scholarly journals 5-Year Outcomes After Implementation of Optimal Medical Therapy in General Practice Using Liaison Critical Pathway for Secondary Prevention of Coronary Artery Disease: An Observational Study

2017 ◽  
Vol 12 (2) ◽  
pp. 98
Author(s):  
Morihiro Matsuda ◽  
Kanako Yuasa ◽  
Toshiharu Kawamoto ◽  
Toshiharu Oka ◽  
Hiroshi Sugino ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
General Practice ◽  
Coronary Artery ◽  
Observational Study ◽  
Secondary Prevention ◽  
Medical Therapy ◽  
Optimal Medical Therapy ◽  
Critical Pathway ◽  
Artery Disease

scholarly journals The randomized study of preventive revascularization of vulnerable coronary artery plaques in patients with stable coronary artery disease

2020 ◽  
Vol 8 (4S) ◽  
pp. 104-110 ◽  
Author(s):  
N. A. Kochergin ◽  
V. I. Ganyukov
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Intravascular Ultrasound ◽  
Medical Therapy ◽  
Stable Coronary Artery Disease ◽  
Randomized Study ◽  
Optimal Medical Therapy ◽  
Plaque Burden ◽  
Fractional Flow ◽  
Artery Disease

Background. Today, a number of unresolved issues remain regarding vulnerable coronary plaques, one of which is the need for preventive revascularization.Aim. Evaluation of the appropriateness of preventive revascularization of functionally insignificant lesions of the coronary arteries with signs of vulnerability according to the virtual histology of intravascular ultrasound in patients with stable coronary artery disease.Methods. The prospective randomized study includes patients with stable coronary artery disease and isolated intermediate-grade coronary stenosis. The first step in patients is measured fractional flow reserve to confirm the hemodynamic insignificance of stenosis. Then an intravascular ultrasound is performed to verify signs of plaque vulnerability: a thin-cap fibroatheroma and / or minimum lumen area <4 mm2 and/or plaque burden >70%. After that, patients are randomized into two groups: preventive revascularization or optimal medical therapy. After 12 months, patients undergo repeated intravascular ultrasound and end-point analysis.Results. So far, 10 patients have been included in the study (6 in the preventive revascularization group and 4 in the optimal medical therapy group). No endpoints and complications were recorded in both groups in 30-days follow-up.Conclusion. Intravascular imaging methods can identify vulnerable coronary plaques, which allows you to use a personalized approach in determining treatment tactics, one of which can be preventive revascularization.

DECREASE IN CAROTID ARTERY THERMAL HETEROGENEITY OF PATIENTS WITH CORONARY ARTERY DISEASE UNDER OPTIMAL MEDICAL THERAPY

2019 ◽  
Vol 73 (9) ◽  
pp. 2089 ◽  
Author(s):  
George Benetos ◽  
Konstantinos Toutouzas ◽  
George Oikonomou ◽  
Koutagiar Iosif ◽  
Spiros Galanakos ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Carotid Artery ◽  
Medical Therapy ◽  
Optimal Medical Therapy ◽  
Thermal Heterogeneity ◽  
Artery Disease
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