Aortic dissection

Dr TAsk Doctor T, Chest Pain, Diagnosis, Therapy, Treatment 1 Comment

Introduction Aortic dissection results from a tear in the inner layer of the aortic wall (called intimal tear). Blood pumped from the heart into the aorta pushes the layers further apart in an upstream or downstream direction (or both, see below) and block side branches that may include Your coronary arteries, causing a heart attack Arteries to your brain , …

The ORBITA Trial

Dr TNews for Professionals, Papers, Professionals, Therapy 2 Comments

Percutaneous Coronary Intervention in stable angina  PCI was no better than a sham procedure at providing relief to stable angina patients, the ORBITA trial showed. Symptomatic relief is the primary goal of percutaneous coronary intervention (PCI) in stable angina and is commonly observed clinically. However, there is no evidence from blinded, placebo-controlled randomised trials to show its efficacy. The ORBITA …

SYNTAX and Bypass Surgery

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Lessons learned from the SYNTAX trial after two years, the first surgical analysis paper of  the SYNTAX trial has proven what I have blogged about on numerous previous occasions. The excellent results of 1% mortality, irrespective of the assigned SYNTAX Risk Score, compares VERY favorably with PCI. At two years better than expected outcomes have continued. As the EACTS 2010 …