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3 years ago
Despite the low prevalence in the overall population, congenital coronary artery (CA) anomalies are frequently found as the cause of sudden death (SD) in the young, particularly in the athletic field.1-11 These anomalies are observed both in paediatric and adult patients, with an equal incidence of SD. Why a patient may survive asymptomatic until adulthood and then suffer from angina, myocardial…
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3 years ago
Non-alcoholic fatty liver disease (NAFLD) has become the most prevalent chronic liver disease in western countries.1,2 It is closely associated with obesity, diabetes, dyslipidaemia and the metabolic syndrome, and shares common risk factors and pathophysiological mechanisms with these entities.2,3 NAFLD can be associated with hepatocellular damage and inflammation and is then called non-alcoholic…
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3 years ago
Angina pectoris is a symptom that is usually, in the developed world, caused by obstruction to the coronary arteries by the enlargement of atheromatous lesions; there are other causes. The symptom can limit lifestyle, but more importantly is a repetitive reminder to the patient of the presence of heart disease, causing continual anxiety because of the belief that angina is the portent of early…
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3 years ago
Role of Mental Stress in Cardiovascular Disease
The pathophysiology of how mental stress affects and modulates the cardiovascular system is incompletely understood. Chronic stress has long been suspected to be a risk factor for cardiovascular disorders (CVD), either through direct or indirect mechanisms.1,2 Stress is known to activate two biological systems: the hypothalamic-pituitary-adrenal…
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3 years ago
To date, cardiologists have alleviated the symptoms of patients with significant lesions in the coronary angiography by stenting or coronary artery bypass grafting. While normal-looking coronary segments in angiography have been regarded as ‘disease-free’ and mild/moderate stenoses as ‘non-treatable’, today that we know that from these non-significantly diseased areas may potentially arise acute…
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3 years ago
Abstract
Early combination therapy is more effective for hypertension control in high-risk patients than monotherapy, and current guidelines recommend the use of either an angiotensin-converting enzyme inhibitor (ACEI) or angiotensin II receptor blocker (ARB) for first-line therapy in patients younger than 55 years. Recent evidence shows that ACEIs reduce mortality, whereas ARBs show no apparent…
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3 years ago
Wolff-Parkinson-White (WPW) syndrome is associated with atrioventricular re-entrant tachycardia, but a patient showing a pre-excitation syndrome on electrocardiogram (ECG) may remain asymptomatic. The main problem is that some of these asymptomatic patients or patients with re-entrant tachycardia are at risk of sudden death.1 The studies of patients with aborted sudden death indicated that in…
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3 years ago
The recent acquisitions of two leading American reprocessing businesses by leading medical devices manufacturers have relaunched the debate around the reprocessing of medical devices. In 2009, Stryker acquired Ascent and, more recently, Johnson & Johnson acquired SterilMed. This represents a major shift in the strategy of large medical devices companies. In the past, they were very critical of…
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Tricuspid Regurgitation Therapy
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6 months ago
Article
Added:
1 year ago
This virtual round table series focuses on dysphagia and the management of patients in need of lipid-lowering medications. The first three sessions of this video series are presented by Dr Yassir Javaid (Northamptonshire CCG, UK), Prof Nina Barnett (London North West University Healthcare NHS Trust, UK) and Mr Paresh Parmar (London North West Healthcare NHS Trust, UK) followed by session four, a…
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