One of the leading causes of death for men and women in the United States can be attributed to Coronary Artery Disease. In the medical world, treatments are ever-changing and improving the chance of survival from this disease. One such treatment, Percutaneous Coronary Intervention (PCI) with stent placement, is now used in more than 80% of CAD cases with an exceedingly high success rate (http://emedicine.medscape.com/article/161446-overview). With any procedure, there is a number of tools at the doctor’s fingertips, and a new experimental technology in the stent world has risen with temporary bio-absorbable stents. The following document will briefly explain the procedure and their use in percutaneous coronary intervention.
First, we
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Such contraindications could be an intolerance to long-term antiplatelet therapy or significant conditions leading to a reduced lifespan in the patient. If there is a lack of cardiac surgical support or the artery has suffered less than 50% or complete occlusion, the procedure may be voided. The patient also must not have received a bypass graft to the left anterior descending artery. (http://www.merckmanuals.com/professional/cardiovascular-disorders/cardiovascular-tests-and-procedures/percutaneous-coronary-interventions). Careful approach should be used in cases where patients suffer from diabetes and coronary artery disease or have left main disease without collateral flow and a high Syntax score. (http://emedicine.medscape.com/article/ 161446-overview).
As with any medical procedure, risks are taken into precaution when preforming a Percutaneous Coronary Intervention. Complications generally arise from three types: contrast administration, catheter/tool related issues, and access site situations (bleeding, hematoma, limb ischemia, etc.) A patient may have an allergic reaction to the contrast media administered of which there is a course of action to counteract the reaction with diphenhydramine, albuterol, or epinephrine. Contrast nephropathy, one of the highest risks of PCI, is presented as an insufficiency of the renal system clearing the blood. This risk can be reduced by using
Coronary artery disease remains number one killer of the western civilization despite 40 years of aggressive drug and surgical interventions (Esselstyn). Usually, pharmaceutical drugs, such as statin, are given to try to slow the progression, but may provide uncomfortable side effects. In fact, the majority of patients discontinue statins within 1 year of treatment initiation (Maningat). Furthermore, surgery is performed to circumvent clogged arteries and literally bypass the symptoms. In the last year, 500,000 coronary bypass procedures were performed (Swaminathan et al). However, these surgeries can have significant risks, including the potential to cause further heart damage, stroke, and brain dysfunction. Thus, it is evident that these way of treatments may not be enough on its own, and that getting to the
The United States takes the eleventh spot in the top fifteen causes of death because of suicide. For our youth suicide is the third leading cause of death. In today’s society suicide in our youth is becoming a huge issue. Recently, youth suicide in Delaware has been a concerning topic. With the many suicides that have been taking place; we ask ourselves why is this happening to Delaware’s youth? It’s quite sad reading of all the lives taken at such young ages. It’s still questionable on the real reasons why so much of our youth want to cut their life short. There are numbers of things on why possibly our youth would want to commit suicide. There is one reason that has been proven to be the head cause and that is mental illness. A mental illness refers to a wide range of mental health conditions and disorders that affect your mood, thinking and behavior. Examples of mental illness includes depression, anxiety disorders, schizophrenia, eating disorders and addictive behaviors. (Staff, 2012) Some other causes may be bullying, drug and alcohol abuse and physical and sexual abuse. Youth that die by suicide believes that suicide is the only option at that moment; however Delaware has several resources available to prevent youth suicide.
Question: What were the major causes of U.S. mortality in the last 100 years, and what public health measures most contributed to improvements in the health of the nation?
The facility where I work uses two type of IV contrast i.e. omnipaque and visipaque. The use of the contrast depends on the patient's glomerular filtration rate (GFR) and prior allergies to contrast. GFR can be calculated from the blood's creatinine level, age, body size, and gender of the patient. It is to calculate the level of kidney function before administering any contrast. If the GFR of the patient is between 30-60 score, omnipaque can be given and if above 60 only visipaque can be used. However, if the score is below 30, then no contrast can be given in order to avoid any medical emergencies.
A coronary angiography provides information about the hearts blood pressure and functioning. This procedure can identify whether the coronary arteries are blocked or narrowing. A tube/camera is passed through an artery in the groin or arm; it is guided using x-rays up to the heart. A coronary angiogram is a safe procedure, but there are some small side affect. You may feel a slightly strange sensation when the dye is put down the catheter, a small amount of bleeding when the catheter is removed, a bruise in your groin or arm.
Mortality and morbidity rates declined in the US from the 1950’s until 1985 among children ages 1 to 4
Change is hard. At some point in time everyone has had to try to change a habit in order to improve at something. That kind of change is hard because people get comfortable in their routines. That kind of change is difficult because people have to act deliberately to avoid slipping into their old habits. That kind of change is difficult because sometimes it begins to change the way people interact in other elements of their lives. It is that kind of change that researchers at Johns Hopkins Medicine would like to see at the Center for Disease Control and Prevention (CDC). These researchers are calling on the CDC to add medical errors to its annual list reporting the top causes of death in the United States.
Fibrinolytic therapy uses drugs to break up blood clots. This therapy is used with heart attack patients to remove the blockage that caused the myocardial infarction. Another treatment option is percutaneous coronary intervention (PCI). PCI involves the placement of a catheter into the blocked artery to allow blood to flow. The purpose of this paper is to examine the outcomes of these two procedures and to suggest that percutaneous coronary intervention is superior to fibrinolytic therapy.
The lack of recognized durable antirestontic result after plain balloon angioplasty lead to the investigation of alternative procedures. After the success of drug-eluting stents in decreasing coronary restenosis after percutaneous coronary interventions, drug-eluting stent was recommended as salvage procedure in case of Percutaneous transluminal angioplasty failure (Rosales, Mathewkutty & Gnaim 2008).
Mortality in the United States has various causes. Some of the most common causes are health-related. Cancer, cardiovascular disease, and stroke are three of the leading causes of death in America ("FastStats,"2016). Cardiovascular disease is still the leading cause of death, but cancer is no longer far behind (Herone & Anderson, 2016). Mortality in the United States has differing characteristics, an evolving history, and important marketplace considerations.
Promising results have shown that the Angio-seal VCD has excellent efficacy and safety after routine catheterization and intervention. However, clear indications of use and risk of complications need to be evaluated and monitored.
[7] However, diabetes still remains a major risk factor for restenosis after both bare-metal stents and DESs. [10] Diabetes mellitus is regarded as a proinflammatory and prothrombotic condition, and patients with diabetes mellitus are more frequently resistant to aspirin and clopidogrel than those without diabetes mellitus. [2] The minimum necessary duration of DAPT may be longer in diabetic than in nondiabetic patients. [2] Among diabetic patients, target vessel failure occurred more frequently with 6-month DAPT than with 12-month DAPT. [2] Prolonged DAPT for >6 months might be needed to prevent late stent thrombosis because of delayed vascular healing and inflammatory reaction after implantation of drug-eluting stents.
To perform a cardiac catheterization the cardiologist will insert a sheath, or a short tube usually into the femoral artery. A long very thin catheter will then be fed through the sheath and guided through the arteries until it is in the heart and coronary arteries. The physician uses fluoroscopy equipment to guide the catheter into the coronary arteries. To allow for clear viewing of the coronary arteries, contrast material is injected into the catheter. As the contrast material flows through the heart chambers and coronary arteries x-rays are taken. The
There are countless scenarios throughout this series that are similar to what takes place every day in a hospital and what the doctors and nurses see on a daily basis. Grey’s Anatomy benefits its viewers through realistic portrayals. Multiple surgeries have performed on the show that are consistent with literature. This could be a medium for medication students to review their content of interest or for those who are considering joining the medical field. Coronary bypass is one of many surgeries that is often completed on this show. During this procedure blood is diverted around a section of a blocked artery in the heart to restores blood flow to a patient’s heart muscle. Coronary bypass surgeries are just as common on Grey’s Anatomy as they
The ideal purpose of implant is to do the defined task and then dematerialize. The same is expected for the stents inserted in the heart vessels. But unfortunately the conventional stents stays in the body leading to unwanted side effects. Considering advancements from metal stents to present drug eluting stents the ultimate bioabsorbable stent is not yet achievable. With development of such a stent the need of antiplatelet drug will not exist and a person would not have to move around with metal in their body. The ultimate goal of the bioresorbable stent will be leaving the vessels regenerated, resulting in restored functioning. The advantage of the bioabsorbable stent is that if in future there is a need of bypass surgery then the stent would