Posts Tagged ‘coronary artery disease’

Drug-Eluting or Bare-Metal Stents for Coronary Artery Disease

Posted by • September 26th, 2016

Mr. Patrick is a 59-year-old man admitted to the hospital with a non-ST elevation myocardial infarction (NSTEMI). You start him on an aspirin, P2Y12 inhibitor, statin, and heparin, and discuss the need for cardiac catheterization and possible stent placement. Mr. Patrick has heard that there are different types of stents available and wants to know… Read More…

Coronary-Artery Bypass Grafting

Posted by • May 20th, 2016

Appropriate selection of patients for coronary-artery bypass grafting (CABG) is critical to ensure good outcomes. The evaluation of patients for CABG relies on a systematic assessment of the characteristics and coronary anatomy known to be associated with a survival benefit from CABG as compared with medical therapy or percutaneous coronary intervention (PCI). There is increasing… Read More…

Chronic Stable Angina

Posted by • March 25th, 2016

Angina is the initial manifestation in approximately half of all patients who present with coronary artery disease. The presence of chronic angina approximately doubles the risk of major cardiovascular events. Management of angina includes lifestyle changes and pharmacologic treatment to reduce cardiovascular risks, antianginal therapies (beta-blockers, long-acting nitrates, calcium-channel blockers, and — recently in the United States —… Read More…

Simple and Complex

Posted by • January 4th, 2013

In the latest article in our Clinical Problem-Solving series, a 44-year-old man presented to the emergency department with chest pain that had started 1 hour earlier and had awakened him from sleep. The pain was severe, substernal, burning, radiating to the left arm, and accompanied by nausea and vomiting. When a myocardial infarction occurs in a… Read More…

Matters of the Heart: Multivessel Revascularization in Diabetic Patients

Posted by • December 19th, 2012

Your patient, Mr. Smith, is a good man with a bad heart.  He’s had diabetes for years and was recently diagnosed with three-vessel coronary artery disease (CAD).  Even mild exertion gives him chest pain.  Now that it’s winter, he wants to shovel the driveway, but his wife (an outspoken woman) will have none of it. “He… Read More…

Cold Steel or Caged Balloon? The ASCERT Study Adds to the Revascularization Rivalry

Posted by • April 18th, 2012

Mac versus PC, Republicans versus Democrats, chocolate versus vanilla … life is full of rivalries, and the world of medicine is no exception. Take cardiology and cardiac surgery, for example. Who’s better at mending a particular group of blood-starved hearts? The answer depends on the group of hearts – and perhaps on the group you ask…. Read More…

Read the Latest 200th Anniversary Articles

Posted by • February 16th, 2012

During the 2012 anniversary year, we are publishing a series of engaging Review and Perspective articles from established authors who are preeminent in their fields. Each article explores a story of progress in medicine over the past 200 years. These articles will appear every other week.  The relationship between patients and doctors is at the… Read More…

CABG for Patients with Heart Failure

Posted by • April 29th, 2011

In a study by Velazquez et al., patients with coronary artery disease and left ventricular dysfunction were assigned to either medical therapy alone or medical therapy plus CABG. At 5 years, there was no significant difference between the two study groups in the rate of death from any cause. The role of coronary-artery bypass grafting (CABG)… Read More…