By Ever D. Grech

ISBN-10: 0727915460

ISBN-13: 9780727915467

Large, and occasionally complicated, points of interventional cardiology are provided in a transparent, concise and balanced demeanour. this simple to learn textual content, supplemented via various photographs and pictures, will attract a extensive readership, together with scientific scholars, kin medical professionals, physicians, and cardiology.

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Extra resources for ABC of Interventional Cardiology

Example text

Four characteristics (valve mobility, leaflet thickening, subvalvar thickening, and calcification) are each graded 1 to 4. Patients with a score of <8 are more likely to have to have a good result than those with scores of > 8. Thus, patients with pliable, non-calcified valves and minimal fusion of the subvalvar apparatus achieve the best immediate and long term results. Relative contraindications are the presence of pre-existing significant mitral regurgitation and left atrial thrombus. 5 cm2 without a substantial increase in mitral regurgitation, resulting in significant symptomatic improvement.

These drawbacks have led to the development of another class of antiplatelet drugs, the thienopyridines. Thienopyridines Ticlopidine and clopidogrel irreversibly inhibit binding of adenosine diphosphate (ADP) during platelet activation. The combination of aspirin plus clopidogrel or ticlopidine has become standard antiplatelet treatment during stenting in order to prevent thrombosis within the stent. As clopidogrel has fewer serious side effects, a more rapid onset, and longer duration of action, it has largely replaced ticlopidine.

Patients inevitably experience chest discomfort during ethanol injection, and treatment with intravenous opiate analgesics is essential. Patients are usually discharged after four or five days. 30 Postmortem appearance of a heart with hypertrophic cardiomyopathy showing massive ventricular and septal hypertrophy causing obstruction of the left ventricular outflow tract (LVOT). This is compounded by the anterior mitral valve leaflet (AMVL), which presses against the ventricular septum (VS). Note the coincidental right atrial (RAE) and right ventricular (RVE) pacing electrodes Characteristics of hypertrophic cardiomyopathy Anatomical—Ventricular hypertrophy of unknown cause, usually with disproportionate involvement of the interventricular septum Physiological—Well preserved systolic ventricular function, impaired diastolic relaxation Pathological—Extensive disarray and disorganisation of cardiac myocytes and increased interstitial collagen Echocardiogram showing anterior mitral valve leaflet (AMVL) and septal contact (***) during ventricular systole.

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ABC of Interventional Cardiology by Ever D. Grech

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