Treatment strategies in the left main coronary artery disease associated with acute coronary syndromes

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Treatment of Left Main Coronary Artery Disease.

When coronary arteriography was developed in the early 1960s, the very high risk associated with obstructive left main coronary artery disease became evident; this risk was related to the large volume of myocardium supplied by this vessel. Among patients receiving the medical therapy available at the time, the 5-year mortality approached 60%, and the survivors usually had severe symptoms, inclu...

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[Left main coronary artery disease].

There are many causes of left main coronary artery disease, the first of which is atherosclerosis. Other rarer causes may be observed, such as acute and chronic occlusions, spasm and primary and secondary dissection. The prevalence of stenosis of the left main coronary artery at coronary angiography is about 5%. The risk factors are the same as for coronary artery disease. The symptoms are angi...

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Unprotected left main revascularization in patients with acute coronary syndromes.

AIMS In acute coronary syndromes (ACS), the optimal revascularization strategy for unprotected left main coronary disease (ULMCD) has been little studied. The objectives of the present study were to describe the practice of ULMCD revascularization in ACS patients and its evolution over an 8-year period, analyse the prognosis of this population and determine the effect of revascularization on ou...

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Left Main Coronary Artery Disease: traditional risk factors in a study from northwest of Iran

Background & Aims: Significant left main coronary artery disease (LMCAD) is found in 3 to 6 percent of all patients who undergo coronary arteriography. LMCAD usually requires an emergent surgery that has a higher rate of mortality and complications. The risk factors of left main involvement in previous studies are controversial. The aim of this study was to determine the traditional risk factor...

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Acute left main coronary artery occlusion

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ژورنال

عنوان ژورنال: Journal of the Saudi Heart Association

سال: 2015

ISSN: 1016-7315

DOI: 10.1016/j.jsha.2015.03.002