Esc 2014 guidelines myocardial revascularization
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Transcript of Esc 2014 guidelines myocardial revascularization
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Strategies for Diagnosis: Functional testing & Imaging
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Revascularization for stable CAD• Angina is associated with impaired quality of
life, reduced physical endurance, mental depression, and recurrent hospitalizations and outpatient visits
• Revascularization by PCI or CABG:more effectively relieves anginareduces the use of anti-angina drugs, andimproves exercise capacity and quality of life,
compared with a strategy of medical therapy alone
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• Prior to revascularization, patients with SCAD must receive guideline-recommended medical treatment, due to its established benefits in terms of prognosis and symptom relief
• Revascularization and medical therapy should be seen as complementary, rather than competitive treatment strategies.
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Indications for revascularization
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PCI or CABG?
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Revascularization in NSTEMI
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• Timing of angiography and revascularization should be based on patient risk profile
Very high risk Pts: Urgent angiography < 2 hrs
High Risk: Early invasive strategy within 24 hrs
In lower-risk subsets, with aGRACE risk score of ,140 but with at least one secondary high-risk criterion:
invasive evaluation can be delayed without increased risk but should be performed during the same hospital stay, preferably within 72 hours of admission.
In other low-risk patients without recurrent symptoms: noninvasive assessment of inducible ischaemia should be performed before hospital discharge. 7.3 Type of revascularization
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Revascularization in STEMI
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Algorithm for treatment of cardiogenic shock
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Revascularization in DM
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Revascularization in CKD
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Carotid artery screening before CABG
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