Intracoronary imaging with intravascular ultrasound (IVUS) or optical coherence tomography (OCT) is recommended as a reasonable option to guide PCI and in patients with:
❗️stent thrombosis
❗️or in-stent restenosis to assess the mechanism of stent failure.
❗️stent thrombosis
❗️or in-stent restenosis to assess the mechanism of stent failure.
STEMI treated with fibrinolytic therapy:
🅰 If primary PCI cannot be performed within ‼️120 minutes of first medical contact
🌀 fibrinolytic therapy is recommended
✖️ but this approach carries important limitations including failure of reperfusion or the potential for reocclusion.
🔂 For this reason after treatment with fibrinolytic therapy, current guidelines recommend early transfer to a PCI hospital💲
🅰 If primary PCI cannot be performed within ‼️120 minutes of first medical contact
🌀 fibrinolytic therapy is recommended
✖️ but this approach carries important limitations including failure of reperfusion or the potential for reocclusion.
🔂 For this reason after treatment with fibrinolytic therapy, current guidelines recommend early transfer to a PCI hospital💲
Patients with :
⏱CS
⏱ decompensated heart failure
🔶 and failed reperfusion (defined by :
✔️a lack of ST resolution >50%
✔️ and absence of reperfusion arrhythmias)
👉should undergo immediate angiography and revascularization.
⏱CS
⏱ decompensated heart failure
🔶 and failed reperfusion (defined by :
✔️a lack of ST resolution >50%
✔️ and absence of reperfusion arrhythmias)
👉should undergo immediate angiography and revascularization.
Premature discontinuation of dual antiplatelet therapy and stent-related factors such as:
✔️ stent underexpansion
✔️ stent fracture
✔️ malapposition
✔️ or edge dissection
✔️ stent gap
✔️residual uncovered plaque
✔️ and stent undersizing
👉👉are the most common factors leading to stent thrombosis
✔️ stent underexpansion
✔️ stent fracture
✔️ malapposition
✔️ or edge dissection
✔️ stent gap
✔️residual uncovered plaque
✔️ and stent undersizing
👉👉are the most common factors leading to stent thrombosis
Continuation versus Interruption of Oral Anticoagulation during transcatheter aortic-valve implantation (TAVI).😔😳👆
Gastrointestinal bleeding is one of the most common bleeding complications.
✔️ Stress ulcers👉 defined as ulcers of the upper gastrointestinal tract that occur due to👉 illness during hospitalization👉 are common in the Cardiac intensive care unit setting .
✅ stress ulcer prophylaxis with a proton pump inhibitor is reasonable👈👉 for patients with Cardiogenic shock (CS)
✔️ Stress ulcers👉 defined as ulcers of the upper gastrointestinal tract that occur due to👉 illness during hospitalization👉 are common in the Cardiac intensive care unit setting .
✅ stress ulcer prophylaxis with a proton pump inhibitor is reasonable👈👉 for patients with Cardiogenic shock (CS)
Propofol can be considered an appropriate first-line sedative in patients with 👉cardiovascular diseases requiring👉 MV, considering its👉 short half-life and the👉 risk of delirium with benzodiazepines.
❤1👍1
cardiac myopathies.pptx
4.1 MB
مشاركة cardiac myopathies.pptx
Pericardial disease last.pptx
3.6 MB
مشاركة Pericardial disease last.pptx
👆👆👆👆👆👆👆👆
تكملة المواضيع التي تم شرحها من قبل الطلاب
تكملة المواضيع التي تم شرحها من قبل الطلاب
👍1
hemodialysis.pptx
971.7 KB
د. أمة الرحيم القهالي
👇👇👇👇👇👇👇👇
محاضرات الدكتورة أمة الرحيم القهالي
CVS
محاضرات الدكتورة أمة الرحيم القهالي
CVS
المحاضره 4.pptx
2.5 MB
Anatomy of the heart
CARDIAC ARRHYTHMIAS.pdf
4.4 MB
محاضرة الدكتورة امة الرحيم