scholarly journals Exercise test predictors of severe coronary artery disease: Role of ST-segment elevation in lead aVR

2016 ◽  
Vol 40 (2) ◽  
pp. 102-108 ◽  
Author(s):  
Giulio Russo ◽  
Salvatore Emanuele Ravenna ◽  
Antonio De Vita ◽  
Cristina Aurigemma ◽  
Priscilla Lamendola ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Exercise Test ◽  
Severe Coronary Artery Disease ◽  
St Segment Elevation ◽  
St Segment ◽  
Severe Coronary Artery ◽  
Lead Avr ◽  
Artery Disease

scholarly journals The role of Nicorandil in non-healing surgical wounds

2010 ◽  
Vol 92 (6) ◽  
pp. e16-e18 ◽  
Author(s):  
AD Riddell ◽  
U Minhas ◽  
GL Williams ◽  
KJ Harding
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Aetiological Factor ◽  
Severe Coronary Artery Disease ◽  
Surgical Wounds ◽  
Severe Coronary Artery ◽  
Risk Patients ◽  
Healing Wounds ◽  
Artery Disease

We report two patients with non-healing surgical wounds, which healed after the withdrawal of Nicorandil therapy. Nicorandil should be recognised as an aetiological factor for non-healing wounds or ulcers once other inflammatory and malignant causes have been excluded. This may avoid surgery for high-risk patients and may also reduce complications for patients who undergo surgery for non-healing wounds. As Nicorandil is used in patients with severe coronary artery disease, it is recommended that the advice of a cardiologist is sought prior to cessation or adjustment to its dose.

scholarly journals Pre-infarction angina – a problem more common than one might think. Role of general practitioners according to the 2019 ESC Clinical Practice Guidelines

2020 ◽  
Vol 16 (4) ◽  
pp. 389-395
Author(s):  
Małgorzata Wojciechowska ◽  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment ◽  
Artery Disease ◽  
Test Probability

Background and aims: Some patients present with stenocardial pain long before the onset of myocardial infarction. The aim of the study was to evaluate the mean frequency and duration of typical angina pectoris preceding ST-segment elevation myocardial infarction. In addition, the article addresses the role of general practitioners in the diagnosis of patients with suspected coronary artery disease. Material and methods: The study included a total of 120 patients without prior diagnosis of coronary artery disease who were admitted to the invasive cardiology department with ST-segment elevation myocardial infarction. All patients were assessed to determine symptoms preceding myocardial infarction and risk factors for coronary artery disease. In addition, their pre-test probability of disease was estimated. Results: Out of 120 patients, 43 (35.8%) presented with typical angina symptoms preceding myocardial infarction. The median duration of symptoms was 45 days (min 4, max 2,190 days!), and symptoms recurring for ≥2 weeks were found in 35 patients. The estimated pre-test probability of coronary artery disease was >15% in 40 (93%) patients, and the risk factors for coronary artery disease were prevalent. Conclusions: Typical exertional angina preceding myocardial infarction occurred in over 35% of patients. In some of them, it persisted for a number of months. The estimated probability of coronary artery disease in nearly all patients was >15%. Based on the collected data, the authors conclude that there is a need for broadly understood education so as to improve the understanding of typical anginal symptoms. Correct recognition of symptoms by physicians and patients can significantly reduce the incidence of myocardial infarction and, consequently, bring down the prevalence of heart failure, and decrease mortality rates in patients with coronary artery disease.

Is isolated ST segment elevation in Lead aVR associated with high grade coronary artery disease?

2020 ◽  
Vol 62 ◽  
pp. 170-177
Author(s):  
Emily Hiltner ◽  
Ammar Al Akshar ◽  
Prachi Thanawala ◽  
Abdul Hakeem ◽  
James Coromilas ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
High Grade ◽  
St Segment Elevation ◽  
St Segment ◽  
Lead Avr ◽  
Artery Disease
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