placebo immediately before or during planned percutaneous intervention. All showed unequivocal benefit with the active drug. Despite their efficacy, however, some interventionists are reluctant to use glycoprotein IIb/IIIa inhibitors in all patients because of their high costs and reserve their use for high risk lesions or when complications occur.

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ABC of Interventional Cardiology by Ever D. Grech


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