Coronary artery disease : characteristics, management and long-term outcomes / Courtney Burke, editor.

Format:

Book

Contributor:

Burke, Courtney, editor.

Series:

Cardiology research and clinical developments series.

Cardiology Research and Clinical Developments

Language:

English

Subjects (All):

Coronary heart disease--Surgery.

Coronary heart disease.

Physical Description:

1 online resource (181 p.)

Place of Publication:

New York : Nova Biomedical, 2016.

Summary:

Coronary artery disease (CAD) is a leading cause of mortality and morbidity worldwide. In approximately half of the patients with newly diagnosed CAD, the first presentation is either acute myocardial infarction or sudden cardiac death. This book provides current research on the characteristics, management and long-term outcomes of coronary artery disease. Chapter One begins with an overview of biological characteristics, clinical classification, and spasms of arterial grafts and antispastic management in coronary artery bypass grafting surgery. Chapter Two discusses coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in the current era, and highlights relative strengths and weaknesses of each approach. It also discusses various risk-stratification scoring systems, and consider both procedures in the context of different demographic populations, including advanced age, gender, acute coronary syndromes, previous CABG, renal failure, diabetes mellitus and left main involvement. Chapter Three focuses on contribution facts and fables of gender disparities in cardiovascular diseases. Chapter Four examines the role of multi-detector computed tomography in the detection of subclinical coronary atherosclerosis in patients without known CAD.

Contents:

CORONARY ARTERY DISEASE: CHARACTERISTICS, MANAGEMENT AND LONG-TERM OUTCOMES; CORONARY ARTERY DISEASE: CHARACTERISTICS, MANAGEMENT AND LONG-TERM OUTCOMES; Library of Congress Cataloging-in-Publication Data; CONTENTS; PREFACE; Chapter 1: BIOLOGICAL CHARACTERISTICS, CLINICAL CLASSIFICATION, AND SPASM OF ARTERIAL GRAFTS AND ANTISPASTIC MANAGEMENT IN CORONARY ARTERY BYPASS GRAFTING SURGERY; ABSTRACT; I. INTRODUCTION; I.1. Biological Characteristics and Clinical Classification ofArterial Grafts; II. PATHOPHYSIOLOGY OF SPASM; II.1. Existence and Incidence of Spasm of Arterial Grafts

Prevalence of Spasm of IMAThe Incidence of Spasm in Other Arterial Grafts; II.2. Mechanisms of Spasm of Arterial Grafts; III. PHARMACOLOGICAL MANAGEMENT FOR SPASM (PHARMACOLOGICAL ANTISPASTIC METHODS); III.1. The Vasodilator Agents Used for Arterial Grafts; III.2. Existing Pharmacological Methods (Antispastic Protocols) to Overcome Spasm; IV. NON-PHARMACOLOGICAL THERAPY TO OVERCOME SPASM; IV.1. Denervation or Skeletonization or En-Bloc Harvesting?; IV.2. Carbon Dioxide Insufflation; IV.3. Normothermia or Heat Therapy or No Need for Vasodilators

IV.4. Injection of Room Air Beneath the Endothoracic Fascia Before IMA DissectionIV.5. Harmonic Scalpel; IV.6. Intraoperative Detection of Intimal Lipid in the Radial Artery Predicts Degree of Postoperative Spasm; IV.7. Careful Dissection and Preparation of the IMA Pedicle to Prevent Injury and Spasm; IV.8. Intractable LIMA Spasm in the Postoperative Period Treated by Placement of 'Bridging' Stent - A "Hybrid Procedure"; IV.9. Pre-Emptive Stellate Ganglion Block; IV.10. Extrafascially Harvested Radial Artery

IV.11. Injection of Vasodilators into Arterial Grafts Through Cardiac Catheter to Relieve SpasmIV.12. Balloon Calibration to Relieve IMA Spasm; IV.13. Adenoviral Transfer of NOS; IV.14. Extracorporeal Membrane Oxygenation (ECMO); SUMMARY AND CONCLUSION; FUNDING SOURCES; REFERENCES; Chapter 2: PERCUTANEOUS VERSUS SURGICAL CORONARY REVASCULARIZATION IN THE CURRENT ERA AND BEYOND: IS THE DEBATE OVER?; ABSTRACT; INTRODUCTION; SURGICAL REVASCULARIZATION; On-/Off-Pump CABG; Minimally Invasive CABG; Arterial and Venous Conduits; PERCUTANEOUS REVASCULARIZATION

RISK STRATIFICATION OF PATIENTS WITH CADCOMPARING SURGICAL VERSUS PERCUTANEOUS REVASCULARIZATION; Patients with Left Anterior Descending Artery Disease; Patients with Right Coronary or Circumflex Disease; Patients with Left Main Artery Disease; Patients with Multivessel Disease; Patients with Acute Coronary Syndrome (ACS); CHOICE OF CORONARY REVASCULARIZATION IN SPECIAL SUBGROUPS; Older Patients; Gender; Previous CABG; Renal Failure; Diabetes Mellitus; Future Directions; CONCLUSION; REFERENCES; BIOGRAPHICAL SKETCH

Chapter 3: GENDER DISPARITY IN CARDIOVASCULAR DISEASE: CONTRIBUTING FACTS AND FABLES

Notes:

Description based upon print version of record.

Includes bibliographical references at the end of each chapters and index.

Description based on print version record.

ISBN:

1-63485-338-5