 |
|
ESC Congress 2003: Preferred treatment of angina (chest pain)
September 01, 2003IMPORTANT: This press release accompanies a poster or oral session given at the ESC Congress 2003. Written by the investigator himself/herself, this press release does not necessarily reflect the opinion of the European Society of Cardiology
ESC Congress 2003: We have shown that in European and Mediterranean patients with stable angina and proven coronary artery disease the preferred treatment in the majority of patients is mainly determined by the characteristics of the coronary angiogram (x-ray of the coronary arteries). The preferred therapy in these patients was balloon angioplasty, followed by open heart surgery and medical therapy.
Between September 2001 and March 2002, we included over 5,500 patients with proven narrowing of coronary arteries on the coronary angiogram in 130 hospitals throughout Europe and the Mediterranean (Euro Heart Survey on Coronary Revascularisation). This survey programme provides systematic information on the management of patients with heart disease. The aim was to assess the relation between the patient, clinical and angiographic, characteristics and the choice of therapy in clinical practice. We studied 2.973 patients with stable angina, defined as a recurring pain or discomfort in the chest when some of the heart muscle does not receive enough blood.
Based on an extensive list of patient characteristics we made a model to evaluate the predictors of the treatment. First we compared medical therapy with invasive (open heart surgery and balloon angioplasty) therapy, and second, we compared open heart surgery with balloon angioplasty. Balloon angioplasty involves insertion of a catheter with a tiny balloon at the end into a coronary artery. The balloon is inflated briefly to open the vessel in places where the artery is narrowed.
We observed that the number of diseased coronary arteries and the complexity of the narrowing of coronary arteries are the most significant determinants of the therapeutic choice. If a patient has single vessel disease or previously had open heart surgery the therapy is twice to four times as often medical than invasive. Patients with less complicated narrowing are more likely to receive invasive therapy.
In the invasive treatment group, the therapeutic choice was significantly more often balloon angioplasty than open heart surgery. The predictors of this treatment were single vessel disease, prior open heart surgery and no accompanying heart valve disease. In patients with a prior heart attack or high blood pressure no treatment was significantly preferred.
This research gives insight in the treatment of patients with stable coronary artery disease. Whether the determinants of the choice of therapy influence the eventual health of heart patients needs to be followed up.
Dr Marjo Hordijk-Trion
Thoraxcentre Rotterdam, Erasmus
The Netherlands
European Society of Cardiology (ESC)
Based on an extensive list of patient characteristics we made a model to evaluate the predictors of the treatment. First we compared medical therapy with invasive (open heart surgery and balloon angioplasty) therapy, and second, we compared open heart surgery with balloon angioplasty. Balloon angioplasty involves insertion of a catheter with a tiny balloon at the end into a coronary artery. The balloon is inflated briefly to open the vessel in places where the artery is narrowed.
We observed that the number of diseased coronary arteries and the complexity of the narrowing of coronary arteries are the most significant determinants of the therapeutic choice. If a patient has single vessel disease or previously had open heart surgery the therapy is twice to four times as often medical than invasive. Patients with less complicated narrowing are more likely to receive invasive therapy.
In the invasive treatment group, the therapeutic choice was significantly more often balloon angioplasty than open heart surgery. The predictors of this treatment were single vessel disease, prior open heart surgery and no accompanying heart valve disease. In patients with a prior heart attack or high blood pressure no treatment was significantly preferred.
This research gives insight in the treatment of patients with stable coronary artery disease. Whether the determinants of the choice of therapy influence the eventual health of heart patients needs to be followed up.
Dr Marjo Hordijk-Trion
Thoraxcentre Rotterdam, Erasmus
The Netherlands
European Society of Cardiology (ESC)
Angioplasty Current Events and Angioplasty News RSSYour Own Stem Cells Can Treat Heart Disease
The largest national stem cell study for heart disease showed the first evidence that transplanting a potent form of adult stem cells into the heart muscle of subjects with severe angina results in less pain and an improved ability to walk. The transplant subjects also experienced fewer deaths than those who didn't receive stem cells.
Vitamin B niacin offers no extra benefit to statin therapy in seniors already diagnosed with CAD
The routine prescription of extended-release niacin, a B vitamin (1,500 milligrams daily), in combination with traditional cholesterol-lowering therapy offers no extra benefit in correcting arterial narrowing and diminishing plaque buildup in seniors who already have coronary artery disease, a new vascular imaging study from Johns Hopkins experts shows.
The heart attack myth: Study establishes that women do have same the heart attack symptoms as men
The gender difference between men and women is a lot smaller than we've been led to believe when it comes to heart attack symptoms.
Lifestyle changes remain important in fighting peripheral arterial disease
Modifying the risk of peripheral arterial disease (or PAD)-with healthy lifestyle changes-remains vital to one's health, note researchers in a recent issue of the Journal of Vascular and Interventional Radiology.
Study questions need for routine intervention in patients with renovascular disease
Some invasive procedures that are becoming increasingly common as a first line of treatment for patients diagnosed with narrowed arteries in and around the kidneys may not be necessary.
Designing drugs and their antidotes together improves patient care
Imagine a surgical patient on a blood-thinning drug who starts bleeding more than expected, and an antidote that works immediately - because the blood thinner and antidote were designed to work together.
Pre-hospital organization: The first links in the chain of survival for heart attack patients
Mortality rate following a heart attack has fallen by more than 50% in Europe over the past 25 years. However, because only minor advances in the medical treatment of AMI are expected over the next decade, it is through organisational changes in the pre-hospital phase that mortality rate will continue this decline to below 5%.
Stent for life initiative
Primary angioplasty (with stent implantation) is the most effective therapy for acute myocardial infarction (AMI), but it is not available to many patients, even though most European countries have sufficient resources (ie, catheterisation laboratories) for its wider use.
Otamixaban for the treatment of patients with non-ST-elevation acute coronary syndromes
Data from a phase II trial of an investigational intravenous drug designed to block the formation of blood clots shows potential to reduce the risk of death, a second heart attack, or other coronary complications compared with the current standard of care in patients presenting with acute coronary syndromes (heart attacks or unstable angina).
New strategies for reperfusion therapy
A new trial has begun in order to ascertain once and for all whether the best strategy for patients who cannot receive P-PCI is early fibrinolysis, together with mandated angiography.
More Angioplasty Current Events and Angioplasty News Articles
 |
Classic Papers in Coronary Angioplasty by Clive Handler (Editor), Michael Cleman (Editor) Every medical specialty has a core of classic papers that reflect both the historical development of the discipline and point the way to present and future developments. A distinguished team of international contributors have been assembled by the Editors to identify, analyze and collate the most important articles from a broad range of publications that have become recognized as the defining articles in coronary angioplasty. It is a unique reference, for not only does it provide a single source for reviewing the most important papers in the discipline, it also provides a critical analysis of the strengths, weaknesses and the impact each paper has had on the development of coronary angioplasty. This book will be essential reading for cardiologists - in particular interventional... |
|
Carotid Endarterectomy & Angioplasty with Vein Patch--VHS John B. Chang, M.D., FACS. 26 mins. Long Island Vascular Clinic, Roslyn, NY. ADM Video Productions, Inc. | |
 |
Kardovite Capsules (180 Caps) by The Wolfe Clinic The Wolfe Clinics Kardovite Drops Kardovite has been scientifically formulated with traditional herbal ingredients used for centuries as a path to a healthier lifestyle. Kardovite Drops should be seen as a Herbal Preparation, designed to enhance health. Traditional use of these herbs indicate that they may improve blood circulation, help lower cholesterol, treat circulatory ailments, and help break up blood clots. THE SEVEN HERBS OF KARDOVITE ARE: Cayenne, Garlic, Hawthorn, Valerian, Milk Thistle, Ginkgo Biloba, and Bilberry. CAYENNE: Stimulates the appetite, increases the flow of saliva and other digestive juices, Increases the rate and efficiency of nutrient absorption, Reduces cholesterol levels and decreases the bloods tendency to form clots, Acts as a Hypotensive and a cardiac... |
 |
Concerns About Having a Second Heart Attack or Stroke Dr. Arnold P. Nerenberg (Composer) Dr. Nerenberg had a heart attack seven years ago and had an angioplasty procedure to a coronary artery. After seven years a second stent was needed for a second coronary artery which was 80% blocked; fortunately there was no heart attack. His symptoms included: confusion, weakness, angina, numbness of face, shortness of breath. His systolic blood pressure went to 222; he called the paramedics. Dr. Nerenberg gives practical advice on how to deal with such medical crisis from a medical, emotional, and spiritual approach. |
 |
Primary Angioplasty in Acute Myocardial Infarction (Contemporary Cardiology) by James E. Tcheng (Editor) The emergency treatment of acute myocardial infarction (AMI)-one of the leading causes of death throughout the world - with immediate cardiac cathterization and percutaneous coronary intervention, or primary angioplasty, is now considered the optimal approach to this deadly disorder. In "Primary Angioplasty in Acute Myocardial Infarction, Second Edition", leading investigators and experienced clinicians collect and summarize the world's literature and augment this with practical wisdom concerning this critically important form of care. Technical, professional, and administrative aspects are reviewed in clear detail. Among the topics covered are the technique and technology of direct angioplasty, patient selection, regulatory issues, performance metrics, clinical trials and outcomes,... |
 |
Concerns About Having a Second Heart Attack or Stroke Also With: Dr. Arnold P. Nerenberg (Narrator), Dr. Arnold P. Nerenberg (Commentary) Dr. Nerenberg had a heart attack seven years ago and had an angioplasty procedure to a coronary artery. After seven years a second stent was needed for a second coronary artery which was 80% blocked; fortunately there was no heart attack. His symptoms included: confusion, weakness, angina, numbness of face, shortness of breath. His systolic blood pressure went to 222; he called the paramedics. Dr. Nerenberg gives practical advice on how to deal with such medical crisis from a medical, emotional, and spiritual approach. |
 |
Primary Angioplasty: Mechanical Interventions for Acute Myocardial Infarction, Second Edition by David Antoniucci (Editor) Careggi Hospital, Florence, Italy. Provides an authoritative and comprehensive update on the rationale, techniques, and effectiveness of percutaneous mechanical revascularization for acute myocardial infarction. Features abundant halftone illustrations. |
 |
Handbook of Angioplasty and Stenting Procedures (Techniques in Interventional Radiology) by Robert A. Morgan (Editor), Eric Walser (Editor) The objective of this series of handbooks in Interventional Radiology is to provide easily accessible technique specific information on interventional radiology procedures. This series would ensure all of the key elements are in place, to fulfill the need for topic-orientated books that could be left in the IR room or carry around. Watkinson and Lee will be the Series Editors. Each book will have an EU and a US editor recruited, who would in turn select contributors to their table of contents. The books within the series will follow a template highlighting key areas with bullet points, key-point summaries, with illustrations / line drawings etc, so that residents and fellows find them didactic and easy-to-read – a must-have. The template of each book will be... |
 |
Kardovite Drops (50 mL) by The Wolfe Clinic The Wolfe Clinics Kardovite Drops Kardovite has been scientifically formulated with traditional herbal ingredients used for centuries as a path to a healthier lifestyle. Kardovite Drops should be seen as a Herbal Preparation, designed to enhance health. Traditional use of these herbs indicate that they may improve blood circulation, help lower cholesterol, treat circulatory ailments, and help break up blood clots. THE SEVEN HERBS OF KARDOVITE ARE: Cayenne, Garlic, Hawthorn, Valerian, Milk Thistle, Ginkgo Biloba, and Bilberry. CAYENNE: Stimulates the appetite, increases the flow of saliva and other digestive juices, Increases the rate and efficiency of nutrient absorption, Reduces cholesterol levels and decreases the bloods tendency to form clots, Acts as a Hypotensive and a cardiac... |
|
Gale Encyclopedia of Medicine: Angioplasty by BSRT, RT(R) Elaine R. Proseus MBA/TM (Author) The article is excerpted from Gale Encyclopedia of Medicine. Consult the second edition of this authoritative, comprehensive, in-depth medical guide for information on more than 1,700 medical topics in language accessible to adult laypersons. Presented in a single alphabetical sequence, articles range in length from one or two paragraphs for minor topics, to several pages or more for major topics. Disease/disorder articles typically cover definition; description; causes and symptoms; diagnosis; treatments; prevention; and more. Test/treatment articles typically cover definition; purposes; precautions; preparation; risks; normal and abnormal results; and much more. This second edition includes more than 200 new entries, 300 updated entries, approximately 650 color... |
| © 2009 BrightSurf.com |