Читать книгу Practical Cardiovascular Medicine - Elias B. Hanna - Страница 182
3 Stable Ischemic Heart Disease and Approach to Chronic Chest Pain
ОглавлениеI. Causes of angina and pathophysiology of coronary flow
II. Diagnostic approach
III. Silent myocardial ischemia. Is there a role for screening asymptomatic patients and post-PCI patients?
IV. Medical therapy: antiplatelet therapy
V. Medical therapy: antianginal therapy and risk factor control
VI. Indications for revascularization
VII. CABG and CABG vs. medical therapy
VIII. PCI and PCI vs medical therapy
IX. PCI vs. CABG in multivessel and left main disease
X. High-surgical-risk patients
XI. Role of complete functional revascularization
XII. Hybrid CABG–PCI
XIII. Enhanced external counterpulsation (EECP)
XIV. Mortality in CAD
Appendix 1. Notes on various surgical grafts
Appendix 2. Coronary vasospasm (variant angina, Prinzmetal angina)
Appendix 3. Microvascular endothelial dysfunction
Appendix 4. Women with chest pain and normal coronary arteries
Appendix 5. Diagnostic strategy for ischemia with non-obstructed coronary arteries (INOCA)
Appendix 6. Myocardial bridging
Appendix 7. Coronary collaterals, chronic total occlusion
Appendix 8. Hibernation, stunning, ischemic preconditioning
Questions and answers