Coronary and Peripheral Case Work. Case 1: Acute MI( STEMI) Pt: 45 yr old Caucasian Male Several Hrs of Severe Chest pain Pt: Husband of RN Current Smoker.

Slides:

Advertisements

Similar presentations

Peripheral Artery Occlusive Disease

Advertisements

Peripheral Arterial Disease :PAD. Introduction PAD caused by atherosclerotic occlusion of arteries to legs Prevalence 12% and increases to 20% if persons.

Lipid Management in 2015: Risk & Controversies

Single Center Experience with Drug Eluting Stents for Infrapopliteal Occlusive Disease in Patients with Critical Limb Ischemia: Mid-term follow up Robert.

Menaka Nadar, MD University of Virginia. CC: Acute onset abdominal pain HPI: 43 year old male with a history of Marfan’s syndrome presented to outside.

Primary Care & Obesity Appathurai Balamurugan, MD, MPH Medical Director/Associate Director for Science Chronic Disease Branch/Center for Health Advancement.

PAD A Call to Action. PAD: A Call to Action - What is peripheral arterial disease (PAD)? and why is it so dangerous? - Diagnosing PAD in the primary care.

British Cardiac Intervention Society Risk Assessment In Acute Coronary Syndromes Dr David Newby BHF Senior Lecturer in Cardiology Associate Director of.

Lipids 101 Cardiology Board Review Med-Peds Style!

Case th May 2005 Stents Infinnium No. 46 Year old Male Smoker, and Hyperlipidemic Unstable Angina.

PERIPHERAL VASCULAR DISEASE Valerie Robinson D.O..

Focusing on the Surgical Patient with Cardiac Problems By Kate J. Morse, RN, ACNP-BC, CCRN Nursing2009, March ANCC contact hours Online:

PERIPHERAL VASCULAR DISEASE: A VASCULAR SURGEON’S POINT OF VIEW

Department of Medicine Grand Rounds Clinical Vignette April 15, 2009 Michael Owen, PGY 2.

Clinical Correlations The NYU Internal Medicine Blog A Daily Dose of Medicine

NYU Medical Grand Rounds Clinical Vignette Jacqueline Lonier, PGY2 November 3rd, 2010 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

One stage coronary and peripheral intervention Pawel Buszman, MD, American Heart of Poland, Ustron Silesian Medical School, Katowice.

Chaim Lotan MD, Yaron Almagor MD, Karel Kuiper MD, M.J. Suttorp MD, William Wijns MD The SICTO Study CYPHER TM Sirolimus-eluting stent in Chronic Total.

Dr Jayachandran Thejus.  Coronary artery disease-  Block in coronary artery due to plaque or thrombus  Leads to myocardial ischemia manifested as chest.

Indication and contra-indications for cardiac catheterization

PERIPHERAL ARTERIAL DISEASE (PAD)

Peripheral Artery Disease (PAD) & Ankle Brachial Index (ABI) Marge Lovell RN CCRC CVN BEd MEd London Health Sciences Centre London, Ontario, Canada.

NYU Medical Grand Rounds Clinical Vignette Jennifer Lue, MD PGY-2 9/11/2012 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

OSCE Questions For JCM on 3 Dec Case 1 O F/8 Good past health O She has fever with some URI symptoms for past few days. She starts to complain right.

Unstable angina and arterial hypertension Leszek Kinasz, MD American Heart of Poland Ustron, Poland.

CARDIOVASCULAR CARE of the OUTPATIENT Diane M. Enzweiler, MSN, ANP-BC St. Elizabeth Physicians: Heart and Vascular.

DR. ZAHOOR 1.  A 50 year old man presents to clinic with a complaint of central chest discomfort of 2 weeks’ duration, occurring after walking for more.

Apical Ballooning Syndrome By: Adam P. Light. Apical Ballooning is: A phenomenon where the anterior wall of the left ventricle of the heart loses it’s.

Medical Grand Rounds Clinical Vignette October 15 th, 2008 Srikant Duggirala, M.D.

Achieving Acute Success and Durable Results with Complete Total Occlusion? Christopher J. Kwolek, MD FACS Harvard Medical School Division of Vascular and.

Cause : lipid rich plaque; calcified coronary lesion Location of vessel : native coronary artery; renal artery Laterality : Left; Right; bilateral Specificity,

MYOCARDIAL INFARCTION. CASE 1 Mr. A: 38 years old He smokes 1 pack of cigarettes per day He has no other past medical history 8 hours ago, he gets sharp.

ADMIRALADMIRAL Abciximab before Direct Angioplasty and Stenting in Myocardial Infarction Regarding Acute and Long term follow-up ADMIRAL Study ADMIRAL.

Medical Management of Claudication: Just Walk it Off!!

Tasneem Z Naqvi, MD, FRCP (UK), MMM, FACC, FASE Director Echocardiography Professor of Medicine, College of Medicine Mayo Clinic, Scottsdale, Arizona.

Dr Martyn Thomas Kings College Hospital Primary angioplasty “A UK Experience” “The UK experience”

Antithrombotic Therapy in Peripheral Artery Disease Copyright: American College of Chest Physicians 2012 © Antithrombotic Therapy and Prevention.

Jeanine Romanelli, MD Paul Coady, MD Cardiologists, Lankenau Medical Center The Differences Between a Man and Woman’s Heart.

By:Ariel Fisher RNS & Janel Canty RNS (Osborn, 2010)

Cardioprotective Effects of Postconditioning in Patients Treated with Primary PCI Evaluated with Magnetic Resonance Jacob T Lønborg Niels Vejlstrup, Erik.

Peripheral Artery Disease (PAD)

Indication Contraindication Preparation

Cangrelor Case Presentations

Anticoagulation after peripheral Vascular Intervention

LIVE CASE PRESENTATION MOUNT SINAI CARDIAC CATH LAB

LIVE CASE PRESENTATION MOUNT SINAI CARDIAC CATH LAB

Tarek Abou Ghazala, MD, FACC, FSCAI

Kansas City, Missouri, USA

Meruzhan Saghatelyan, MD, Interventional cardiologist

Antithrombotic Therapy in Peripheral Artery Disease

LIVE CASE PRESENTATION MOUNT SINAI CARDIAC CATH LAB

History : Case March 26, year old male patient with complaints of left calf pain (Typical Claudication) at rest and on exertion (Fontaine II/B).

CASE HISTORY ISCHEMIC HEART DISEASE

Cholesterol practice questions

Arterial ischemia – acute and chronic.

Session Date: 28th Nov’14 Session Time: 14:30 – 16:00

Fractional Flow Reserve Workshop

Heart Health & Diabetes

Public Health Burden of CAD/PAD

Division of Endovascular Interventions

Preventive Angioplasty in Myocardial Infarction Trial

Infarct Size after Primary Angioplasty Patients With Bivalirudin

Train-the-Trainer Cases

Division of Endovascular Interventions

Train-the-Trainer Cases

Train-the-Trainer Cases

History : Case April’ year old female patient with past medical history of presents with complaints of bilateral claudication in buttocks, hip.

Ruth L. Bush, MDa, Sasan Najibi, MDa, M. Julia MacDonald, RNa, Peter H

Presentation transcript:

Coronary and Peripheral Case Work

Case 1: Acute MI( STEMI) Pt: 45 yr old Caucasian Male Several Hrs of Severe Chest pain Pt: Husband of RN Current Smoker Uncontrolled Hyperlipidemia LDL 141 HDL 30 TG 231

100% Stenosis of RCA Total RCA

Angioplasty of the RCA Balloon

Stent Deployment RCA Stent Temporary Pacemaker

Result within 60 min of arrival

Echo Confirms LV function +50% Pre Procedural STEMI Flow Restored STEMI Resovled

Patient Discharged next Day LV Function preserved EF 50%+ RX Statin, ARB, Plavix, Aspirin. Smoking Cessation counseling RX lifestyle Change

Case 2: Bilateral Iliac Stenosis PT: 75 yr old Female Chief Complaint : Severe Resting Claudication Right Leg Ulcer Abnormal ABI Smoker 2+ packs/day 25yrs Hyperlipidemia Hypertension Metabolic Syndrome Lipid Profile

Pre Procedure finding 75% Stenosis 95% Stenosis

Intervention Stent

Intervention Stent

Result

Post Case Brisk Flow through both Iliac Arteries Pt Discharged the next day Claudication has subsided upon follow up. Ulcer has healed ABI Normal Referring MD sent case report same Day

Case 3: Renal Artery Stenosis Pt 70 Yr old Mexican Female Known CAD, PAD. History of refractory ISH SYS BP 180+ Hyperlipidemia Creatinine 1.5

Renal Artery Stenosis 95% Stenosis L Renal Artery

Procedure

Wire in Renal Artery Stent Delivery System

Results 0% stenosis

Results

Post Procedure Pt: Refractory hypertension resolved SYS BP 120 Pt discharged the next day. Referring MD called, and sent report

“It is my goal to provide the highest level of service to you and your patients.” “I practice Evidence based medicine and will provide patients with all the options available to them.” “I inform all patients of the risks and benefits associated with any procedure.” “I provide a report for referring MDs in a timely fashion, and if possible I will call.” “We appreciate you and your Patients! Thank you for referring!” Arash Vahdat M.D.