ABSTRACT
OBJECTIVES: This study sought to assess the ability of coronary computed tomography angiography (CTA) in identifying complex coronary stenosis morphology before invasive coronary angiography (ICA) and percutaneous coronary intervention (PCI). BACKGROUND: Complexity of stenosis morphology affects PCI success. Whether CTA can detect the entire spectrum of recognized complex stenosis morphologies has not been investigated. METHODS: All nonbypassed, nonstented, >or=2-mm-diameter native coronary arterial segments in 85 consecutive patients who underwent ICA
Subject(s)
Coronary Angiography/methods , Coronary Stenosis/diagnostic imaging , Tomography, X-Ray Computed , Aged , Angioplasty, Balloon, Coronary , Contrast Media , Coronary Stenosis/therapy , False Positive Reactions , Female , Humans , Male , Middle Aged , Predictive Value of Tests , Retrospective Studies , Severity of Illness Index , Time FactorsABSTRACT
Heart failure is a major public health problem and is increasing in incidence throughout the industrialized world. Despite recent advances in pharmacotherapy, the overall mortality remains high and largely unchanged. Ultrafiltration has received increased attention in the treatment of acute decompensated congestive heart failure, and recent clinical trials suggest its usefulness in removing volume while preserving renal function. This review will focus on the background of ultrafiltration in the treatment of acute decompensated heart failure as well as the current evidence regarding its efficacy and safety.
Subject(s)
Heart Failure/blood , Heart Failure/therapy , Randomized Controlled Trials as Topic , Ultrafiltration/methods , Acute Disease , Animals , Disease Management , Diuretics/therapeutic use , Heart Failure/drug therapy , Heart Failure/physiopathology , Hemofiltration/adverse effects , Hemofiltration/methods , Hemofiltration/trends , Humans , Randomized Controlled Trials as Topic/methods , Randomized Controlled Trials as Topic/trends , Ultrafiltration/adverse effects , Ultrafiltration/trendsABSTRACT
Intracardiac masses can be characterized as thrombus, vegetation, or tumor. An 83-year-old man had mobile spheric masses in the right atrium and ventricle. The lesions resolved with prolonged anticoagulation, suggesting thrombi as the origin. Three-dimensional echocardiography was useful in further characterizing the morphology and extent of the lesions.