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Both diagnosis and therapeutic decision–making are challenging due to its unpredictable course and recurrence rate. We describe a case of a 50y old man with chest pain(CP), referred to our cathlab for primary percutaneous coronary intervention(PCI) through the Emergency Medical Service, with an...
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Not only has the left IMA graft to the LAD been demonstrated to remain patent and improve longevity at 10- and 15-years, bilateral IMA has an additional effect of reducing myocardial infarction, reoperation and percutaneous coronary interventions (PCI) (16). Similarly, skeletonization of the IMA...
Dual antiplatelet therapy is necessary for those who undergo acute PCI. However, many women managed conservatively are de-escalated to low-dose aspirin only, although this practice is largely based on expert opinion. SCAD itself is not considered an indication for chronic anticoagulation,9 but ...
Our future is at stake, and it’s a future in which you have an active role to play: after reading this book, you’ll be one of those who develop those AI systems. So let’s tackle these questions: what has deep learning achieved so far? How significant is it? Where are we ...
No two days are alike. Ever! Yes, sometimes the work seems burdensome, like when an acute inferior-wall MI comes in while I was trying to manipulate a wire through the TIMI 2 proximal LAD calcified lesion—yes, in that same case, LOL—and yes, despite all being long in years, we al...
An important message is that we are making progress with the “holistic” approach for treating CAD with PCI—however, we cannot attribute improvement in outcomes to any specific change in our percutaneous approach. The introduction of physiology-guided therapy suggests that revascularization based on ...
The percentages of these complications are negligible when compared to the advantages of IVL [30]. An example of a perforation of the LAD following the discovery of chronic total occlusion occurred in a 68-year-old female. The patient initially presented with angina and shortness of breath, ...
Under equilibrium conditions, their relative electrochemical potentials, µs and µt, are equal for any value of the transmembrane potential φm. These electrochemical potentials may differ not only by their electrical contribution, due to the different position of the positive pole within the ...