Indications for Revascularisation

Culprit Vessel Only Versus Complete Revascularisation in Patients with ST-Segment Elevation Myocardial Infarction – Should we Stay or Stage?

For ST-segment elevation myocardial infarction (STEMI), there is currently no doubt that primary percutaneous coronary intervention (PPCI) of the infarct related artery (IRA) is the preferred reperfusion strategy.1 In about 50 % of cases, STEMI is associated with multivessel coronary artery disease (MVCAD), defined as a ≥50 % stenosis in at least one non-infarct related epicardial coronary artery (N-IRA, Figure 1).2,3 Like many other facto

Management of Refractory Angina Pectoris

Refractory angina (RA) is conventionally defined as a chronic condition (≥3 months in duration) characterised by angina in the setting of coronary artery disease (CAD), which cannot be controlled by a combination of optimal medical therapy, angioplasty or bypass surgery, and where reversible myocardial ischaemia has been clinically established to be the cause of the symptoms.1

Functional Revascularisation - The Key to Improving Percutaneous Coronary Intervention Outcomes

There has been extensive discussion and debate in terms of the outcome of the recent landmark coronary revascularisation trials and their implications for the future management of chronic stable angina (CSA) and prognostically significant coronary artery disease (CAD).