By Ever D. Grech
Huge, and occasionally complicated, facets of interventional cardiology are provided in a transparent, concise and balanced demeanour. this simple to learn textual content, supplemented via a variety of photos and snap shots, will attract a huge readership, together with clinical scholars, family members medical professionals, physicians, and cardiology.
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Extra resources for ABC of Interventional Cardiology
To date, randomised studies have shown that abciximab is the only drug to demonstrate benefit in this setting. The development of low cost alternatives and the potential for combination with other inhibitors of the coagulation cascade may increase the use of glycoprotein IIb/IIIa inhibitors. Restenosis Although coronary stents reduce restenosis rates compared with balloon angioplasty alone, restenosis within stents remains a problem. Nearly all systemic drugs aimed at reducing restenosis have failed, and drug eluting (coated) stents may ultimately provide the solution to this problem.
Both at 30 days’ and six months’ follow up, abciximab significantly reduced the composite rate of reinfarction, the need for further revascularisation, and mortality. In addition, abciximab significantly improved coronary flow rates immediately after stenting, which persisted up to six months with a significant improvement in residual left ventricular function. Future of primary angioplasty Primary stenting is not only safe but, by reducing recurrent ischaemic events, also confers advantages over balloon angioplasty alone.
5 cm2) with symptomatic disease despite optimal medical treatment can be considered for this procedure. Further patient selection relies heavily on transthoracic and transoesophageal echocardiographic findings, which provide structural information about the mitral valve and subvalvar apparatus. A scoring system for predicting outcomes is commonly used to screen potential candidates. Four characteristics (valve mobility, leaflet thickening, subvalvar thickening, and calcification) are each graded 1 to 4.
ABC of Interventional Cardiology by Ever D. Grech