April 2004

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Volume 16 Issue 4
ABSTRACT. Alcohol septal ablation has recently been described as a safe alternative to surgical myectomy for treatment of symptomatic patients with hypertrophic obstructive cardiomyopathy. We describe a case where percutaneous myectomy was performed…
“Every calling is great when greatly pursued.” — Oliver Wendell Holmes Cardiovascular (CV) services garner significant attention in healthcare these days, and for good reason. Just look at the financial statements for the average American hospital.…
Pulsus alternans is characterized by alternating strong and weak myocardial contractions in the absence of respiratory or cycle length variations, and is commonly associated with advanced left ventricular dysfunction. The alternation may be seen in t…
ABSTRACT: Congenital coronary artery fistula is a rare anomaly with varying symptomatology that may be addressed with surgical or interventional closure. Recanalization after complete occlusion of a coronary artery fistula has only been reported afte…
Atrial infarction (ATI) is detected in about 0.7–42% of autopsy findings of acute myocardial infarction (AMI) depends on whether or not the atria are specifically examined.1–3 Electrocardiography (ECG) is the only means of which antemortem diagnosis…
ABSTRACT: Cholesterol crystal embolization is a rare but recognized complication of cardiac catheterization. While management has traditionally been supportive only, we demonstrate the successful use of corticosteroids in treatment of a patient with…
Learning objectives. At the conclusion of this activity, the participant should be able to: 1) describe conventional approaches to the management of renal artery in-stent restenosis and the justification for using vascular brachytherapy in this setti…
Fischi et al.1 sought to model the influence of intraaortic balloon counterpulsation (IABP) on coronary renal and aortic flow in subjects with congestive heart failure. The model involved examining responses in 5 juvenile pigs who had pacemaker impla…
ABSTRACT: We evaluated the current short- and medium-term outcomes of complete revascularization, compared to “culprit” lesion percutaneous coronary intervention (PCI), in patients with multivessel coronary disease presenting with unstable angina. On…
ABSTRACT: Four years of follow-up renal function and survival data were obtained on 544 patients who underwent 714 successful renal artery stenosis (RAS) stent revascularizations. The mean serum creatinine (SCr) was unchanged at 4 years (1.6 ± 1.0 mg…