SlideShare a Scribd company logo
1 of 34
Download to read offline
Esc 2014 guidelines myocardial revascularization
Strategies for Diagnosis: Functional
testing & Imaging
Revascularization for stable CAD
• Angina is associated with impaired quality of
life, reduced physical endurance, mental
depression, and recurrent hospitalizations and
outpatient visits
• Revascularization by PCI or CABG:
more effectively relieves angina
reduces the use of anti-angina drugs, and
improves exercise capacity and quality of life,
compared with a strategy of medical therapy
alone
• Prior to revascularization, patients with SCAD
must receive guideline-recommended medical
treatment, due to its established benefits in
terms of prognosis and symptom relief
• Revascularization and medical therapy should
be seen as complementary, rather than
competitive treatment strategies.
Indications for revascularization
PCI or CABG?
Esc 2014 guidelines myocardial revascularization
Revascularization in NSTEMI
Esc 2014 guidelines myocardial revascularization
• Timing of angiography and revascularization should be
based on patient risk profile
 Very high risk Pts: Urgent angiography < 2 hrs
 High Risk: Early invasive strategy within 24 hrs
 In lower-risk subsets, with aGRACE risk score of ,140 but
with at least one secondary high-risk criterion:
invasive evaluation can be delayed without increased risk but
should be performed during the same hospital stay, preferably
within 72 hours of admission.
 In other low-risk patients without recurrent symptoms:
noninvasive assessment of inducible ischaemia should be
performed before hospital discharge. 7.3 Type of
revascularization
Revascularization in STEMI
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Algorithm for treatment of
cardiogenic shock
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization
Revascularization in DM
Esc 2014 guidelines myocardial revascularization
Revascularization in CKD
Esc 2014 guidelines myocardial revascularization
Carotid artery screening before CABG
Esc 2014 guidelines myocardial revascularization
Esc 2014 guidelines myocardial revascularization

More Related Content

What's hot

Exercise stress ecg. dmo
Exercise stress ecg. dmoExercise stress ecg. dmo
Exercise stress ecg. dmoAdarsh
 
Cardiac Stress Test vs CT Coronary Angiogram: Which is better?
Cardiac Stress Test vs CT Coronary Angiogram: Which is better?Cardiac Stress Test vs CT Coronary Angiogram: Which is better?
Cardiac Stress Test vs CT Coronary Angiogram: Which is better?ahvc0858
 
Mechanical Thrombectomy
Mechanical ThrombectomyMechanical Thrombectomy
Mechanical ThrombectomyPAIRS WEB
 
Primary Percutaneus coronary intervention
Primary Percutaneus coronary interventionPrimary Percutaneus coronary intervention
Primary Percutaneus coronary interventionRamachandra Barik
 
In stent retenosis pathophysiology
In stent retenosis pathophysiologyIn stent retenosis pathophysiology
In stent retenosis pathophysiologyNilesh Tawade
 
Choice of guiding catheters in PCI
Choice of guiding catheters in PCIChoice of guiding catheters in PCI
Choice of guiding catheters in PCISatyam Rajvanshi
 
INTRACARDIAC ECHOCARDIOGRAPH (ICE)
INTRACARDIAC ECHOCARDIOGRAPH (ICE)INTRACARDIAC ECHOCARDIOGRAPH (ICE)
INTRACARDIAC ECHOCARDIOGRAPH (ICE)Himanshu Rana
 
Cardiac resynchronization therapy
Cardiac resynchronization therapyCardiac resynchronization therapy
Cardiac resynchronization therapyRamachandra Barik
 
Mitral valve repair//TRANSCATHETER MITRAL VALVE REPAIR/ TRANSCATHETER MITRAL ...
Mitral valve repair//TRANSCATHETER MITRAL VALVE REPAIR/ TRANSCATHETER MITRAL ...Mitral valve repair//TRANSCATHETER MITRAL VALVE REPAIR/ TRANSCATHETER MITRAL ...
Mitral valve repair//TRANSCATHETER MITRAL VALVE REPAIR/ TRANSCATHETER MITRAL ...Dr Virbhan Balai
 
Eisenmenger Syndrome
Eisenmenger SyndromeEisenmenger Syndrome
Eisenmenger SyndromeNishant Tyagi
 
Ventricular septal rupture .pptx
Ventricular septal rupture .pptxVentricular septal rupture .pptx
Ventricular septal rupture .pptxAhmedElBorae1
 
Evaluation of prosthetic valve function and clinical utility.
Evaluation of prosthetic valve function and clinical utility.Evaluation of prosthetic valve function and clinical utility.
Evaluation of prosthetic valve function and clinical utility.Ramachandra Barik
 

What's hot (20)

Exercise stress ecg. dmo
Exercise stress ecg. dmoExercise stress ecg. dmo
Exercise stress ecg. dmo
 
Cardiac Stress Test vs CT Coronary Angiogram: Which is better?
Cardiac Stress Test vs CT Coronary Angiogram: Which is better?Cardiac Stress Test vs CT Coronary Angiogram: Which is better?
Cardiac Stress Test vs CT Coronary Angiogram: Which is better?
 
Mechanical Thrombectomy
Mechanical ThrombectomyMechanical Thrombectomy
Mechanical Thrombectomy
 
CATHETER ABLATION IN VT
CATHETER ABLATION IN VTCATHETER ABLATION IN VT
CATHETER ABLATION IN VT
 
Primary Percutaneus coronary intervention
Primary Percutaneus coronary interventionPrimary Percutaneus coronary intervention
Primary Percutaneus coronary intervention
 
Pharmacoinvasive approach for stemi
Pharmacoinvasive approach for stemiPharmacoinvasive approach for stemi
Pharmacoinvasive approach for stemi
 
In stent retenosis pathophysiology
In stent retenosis pathophysiologyIn stent retenosis pathophysiology
In stent retenosis pathophysiology
 
Supraventricular tachyarrythmias
Supraventricular tachyarrythmiasSupraventricular tachyarrythmias
Supraventricular tachyarrythmias
 
Choice of guiding catheters in PCI
Choice of guiding catheters in PCIChoice of guiding catheters in PCI
Choice of guiding catheters in PCI
 
INTRACARDIAC ECHOCARDIOGRAPH (ICE)
INTRACARDIAC ECHOCARDIOGRAPH (ICE)INTRACARDIAC ECHOCARDIOGRAPH (ICE)
INTRACARDIAC ECHOCARDIOGRAPH (ICE)
 
WIDE QRS TACHYCARDIA
WIDE  QRS TACHYCARDIAWIDE  QRS TACHYCARDIA
WIDE QRS TACHYCARDIA
 
Echocardiography in mitral stenosis
Echocardiography in mitral stenosisEchocardiography in mitral stenosis
Echocardiography in mitral stenosis
 
Cardiac resynchronization therapy
Cardiac resynchronization therapyCardiac resynchronization therapy
Cardiac resynchronization therapy
 
Arrhythmia :ECG ---Bradycardia_20120902_北區
Arrhythmia :ECG ---Bradycardia_20120902_北區Arrhythmia :ECG ---Bradycardia_20120902_北區
Arrhythmia :ECG ---Bradycardia_20120902_北區
 
Mitral valve repair//TRANSCATHETER MITRAL VALVE REPAIR/ TRANSCATHETER MITRAL ...
Mitral valve repair//TRANSCATHETER MITRAL VALVE REPAIR/ TRANSCATHETER MITRAL ...Mitral valve repair//TRANSCATHETER MITRAL VALVE REPAIR/ TRANSCATHETER MITRAL ...
Mitral valve repair//TRANSCATHETER MITRAL VALVE REPAIR/ TRANSCATHETER MITRAL ...
 
Eisenmenger Syndrome
Eisenmenger SyndromeEisenmenger Syndrome
Eisenmenger Syndrome
 
11.atrial flutter for basic ep.final
11.atrial flutter for basic ep.final11.atrial flutter for basic ep.final
11.atrial flutter for basic ep.final
 
ECG CHALLENGE
ECG CHALLENGEECG CHALLENGE
ECG CHALLENGE
 
Ventricular septal rupture .pptx
Ventricular septal rupture .pptxVentricular septal rupture .pptx
Ventricular septal rupture .pptx
 
Evaluation of prosthetic valve function and clinical utility.
Evaluation of prosthetic valve function and clinical utility.Evaluation of prosthetic valve function and clinical utility.
Evaluation of prosthetic valve function and clinical utility.
 

Viewers also liked

Appropriteness Criteria for Coronary Revascularization
Appropriteness Criteria for Coronary RevascularizationAppropriteness Criteria for Coronary Revascularization
Appropriteness Criteria for Coronary RevascularizationLalit Kapoor
 
Coronary artery bypass grafting vs percutaneous coronary intervention in mult...
Coronary artery bypass grafting vs percutaneous coronary intervention in mult...Coronary artery bypass grafting vs percutaneous coronary intervention in mult...
Coronary artery bypass grafting vs percutaneous coronary intervention in mult...GOPAL GHOSH
 
What to choose in stable CAD- Medical therapy only or PCI or CABG?
What to choose in stable CAD- Medical therapy only or PCI or CABG?What to choose in stable CAD- Medical therapy only or PCI or CABG?
What to choose in stable CAD- Medical therapy only or PCI or CABG?cardiositeindia
 
Labelled fetal heart ultrasound
Labelled fetal heart ultrasoundLabelled fetal heart ultrasound
Labelled fetal heart ultrasoundorchard238
 
Preoperative Assessment of Coronary Artery Bypass Graft Patients
Preoperative Assessment of Coronary Artery Bypass Graft PatientsPreoperative Assessment of Coronary Artery Bypass Graft Patients
Preoperative Assessment of Coronary Artery Bypass Graft PatientsArjuna Samaranayaka
 
Fetal Echocardiography
Fetal EchocardiographyFetal Echocardiography
Fetal Echocardiographymadhusiva03
 
Fetal Cardiac Examination
Fetal Cardiac ExaminationFetal Cardiac Examination
Fetal Cardiac ExaminationSameer Dikshit
 
Nuclear Imaging In Cardiology Cme
Nuclear Imaging In Cardiology CmeNuclear Imaging In Cardiology Cme
Nuclear Imaging In Cardiology CmeMuhammad Ayub
 
Eur heart j 2014 esc-eacts guidelines on myocardial revascularization
Eur heart j 2014 esc-eacts guidelines on myocardial revascularizationEur heart j 2014 esc-eacts guidelines on myocardial revascularization
Eur heart j 2014 esc-eacts guidelines on myocardial revascularizationAlexandria University, Egypt
 
Fetal anomaly scan pt2
Fetal anomaly scan pt2Fetal anomaly scan pt2
Fetal anomaly scan pt2Arif S
 
Basics of c++ Programming Language
Basics of c++ Programming LanguageBasics of c++ Programming Language
Basics of c++ Programming LanguageAhmad Idrees
 

Viewers also liked (15)

Jose
JoseJose
Jose
 
Courage TRIAL 2007
Courage TRIAL 2007Courage TRIAL 2007
Courage TRIAL 2007
 
Appropriteness Criteria for Coronary Revascularization
Appropriteness Criteria for Coronary RevascularizationAppropriteness Criteria for Coronary Revascularization
Appropriteness Criteria for Coronary Revascularization
 
Coronary artery bypass grafting vs percutaneous coronary intervention in mult...
Coronary artery bypass grafting vs percutaneous coronary intervention in mult...Coronary artery bypass grafting vs percutaneous coronary intervention in mult...
Coronary artery bypass grafting vs percutaneous coronary intervention in mult...
 
What to choose in stable CAD- Medical therapy only or PCI or CABG?
What to choose in stable CAD- Medical therapy only or PCI or CABG?What to choose in stable CAD- Medical therapy only or PCI or CABG?
What to choose in stable CAD- Medical therapy only or PCI or CABG?
 
Acute Pancreatitis
Acute Pancreatitis Acute Pancreatitis
Acute Pancreatitis
 
Labelled fetal heart ultrasound
Labelled fetal heart ultrasoundLabelled fetal heart ultrasound
Labelled fetal heart ultrasound
 
Preoperative Assessment of Coronary Artery Bypass Graft Patients
Preoperative Assessment of Coronary Artery Bypass Graft PatientsPreoperative Assessment of Coronary Artery Bypass Graft Patients
Preoperative Assessment of Coronary Artery Bypass Graft Patients
 
Fetal Echocardiography
Fetal EchocardiographyFetal Echocardiography
Fetal Echocardiography
 
Fetal Cardiac Examination
Fetal Cardiac ExaminationFetal Cardiac Examination
Fetal Cardiac Examination
 
Ptca vs cabg
Ptca vs cabgPtca vs cabg
Ptca vs cabg
 
Nuclear Imaging In Cardiology Cme
Nuclear Imaging In Cardiology CmeNuclear Imaging In Cardiology Cme
Nuclear Imaging In Cardiology Cme
 
Eur heart j 2014 esc-eacts guidelines on myocardial revascularization
Eur heart j 2014 esc-eacts guidelines on myocardial revascularizationEur heart j 2014 esc-eacts guidelines on myocardial revascularization
Eur heart j 2014 esc-eacts guidelines on myocardial revascularization
 
Fetal anomaly scan pt2
Fetal anomaly scan pt2Fetal anomaly scan pt2
Fetal anomaly scan pt2
 
Basics of c++ Programming Language
Basics of c++ Programming LanguageBasics of c++ Programming Language
Basics of c++ Programming Language
 

Similar to Esc 2014 guidelines myocardial revascularization

Pre op clearance for elderly patients
Pre op clearance for elderly patientsPre op clearance for elderly patients
Pre op clearance for elderly patientsSDGWEP
 
Enhanced recovery after cardiac surgery
Enhanced recovery after cardiac surgeryEnhanced recovery after cardiac surgery
Enhanced recovery after cardiac surgeryViju36
 
Diuretic strategies in patients with acute decompensated
Diuretic  strategies  in  patients  with  acute  decompensatedDiuretic  strategies  in  patients  with  acute  decompensated
Diuretic strategies in patients with acute decompensatedWarawut Ia
 
Chronic coronary syndromes
Chronic coronary syndromesChronic coronary syndromes
Chronic coronary syndromesYousra Ghzally
 
Pneumonia in adults ,diagnosis and management
Pneumonia in adults ,diagnosis and management Pneumonia in adults ,diagnosis and management
Pneumonia in adults ,diagnosis and management asifiqbal545
 
Post pci management of acs
Post pci management of acsPost pci management of acs
Post pci management of acsShadab Ahmad
 
CTO vs Medical management
CTO vs Medical managementCTO vs Medical management
CTO vs Medical managementPavan Rasalkar
 
Journal club 26- 5-2017
Journal club 26- 5-2017Journal club 26- 5-2017
Journal club 26- 5-2017Amit Verma
 
2012 accf aha acp_aats_pcna_scai_sts guideline for the diagnosis and manageme...
2012 accf aha acp_aats_pcna_scai_sts guideline for the diagnosis and manageme...2012 accf aha acp_aats_pcna_scai_sts guideline for the diagnosis and manageme...
2012 accf aha acp_aats_pcna_scai_sts guideline for the diagnosis and manageme...ksmalechu
 
Chronic Coronary Syndrome ESC 2019.pptx
Chronic Coronary Syndrome ESC 2019.pptxChronic Coronary Syndrome ESC 2019.pptx
Chronic Coronary Syndrome ESC 2019.pptxMouhammad1
 
New Clinical Quality Measures and PQRS EHR Reporting
New Clinical Quality Measures and PQRS EHR ReportingNew Clinical Quality Measures and PQRS EHR Reporting
New Clinical Quality Measures and PQRS EHR ReportingPractice Fusion
 
Optimization Of High Risk Surgical Patients
Optimization Of High Risk Surgical PatientsOptimization Of High Risk Surgical Patients
Optimization Of High Risk Surgical PatientsKIST Surgery
 
Perioperative cardiovascular assessment of patients undergoing noncardiac sur...
Perioperative cardiovascular assessment of patients undergoing noncardiac sur...Perioperative cardiovascular assessment of patients undergoing noncardiac sur...
Perioperative cardiovascular assessment of patients undergoing noncardiac sur...kazi alam nowaz
 
Protocols and Pathways Ischemic and Hemorrhagic Strokes.ppt
Protocols and Pathways Ischemic and Hemorrhagic Strokes.pptProtocols and Pathways Ischemic and Hemorrhagic Strokes.ppt
Protocols and Pathways Ischemic and Hemorrhagic Strokes.pptFitz Jaminit
 
Preoperative Prepration in General Surgery Patients
Preoperative Prepration in  General Surgery PatientsPreoperative Prepration in  General Surgery Patients
Preoperative Prepration in General Surgery PatientsDr Mubashir Bashir
 
PAC OF CARDIAC PATIENTS FOR NON-CARDIAC SURGERY,.pptx
PAC OF CARDIAC PATIENTS FOR NON-CARDIAC SURGERY,.pptxPAC OF CARDIAC PATIENTS FOR NON-CARDIAC SURGERY,.pptx
PAC OF CARDIAC PATIENTS FOR NON-CARDIAC SURGERY,.pptxPoojaPandeya
 

Similar to Esc 2014 guidelines myocardial revascularization (20)

Journal
JournalJournal
Journal
 
Pre op clearance for elderly patients
Pre op clearance for elderly patientsPre op clearance for elderly patients
Pre op clearance for elderly patients
 
Enhanced recovery after cardiac surgery
Enhanced recovery after cardiac surgeryEnhanced recovery after cardiac surgery
Enhanced recovery after cardiac surgery
 
Diuretic strategies in patients with acute decompensated
Diuretic  strategies  in  patients  with  acute  decompensatedDiuretic  strategies  in  patients  with  acute  decompensated
Diuretic strategies in patients with acute decompensated
 
Chronic coronary syndromes
Chronic coronary syndromesChronic coronary syndromes
Chronic coronary syndromes
 
Pneumonia in adults ,diagnosis and management
Pneumonia in adults ,diagnosis and management Pneumonia in adults ,diagnosis and management
Pneumonia in adults ,diagnosis and management
 
Post pci management of acs
Post pci management of acsPost pci management of acs
Post pci management of acs
 
POINT Trial
POINT TrialPOINT Trial
POINT Trial
 
CTO vs Medical management
CTO vs Medical managementCTO vs Medical management
CTO vs Medical management
 
Journal club 26- 5-2017
Journal club 26- 5-2017Journal club 26- 5-2017
Journal club 26- 5-2017
 
2012 accf aha acp_aats_pcna_scai_sts guideline for the diagnosis and manageme...
2012 accf aha acp_aats_pcna_scai_sts guideline for the diagnosis and manageme...2012 accf aha acp_aats_pcna_scai_sts guideline for the diagnosis and manageme...
2012 accf aha acp_aats_pcna_scai_sts guideline for the diagnosis and manageme...
 
Chronic Coronary Syndrome ESC 2019.pptx
Chronic Coronary Syndrome ESC 2019.pptxChronic Coronary Syndrome ESC 2019.pptx
Chronic Coronary Syndrome ESC 2019.pptx
 
Trials in tbi
Trials in tbiTrials in tbi
Trials in tbi
 
New Clinical Quality Measures and PQRS EHR Reporting
New Clinical Quality Measures and PQRS EHR ReportingNew Clinical Quality Measures and PQRS EHR Reporting
New Clinical Quality Measures and PQRS EHR Reporting
 
Optimization Of High Risk Surgical Patients
Optimization Of High Risk Surgical PatientsOptimization Of High Risk Surgical Patients
Optimization Of High Risk Surgical Patients
 
Perioperative cardiovascular assessment of patients undergoing noncardiac sur...
Perioperative cardiovascular assessment of patients undergoing noncardiac sur...Perioperative cardiovascular assessment of patients undergoing noncardiac sur...
Perioperative cardiovascular assessment of patients undergoing noncardiac sur...
 
Protocols and Pathways Ischemic and Hemorrhagic Strokes.ppt
Protocols and Pathways Ischemic and Hemorrhagic Strokes.pptProtocols and Pathways Ischemic and Hemorrhagic Strokes.ppt
Protocols and Pathways Ischemic and Hemorrhagic Strokes.ppt
 
Preoperative Prepration in General Surgery Patients
Preoperative Prepration in  General Surgery PatientsPreoperative Prepration in  General Surgery Patients
Preoperative Prepration in General Surgery Patients
 
PAC OF CARDIAC PATIENTS FOR NON-CARDIAC SURGERY,.pptx
PAC OF CARDIAC PATIENTS FOR NON-CARDIAC SURGERY,.pptxPAC OF CARDIAC PATIENTS FOR NON-CARDIAC SURGERY,.pptx
PAC OF CARDIAC PATIENTS FOR NON-CARDIAC SURGERY,.pptx
 
Primary care management in Acute Coronary Syndrome
Primary care management in Acute Coronary SyndromePrimary care management in Acute Coronary Syndrome
Primary care management in Acute Coronary Syndrome
 

More from Please hit like if you really liked my PPTs

More from Please hit like if you really liked my PPTs (20)

Recent advances in antithrombotics
Recent advances in antithromboticsRecent advances in antithrombotics
Recent advances in antithrombotics
 
Recent advances epilepsy
Recent advances epilepsyRecent advances epilepsy
Recent advances epilepsy
 
Pharmacotherapy of asthma
Pharmacotherapy of asthmaPharmacotherapy of asthma
Pharmacotherapy of asthma
 
Pharmacotherapy of ibd
Pharmacotherapy of ibdPharmacotherapy of ibd
Pharmacotherapy of ibd
 
Recent advances in rx of thrombotic disorders
Recent advances in rx of thrombotic disordersRecent advances in rx of thrombotic disorders
Recent advances in rx of thrombotic disorders
 
Statin risks cancer and cognitive dysfunction
Statin risks cancer and cognitive dysfunctionStatin risks cancer and cognitive dysfunction
Statin risks cancer and cognitive dysfunction
 
Voyager old+new
Voyager old+newVoyager old+new
Voyager old+new
 
Scd after stemi
Scd after stemiScd after stemi
Scd after stemi
 
Role of statins in secondary prevention in cabg
Role of statins in secondary prevention in cabgRole of statins in secondary prevention in cabg
Role of statins in secondary prevention in cabg
 
Risk stratification of an acs patient
Risk stratification of an acs patientRisk stratification of an acs patient
Risk stratification of an acs patient
 
Reinfarction after thrombolytics
Reinfarction after thrombolyticsReinfarction after thrombolytics
Reinfarction after thrombolytics
 
Migraine assessment screening instruments &amp; scales
Migraine assessment screening instruments &amp; scalesMigraine assessment screening instruments &amp; scales
Migraine assessment screening instruments &amp; scales
 
Microvascular cad
Microvascular cadMicrovascular cad
Microvascular cad
 
Management of no reflow
Management of no reflowManagement of no reflow
Management of no reflow
 
Keratoplasty patient education
Keratoplasty patient educationKeratoplasty patient education
Keratoplasty patient education
 
Hypertensive heart disease
Hypertensive heart diseaseHypertensive heart disease
Hypertensive heart disease
 
Hemodynamic support in pci
Hemodynamic support in pciHemodynamic support in pci
Hemodynamic support in pci
 
2014 ESC guidelines aortic diseases
2014 ESC guidelines aortic diseases2014 ESC guidelines aortic diseases
2014 ESC guidelines aortic diseases
 
Dobutamine stress echo in myocardial viability assessment
Dobutamine stress echo in myocardial viability assessmentDobutamine stress echo in myocardial viability assessment
Dobutamine stress echo in myocardial viability assessment
 
Diabetic dyslipidemia
Diabetic dyslipidemiaDiabetic dyslipidemia
Diabetic dyslipidemia
 

Recently uploaded

Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfHongBiThi1
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondSujoy Dasgupta
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxDNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxMAsifAhmad
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 

Recently uploaded (20)

Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and Beyond
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxDNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 

Esc 2014 guidelines myocardial revascularization

  • 2. Strategies for Diagnosis: Functional testing & Imaging
  • 3. Revascularization for stable CAD • Angina is associated with impaired quality of life, reduced physical endurance, mental depression, and recurrent hospitalizations and outpatient visits • Revascularization by PCI or CABG: more effectively relieves angina reduces the use of anti-angina drugs, and improves exercise capacity and quality of life, compared with a strategy of medical therapy alone
  • 4. • Prior to revascularization, patients with SCAD must receive guideline-recommended medical treatment, due to its established benefits in terms of prognosis and symptom relief • Revascularization and medical therapy should be seen as complementary, rather than competitive treatment strategies.
  • 10. • Timing of angiography and revascularization should be based on patient risk profile  Very high risk Pts: Urgent angiography < 2 hrs  High Risk: Early invasive strategy within 24 hrs  In lower-risk subsets, with aGRACE risk score of ,140 but with at least one secondary high-risk criterion: invasive evaluation can be delayed without increased risk but should be performed during the same hospital stay, preferably within 72 hours of admission.  In other low-risk patients without recurrent symptoms: noninvasive assessment of inducible ischaemia should be performed before hospital discharge. 7.3 Type of revascularization
  • 23. Algorithm for treatment of cardiogenic shock