It is only 26 years since the first percutaneous transluminal coronary angioplasty (PTCA) was carried out by the pioneering Swiss
radiologist, Andreas Greuntzig, heralding the dawn of interventional cardiology. In this short time, interventional cardiology has
overcome many limitations and undergone major evolutionary changes—most notably the development of the coronary stent.
Worldwide, many thousands of patients now safely undergo percutaneous coronary intervention every day, and the numbers
continue to grow.
For much of the early history of medicine, the heart was
considered to be the most sacred and mystical of all
human organs. As a General Pediatrician, I tend to expect
that the children I care for will have strong, properly
functioning hearts. However, in situations where the
heart is congenitally malformed or affected by inflammation
or myopathy, it is reassuring and important to have a
pediatric cardiologist and cardiac surgeon at my side to
help me with decisions about further diagnostic testing
and imaging, instituting medical therapy, and assessing
the need for surgical intervention....
Angina is the characteristic pain of IHD. It is caused by
atherosclerosis leading to stenosis (partial occlusion) of one or
more coronary arteries. Patients with chronic stable angina
have an average annual mortality of 2 percent or less. Acute
myocardial infarction (AMI) is the total occlusion of a major
coronary artery with a complete lack of oxygen and nutrients
leading to cardiac muscle necrosis. AMI is usually diagnosed
by changes in the electrocardiogram; by elevated serum
enzymes, such as creatine phosphokinase and troponin T or I;
and by pain similar to that of angina.
(BQ) Separate chapters cover ACC/AHA guidelines for percutaneous coronary intervention, chronic stable angina, acute coronary syndromes, and ST-elevation myocardial infarction. A chapter on test-taking is also included.
1/ BỆNH TIM DO THIẾU MÁU CỤC BỘ CẤP TÍNH ĐƯỢC XẾP LOẠI NHƯ THẾ NÀO ?
Bệnh tim do thiếu máu cục bộ ổn định mãn tính. (Chronic stable ischemic heart disease)
Các hợp chứng động mạch vành cấp tính. (Acute coronary syndromes)
Cơn đau thắt ngực không ổn định (unstable angina) Nhồi máu cơ tim cấp tính không nâng cao đoạn ST.(Acute non-ST segment elevation myocardial infarction)