June 2006

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Volume 18 Issue 6
The elderly patient with coronary artery disease (CAD) poses unique challenges in clinical management. The basic problem is that there are insufficient data from dedicated clinical trials to provide a framework for decision making. Clinical decisions…
Continued (Part II of II) Cardiogenic Shock Although several registries suggest that elderly patients who present with cardiogenic shock have a significant improvement in survival with PCI, neither the SHOCK trial nor the Northern New England Shock…
Diagnostic coronary angiography in the current era is a remarkably safe procedure, yet major complications do occur. Many of these complications are related to vascular access. Although discomfort at the site of access is frequent and minor hematomas…
Recent case reports of late stent thrombosis following the discontinuation of aspirin have raised the concern that drug-eluting stents might be more prone to this complication. McFadden et al reported on 4 patients, 2 who received a paclitaxel-elutin…
Cardiogenic shock complicating acute myocardial infarction is associated with high mortality.1,2 Early recognition and coronary revascularization are crucial to improve its poor prognosis. Successful early reperfusion of the infarct-related coronary…
Dear Readers, The first of our feature articles in the June issue is from Pierfrancesco Agostoni and colleagues of the University Verona and AZ Middelheim in Antwerp, Belgium and assesses the safety of percutaneous left heart catheterization direct…
Left main coronary artery stenosis occurs in 3–5% of patients undergoing coronary angiography. Percutaneous treatment has been limited by major adverse cardiovascular events during the follow-up period. Studies suggest bare metal stents have restenos…
Exposure to contrast media occasionally induces acute renal disturbance, often called contrast-induced nephropathy (CIN).1–3 Although the impairment is transient and function spontaneously recovers in most cases, irreversible damage occurs in some pa…
Case Report. A 43-year-old Caucasian male was admitted with prolonged central chest pain. His initial ECG demonstrated ST depression in leads II, III, aVf and V2–V6. He received aspirin 300 mg, a loading dose of clopidogrel 300 mg (followed by 75 mg…
Percutaneous transcatheter alcohol septal myocardial ablation (PTSMA) is an effective alternative to septal myectomy for symptomatic patients with hypertrophic obstructive cardiomyopathy (HOCM).1–6 While alleviating symptoms for most patients, the pr…