By Ever D. Grech
Large, and occasionally advanced, elements of interventional cardiology are provided in a transparent, concise and balanced demeanour. this straightforward to learn textual content, supplemented by means of a variety of photos and snap shots, will attract a large readership, together with scientific scholars, family members medical professionals, physicians, and cardiology.
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Additional resources for ABC of Interventional Cardiology
Such a condition should be suspected if a patient develops a new systolic murmur, and is readily confirmed by echocardiography—which should be urgently requested. Such patients have high mortality, and urgent referral for surgery may be needed. Even with surgery, the survival rate can be low. Myocardial rupture of the free wall may cause low cardiac output as a result of cardiac compression due to tamponade. It is more difficult to diagnose clinically (raised venous pressure, pulsus paradoxus), but the presence of haemopericardium can be readily confirmed by echocardiography.
Cardiogenic shock: a more aggressive approach is now warranted. Eur Heart J 2000;21:1897-901 8 Interventional pharmacotherapy Roger Philipp, Ever D Grech The dramatic increase in the use of percutaneous coronary intervention has been possible because of advances in adjunctive pharmacotherapy, which have greatly improved safety. Percutaneous intervention inevitably causes vessel trauma, with disruption of the endothelium and atheromatous plaque. This activates prothrombotic factors, leading to localised thrombosis; this may impair blood flow, precipitate vessel occlusion, or cause distal embolisation.
3%). Similar benefits were seen in the subset of patients who underwent percutaneous coronary intervention. The impact this study will have on the use of glycoprotein IIb/IIIa inhibitors in this clinical situation remains unclear. In another group of studies (n=16 770), patients were given a glycoprotein IIb/IIIa inhibitor or placebo immediately before or during planned percutaneous intervention. All showed unequivocal benefit with the active drug. Despite their efficacy, however, some interventionists are reluctant to use glycoprotein IIb/IIIa inhibitors in all patients because of their high costs and reserve their use for high risk lesions or when complications occur.