scholarly journals OUR EXPERIENCE OF OPTIMIZATION AND LEGITIMIZATION OF HEART TEAM WORK (MEDICAL CONSULTATION FOR DETERMINATION OF TREATMENT MANAGEMENT IN PATIENTS WITH ISCHEMIC HEART DISEASE)

2016 ◽  
Vol 175 (2) ◽  
pp. 94-97
Author(s):  
M. Yu. Kaputin ◽  
A. V. Biryukov ◽  
V. Yu. Ul’Chenko
Keyword(s):  
Coronary Artery Disease ◽  
Heart Disease ◽  
Coronary Artery ◽  
Stable Coronary Artery Disease ◽  
Team Work ◽  
Heart Team ◽  
Saint Petersburg ◽  
Artery Disease ◽  
Medical University

The article raises the problem of optimization and legitimization of work of the Heart Team. It also described the background and international experience, provided an overview of the recent international guidelines in relation to management of revasculization in patients with stable coronary artery disease. The article presents an experience of the I. P.Pavlov First Saint-Petersburg State Medical University.

Serial Determinations of PF4 and βTG: Comparisons Between Multiple Venipunctures vs a Catheter Infusion System

1988 ◽  
Vol 59 (03) ◽  
pp. 491-494 ◽  
Author(s):  
William Strauss ◽  
Guiseppe Cella ◽  
Charles Myers ◽  
Arthur A Sasahara
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Stable Coronary Artery Disease ◽  
Sampling Technique ◽  
Platelet Factor ◽  
Specific Proteins ◽  
Artery Disease ◽  
The Impact ◽  
Infusion System

SummaryPlatelet factor 4 (PF4) and beta thromboglobulin (βTG) are platelet-specific proteins which are released upon platelet aggregation and which can be accurately measured by radioimmunoassay. We devised a catheter-infusion system that enables serial determinations of these proteins.In 20 subjects (10 healthy volunteers and 10 patients with stable coronary artery disease), we compared samples collected by individual venipunctures with those simultaneously obtained by means of a simple catheter-infusion system. At least 5 samples were obtained over a period of time which was as long as 60 min, and at least 30 min. Subjects with stable coronary artery disease were selected so that they would be expected to have stable and normal PF4 and βTG levels. Thus, elevations of either PF4 or βTG would represent artifacts secondary to sampling technique.Analysis of the results demonstrated that the catheter-infusion system was equivalent to individual venipunctures for determination of PF4 and βTG . 16.8% of samples obtained via the catheter and 17.2% of those obtained by individual venipunctures were spuriously elevated.A second series of studies were performed to refine the technique further by examining the impact of infusion rate and the addition of citrate phosphate dextrose (CPD) to the infusate. Ten additional subjects had catheter systems utilized in both arms simultaneously. The addition of CPD resulted in significantly less abnormal values at slower infusion rates (1 and 2.5 cc/min). At 5 cc/min D5/w or saline alone are suitable.These investigations confirm that this simple catheter system is equivalent to individual venipunctures for determination of PF4 and βTG while avoiding patient discomfort. Also noted was the fact that a high percentage of determinations could be spuriously elevated by either technique under clinical demands. Thus, multiple determinations from the same subject are necessary to assure reproducibility.

scholarly journals Determinants of heart rate turbulence in individuals without apparent heart disease and in patients with stable coronary artery disease

EP Europace ◽  
2015 ◽  
Vol 17 (12) ◽  
pp. 1855-1861 ◽  
Author(s):  
Gaetano Pinnacchio ◽  
Gaetano Antonio Lanza ◽  
Alessandra Stazi ◽  
Giulia Careri ◽  
Ilaria Coviello ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Heart Rate ◽  
Heart Disease ◽  
Coronary Artery ◽  
Stable Coronary Artery Disease ◽  
Heart Rate Turbulence ◽  
Artery Disease

scholarly journals LIFE QUALITY ASSESSMENT OF PATIENTS WITH STABLE CORONARY ARTERY DISEASE AFTER MYOCARDIAL REVASCULARIZATION

2021 ◽  
Vol 8 (6) ◽  
pp. 465-475
Author(s):  
I. A. Narkevich ◽  
O. D. Nemyatykh ◽  
K. A. Kovaleva ◽  
L. G. Ratova ◽  
I. O. Trushnikova ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Coronary Artery ◽  
Coronary Arteries ◽  
Stable Coronary Artery Disease ◽  
Life Quality ◽  
Stable Coronary Heart Disease ◽  
Artery Disease ◽  
Angioplasty And Stenting

The aim of this study is to assess the life quality of patients with stable coronary artery disease after angioplasty and stenting of coronary arteries at the post-hospital stage.Materials and methods. Methods of the sociological analysis (questionnaire surveys) and methods of mathematical statistics (descriptive statistics, time series method, factor and variance analyses) were used at different stages of the prospective observational study. The research materials were as follows:1458 electronic patient records with a stable coronary heart disease (SCHD) after angioplasty and stenting of coronary arteries (ASCA); 620 questionnaires filled in by patients before the surgery, 1, 6, 12 months after discharge. The statistical analysis was performed using the IBM SPSS Statistics software.Results. The results of a comprehensive survey make it possible for us to assert that during the studied period, stable good healths of cardiac surgery patients with ASCA were maintained. Within the framework of the EQ-5D-5L questionnaire, it was revealed that more than 50% of patients have no physiological problems. The results of the SAQ analysis demonstrate that 58% of the patients feel better, and more than 34% of the patients do not have shortness of breath 1 year after the surgery. A statistically significant improvement in their healths was established according to a visual analogue scale relatively to the annual observation mark (62.82 ± 20.95), which corresponds to the high results assessment of the medical technology use. At the same time, 53% of the patients notify that the treatment results meet their own expectations.Conclusion. The proposed calculation of the integrated index of patients’ treatment efficiency demonstrated by the patients with stable coronary heart disease after angioplasty and stenting of the coronary arteries is based on the results of the factor analysis. This calculation can be used to assess the efficiency of pharmacotherapy in the framework of a value-oriented approach to the treatment of a number of other pathologies.

The Heart Team: introduction

ESC CardioMed ◽  
2018 ◽  
pp. 3011-3012
Author(s):  
Vasim Farooq ◽  
Patrick W. Serruys
Keyword(s):  
Atrial Fibrillation ◽  
Coronary Artery Disease ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Coronary Artery ◽  
Congenital Heart ◽  
Heart Team ◽  
Team Management ◽  
Artery Disease ◽  
Cardiovascular Care

This chapter acts as an introduction to the following chapters in this section which aim to comprehensively cover the Heart Team to reflect the complexities of contemporary cardiovascular care. These include the Heart Team management of grown-up congenital heart disease, complex coronary artery disease, transcatheter (and surgical) valvular interventions, and more recently that related to electrophysiology—specifically in the complexities of the management of atrial fibrillation (stroke prevention and rhythm management).

Myocardial glucose uptake in patients with NIDDM and stable coronary artery disease

Diabetes ◽  
1997 ◽  
Vol 46 (9) ◽  
pp. 1491-1496 ◽  
Author(s):  
M. Maki ◽  
P. Nuutila ◽  
H. Laine ◽  
L. M. Voipio-Pulkki ◽  
M. Haaparanta ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Glucose Uptake ◽  
Stable Coronary Artery Disease ◽  
Myocardial Glucose Uptake ◽  
Artery Disease
Sign in / Sign up

Export Citation Format

Share Document