This case-based studying e-book information 25 demanding instances in cardiovascular medication masking all subspecialty parts of cardiology. it really is designed for use via trainees yet every one case is supported via the remark of a well known professional within the box, permitting readers to enhance their very own administration of those patients.
As the reader works via every one case there are 'Clinical Tips', 'Learning Points' and 'Landmark Trial Summaries' to reinforce the training procedure in addition to the 'Expert Commentary', supplying an within tune on how the specialists procedure all these hard instances.
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Additional resources for Challenging Concepts in Cardiovascular Medicine: Cases with Expert Commentary
There was insufﬁcient statistical power, however, to make a ﬁrm recommendation on the safety of clopidogrel discontinuation following 12 months of DAPT. The much larger American DAPT trial is currently enrolling to answer this question. 19 Case 2 Can a rash cause stent thrombosis? 1 Discrete pruritic maculopapular rash following initiation of clopidogrel therapy (arrows). 1). There was no chest pain or breathlessness, but the patient did not feel well systemically. He was concerned enough to make an appointment to see the family doctor the next day.
Clopidogrel Patients should be given a 300 mg LD at least 6 h before PCI; if this is not possible, then a 600 mg LD at least 2 h before the procedure. Following BMS implantation, patients should continue clopidogrel at 75 mg daily MD for four to six weeks. Following DES implantation, patients must continue clopidogrel for at least 12 months. ESC antiplatelet therapy guideline recommendations for NSTEMI patients proceeding to PCI Aspirin A 160–325 mg LD should be given to all patients presenting with NSTEMI.
Some may argue, however, that an observational approach reflects a more ‘real-world’ viewpoint of clinical practice and should be considered a supportive adjunct to RCT data. 9 10 Challenging concepts in cardiovascular medicine For instance, Hannan et al. looked at 37,212 individuals with MVD undergoing CABG against 22,102 MVD patients receiving PCI (with stenting) during a 3-year period between 1 January 1997 and 31 December 2000 in New York State . The authors reported a significantly improved ‘risk-adjusted’ survival rate for those having had CABG in all of the anatomical subgroups studied along with, as expected, a much higher repeated revascularization rate for patients having had PCI as their index procedure.
Challenging Concepts in Cardiovascular Medicine: Cases with Expert Commentary