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Different treatment options in chronic coronary artery disease
April 28, 2009Sometimes cardiologists and cardiac surgeons can agree! There is often disagreement between the professions of cardiology and cardiac surgery about the proper therapy for coronary artery disease (CAD)-and this can harm the patient. In the current edition of Deutsches Ärzteblatt International, an interdisciplinary team of authors consisting of cardiologists and cardiac surgeons provides answers to the question of when a bypass operation (ACB) and when percutaneous coronary intervention (PCI) is effective (Dtsch Arztebl Int 2009; 106(15): 253-61). Martin Russ, Jochen Cremer and coauthors show that ACB and PCI are of equivalent value and can be placed in a complementary treatment plan.
The authors not only consider the results of randomized controlled studies, but extend their overview to the analyses of registries, which provide complementary data.
Thus PCI or ACB is advisable in those patients who still suffer from angina pectoris under drug treatment or for whom relevant ischemia has been demonstrated by non-invasive methods. According to the authors, the main indication for aortocoronary bypass surgery is when the proportion of ischemic myocardia is at least 10%. A bypass operation can greatly improve the symptoms in the intermediate and long term. Severe comorbidity, such as renal failure or chronic obstructive pulmonary disease, support the use of PCI rather than ACB.
In critical constellations, the decision about the procedure to be used should be shared by cardiologists and cardiac surgeons, who must consider the patient's expectations, as well as the advantages and disadvantages in the short and long term.
Deutsches Aerzteblatt International
In critical constellations, the decision about the procedure to be used should be shared by cardiologists and cardiac surgeons, who must consider the patient's expectations, as well as the advantages and disadvantages in the short and long term.
Deutsches Aerzteblatt International
Cardiac Surgeons Current Events and Cardiac Surgeons News RSSInfective endocarditis: An old but changing disease
Infective endocarditis (IE) is a severe form of valve disease characterized by infection located in the valves of the heart.
Is there long-term brain damage after bypass surgery? More evidence puts the blame on heart disease
Brain scientists and cardiac surgeons at Johns Hopkins have evidence from 227 heart bypass surgery patients that long-term memory losses and cognitive problems they experience are due to the underlying coronary artery disease itself and not ill after-effects from having used a heart-lung machine.
4 out of 106 heart replacement valves from pig hearts failed
Pig heart valves used to replace defective aortic valves in human patients failed much earlier and more often than expected, says a report from cardiac surgeons at Washington University School of Medicine in St. Louis.
SYNTAX defines borders between CABG and PCI with TAXUS drug-eluting stents
Coronary artery bypass grafting (CABG) should remain the "standard of care" for patients with complex coronary artery disease, concludes the SYNTAX study, published in the New England Journal of Medicine (online February 18, 2009, Print edition March 5).
New appropriate use criteria guide treatment of patients with heart blockage
If you're committed to fitness, the decision to climb a couple of flights of stairs rather than take the elevator is clear. But if you develop chest pain on the way up, deciding how to treat the symptoms of clogged arteries in your heart is much more complicated.
Scientists develop new techniques for detecting harmful blood clots/air bubbles in arteries
New techniques for detecting emboli (harmful blood clots/air bubbles in arteries) developed at the University of Leicester have played a major role in dramatically reducing stroke rates after carotid endarterectomy. This is an operation designed to remove narrowings in the main arteries supplying the brain before they can cause a stroke.
National study will look at German-made heart pump for children needing heart transplants
Texas Children's Hospital has been named the national lead center for a 12-hospital, 36-month clinical trial of the German-manufactured pediatric heart pump called Berlin Heart EXCOR® Pediatric Ventricular Assist Device (VAD).
For babies with heart defects, death risk is far lower at most experienced hospitals
Each year, thousands of babies are born with severe heart defects that must be operated on within days or weeks of their birth.
Life-threatening gene defect located by UT-Houston researchers
A research team led by scientists at The University of Texas Medical School at Houston has identified a defective gene that affects vascular smooth-muscle cells in people who suffer from hereditary thoracic aortic disease, which can kill victims with little warning in the prime of their lives.
New data shows benefits of MitraClip for patients with mitral regurgitation
The vast majority of patients who had a successful result with the percutaneous MitraClip device did not need mitral valve surgery three years after their procedure, and many benefited from significantly improved function of the left ventricle (commonly known as reverse remodeling).
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The Cardiac Surgeon's Diet & Health Design by M.D. B. P. Loughridge (Author) A common sense, comprehensive book of nutritional principles including information on protein, carbohydrate, fats, vitamins, minerals, homocysteine and blood lipids as well as lifestyle issues. It is printed with four color illustrations on 100 lb. paper |
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CARDIAC SURGEON Street Sign ~ Custom Aluminum Street Signs by Vinyl Graphics Planet Made from 4"x18" aluminum with 5-7 outdoor vinyl lettering. Can make with any lettering email any requests. |
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Women Are Surgeons (2006?)? In this DVD, watch three women surgeons balance work and family life. Women Are Surgeons (2006?) U.S. Department of Health and Human Services National Institutes of Health Office of Science and Education Women Are Scientists This Video: Women Are Surgeons Movies and television programs show the drama and intensity of surgeons' lives. How closely do these programs mimic reality? In this DVD, watch three women surgeons balance work and family life. Observe them in the operating room during real-life trauma and orthopedic and cardiac surgeries. See also: Surgeons | Pathologists | Researchers | Scientists With Disabilities This movie is part of the collection: FedFlix Producer: National Institutes of Health Audio/Visual: sound, color Language: English Run time: 25' 51" |
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Maverick Among the Moguls: The Adventurous Career of a Pioneer Cardiac Surgeon by Benson B. Roe (Author) Benson Roe relates his emergence from a mundane, comfortable, middle-class background and education into an exciting and unexpected career in the hallowed halls of medicine and surgery. A career highlighted by the development of open-heart surgery spans the Great Depression, World War II, the earliest phases of modern intensive surgery, and the explosive growth of the new specialty. In a setting devoid of textbooks, professional mentors and previous experience, Roe forged ahead in his quest to learn new ways of saving lives during the postwar era, when more people in America were dying of heart disease than ever before. Trained as a thoracic surgeon, Benson Roe took on the burgeoning need for cardiac surgery when procedures were in their infancy. Innovative and problem-solving... |
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Cardiac Surgeon Leaves Phrenic Pad in Pt.: Negligence Per Se?(Brief Article): An article from: Medical Law's Regan Report by A. David Tammelleo (Author) This digital document is an article from Medical Law's Regan Report, published by Medica Press, Inc. on October 1, 2000. The length of the article is 811 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser. Citation Details Title: Cardiac Surgeon Leaves Phrenic Pad in Pt.: Negligence Per Se?(Brief Article) Author: A. David Tammelleo Publication: Medical Law's Regan Report (Magazine/Journal) Date: October 1, 2000 Publisher: Medica Press, Inc. Volume: 33 Issue: 10 Page: 2 Article Type: Brief Article Distributed by Thomson... | |
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CARDIAC SURGEON Street Sign ~ Custom Aluminum Street Signs by Vinyl Graphics Planet 6"x24" .040 thick Aluminum street sign with 5-7 year outdoor vinyl. Great decoration and gift idea. Want another color lettering including reflective Contact US. We also make these in the smaller 4"x18" if you do not see listed contact us and we''''ll get it listed. |
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Dispute splits cardiologists, cardiac surgeons.(Issues of Competitiveness, Quality of Care): An article from: Internal Medicine News by Joyce Frieden (Author) This digital document is an article from Internal Medicine News, published by International Medical News Group on March 15, 2004. The length of the article is 1429 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser. Citation Details Title: Dispute splits cardiologists, cardiac surgeons.(Issues of Competitiveness, Quality of Care) Author: Joyce Frieden Publication: Internal Medicine News (Magazine/Journal) Date: March 15, 2004 Publisher: International Medical News Group Volume: 37 Issue: 6 Page: 98(1) Distributed by Thomson... | |
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CARDIAC SURGEON Street Sign ~ Custom Aluminum Street Signs by Vinyl Graphics Planet 6"x24" .040 thick Aluminum street sign with 5-7 year outdoor vinyl. Great decoration and gift idea. Want another color lettering including reflective Contact US. We also make these in the smaller 4"x18" if you do not see listed contact us and we''''ll get it listed. |
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National Adult Cardiac Surgical Database Report 2003: Improving Outcomes for Patients by Society of Cardiothoracic Surgeons of Great Britain and Ireland (Author) This book is the fifth in a series of reports documenting cardiac surgical practice in the UK and Ireland. It describes the changing patient population, the evolution of surgical techniques, the factors influencing surgical outcomes and includes an explanation of how these can be used to measure and compare surgical outcomes. | |
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Principles of Cardiac Diagnosis and Treatment: A Surgeons' Guide by Donald N. Ross (Author), Terence A. H. English (Author), Roxane McKay (Author) This review of the diagnosis of surgical heart disease has been revised and updated to include a survey of common conditions encountered in the practice of cardiac surgery. The text offers an overview of current practices rather than details of individual operative techniques. |
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