Coronary and Cardiac Disease Therapies

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Presentation Description

Coronary disease: risks, anatomy, revascularisation therapies and pacing strategies.

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CardioVascularDiseaseJan 2010 : 

CardioVascularDiseaseJan 2010 Dr Ameet Bakhai, MRCP Cardiologist, Jain, Researcher Barnet General Hospital Royal Free Hospital Health Smart – UK NICE – UK Many of these images have been taken from websites. I thank and acknowledge the original authors of these images.

Atherothrombosis Significantly Shortens Life Expectancy (Prognosis) at 60 : 

Atherothrombosis Significantly Shortens Life Expectancy (Prognosis) at 60 Framingham Heart Study Peeters et al. Eur Heart J 2002; 23: 458–466 Healthy History of Angina History of MI History of CVA 0 2 4 6 8 10 12 14 16 18 20 Years 9.2 7.4 12

10 y risk 55 M Non-smkNo BP/LVH / DM / Chol Risk = 4% : 

10 y risk 55 M Non-smkNo BP/LVH / DM / Chol Risk = 4%

BP/LVH + Chol + DM = 51% : 

BP/LVH + Chol + DM = 51%

Coronary Disease Classification : 

Coronary Disease Classification MK Davies - Heart 2000 Mar;83(3):361-6

Development of atherosclerotic plaque formation and rupture : 

Development of atherosclerotic plaque formation and rupture Monocyte migration Increased lipid levels LDL oxidation Macrophage differentiation and inflammation Foam cell formation Plaque rupture and thrombosis Plaque formation Endothelial dysfunction Blood vessel intima Blood vessel lumen

ECG Infarction versus Ischaemia : 

ECG Infarction versus Ischaemia AMI UA / NQWMII

What – Coronary Artery Disease : 

What – Coronary Artery Disease

Slide 10: 

Ventriculography

Coronary Artery Disease : 

Coronary Artery Disease

Management of Acute Myocardial Infarction : 

Management of Acute Myocardial Infarction

Management of Acute Myocardial Infarction : 

Management of Acute Myocardial Infarction

Coronary Stenting Video Link : 

Coronary Stenting Video Link http://fr.video.yahoo.com/watch/1961743/342681

Exercise Treadmill Test : 

Exercise Treadmill Test

Exercise Treadmill Test : 

Exercise Treadmill Test

Exercise Treadmill Test : 

Exercise Treadmill Test Exercise treadmill test guidelines. http://www.acc.org/clinical/guidelines/exercise/exercise.pdf

4 Chamber View : 

4 Chamber View

Echocardiogram Long Axis Views : 

Echocardiogram Long Axis Views

Short Axis Aortic Valve : 

Short Axis Aortic Valve

Stress Echo : 

Stress Echo Not thickening or contracting

Slide 23: 

Thallium Scan Normal Abnormal

Cardiac Cath Lab : 

Cardiac Cath Lab

Coronary Angiography : 

Dr Ameet Bakhai Coronary Angiography Side Effects Hot flush Urticaria Hypotension Nausea and Vomiting Bruising, nerve compression arrhythmias unsustained rare - anaphylaxis

Angiogram : 

Angiogram

Coronary Arteriography : 

Coronary Arteriography 8/25/97 10/19/99

Severe LAD stenosis RAO Cranial projection : 

Severe LAD stenosis RAO Cranial projection

Drug Eluting stents : 

Drug Eluting stents Sirolimus eluting Paclitaxel eluting

Coronary Artery Bypass Grafting : 

Coronary Artery Bypass Grafting

Cardiac rehabilitation : 

Cardiac rehabilitation Healthcare professionals,should actively promote cardiac rehabilitation. Cardiac rehabilitation should be equally accessible and relevant to all patients after an acute MI.

Stentless Valves : 

Stentless Valves No supportive frame Lower mean gradients

ICD : 

ICD

Implantable Defibrillators / Pacemakers : 

Implantable Defibrillators / Pacemakers

ICD : 

ICD

Diaphragmatic pacing, PPM eroding skin. : 

Diaphragmatic pacing, PPM eroding skin.

Cardiac Resynchronisation Therapy : 

Cardiac Resynchronisation Therapy

Cardiac Resynchronisation Therapy : 

Cardiac Resynchronisation Therapy

Mitral Valve Repair : 

Mitral Valve Repair

Percutaneous Aortic Valve Replacement : 

Percutaneous Aortic Valve Replacement

Mitral Valve Repair : 

Mitral Valve Repair

Hypertension Procedure Link : 

Hypertension Procedure Link http://www.ardian.com/patients/symplicity.shtml

INTERHEARTContribution of major risk factors in South Asians : 

INTERHEARTContribution of major risk factors in South Asians

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