Myocardial ischemia: From disease to syndrome.
Angina; Chronic coronary syndromes; Coronary artery disease; Ischemic heart disease; Microvascular dysfunction
Although current guidelines on the management of stable coronary artery disease acknowledge that multiple mechanisms may precipitate myocardial ischemia, recommended diagnostic, prognostic and therapeutic algorithms are still focused on obstructive epicardial atherosclerotic lesions, and little progress has been made in identifying management strategies for non-atherosclerotic causes of myocardial ischemia. The purpose of this consensus paper is three-fold: 1) to marshal scientific evidence that obstructive atherosclerosis can co-exist with other mechanisms of ischemic heart disease (IHD); 2) to explore how the awareness of multiple precipitating mechanisms could impact on pre-test probability, provocative test results and treatment strategies; and 3) to stimulate a more comprehensive approach to chronic myocardial ischemic syndromes, consistent with the new understanding of this condition.
Marzilli Mario; Crea Filippo; Morrone Doralisa; Bonow Robert O; Brown David L; Camici Paolo G; Chilian William M; DeMaria Anthony; Guarini Giacinta; Huqi Alda; Merz C Noel Bairey; Pepine Carl; Scali Maria Chiara; Weintraub William S; Boden William E
International journal of cardiology
2020
2020-04-26
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a href="http://doi.org/10.1016/j.ijcard.2020.04.074" target="_blank" rel="noreferrer noopener">10.1016/j.ijcard.2020.04.074</a>
Obstructive Coronary Atherosclerosis And Ischemic Heart Disease: An Elusive Link!
angina; artery-disease; atherosclerosis; Cardiovascular System & Cardiology; clinical presentation; follow-up; fractional flow reserve; Ischemic heart disease; medical therapy; multifactorial; myocardial-infarction; prognostic value; reactive protein-levels; revascularization; risk-factors; stable
Marzilli M; Merz C N B; Boden W E; Bonow R O; Capozza P G; Chilian W M; DeMaria A N; Guarini G; Huqi A; Morrone D; Patel M R; Weintraub W S
Journal of the American College of Cardiology
2012
2012-09
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1016/j.jacc.2012.02.082" target="_blank" rel="noreferrer noopener">10.1016/j.jacc.2012.02.082</a>
Dual-catheter covered stenting: a novel approach to the treatment of large coronary artery perforations.
Female; Humans; Aged; Follow-Up Studies; Treatment Outcome; Risk Assessment; Coronary Angiography; *Stents; Cardiac Catheterization/*instrumentation/methods; Coronary Restenosis/diagnostic imaging/*therapy; Coronary Vessels/*injuries; Angioplasty; Balloon; Angina; Coronary/*adverse effects/methods; Unstable/diagnostic imaging/*therapy
Coronary perforation is an infrequent but potentially devastating complication of coronary intervention. Treatment of a broad-based perforation usually requires emergent pericardiocentesis and thoracotomy. We present a novel approach to closure of \textgreater or = 1 mm diameter perforations using a dual-catheter covered stent technique.
Silver Kevin H; Bauman William B; Berkovitz Kenneth E
The Journal of invasive cardiology
2003
2003-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).