Background Coronary angiography and the extent of coronary luminal stenosis has historically been the main factor used in guiding decisions regarding revascularisation in patients with stable coronary artery disease. More recently, revascularisation based on invasive fractional flow reserve (FFR) measurements has been shown to result in a significant benefit for event free survival. Cardiac mag...

Introduction The perceived clinical benefits of undertaking revascularisation to coronary artery chronic total occlusions (CTO) relate to improvements in angina symptoms and prognosis. Long term survival benefits from CTO revascularisation has been suggested in several large observational studies despite a significant failure rate. Data about the physiological consequences of successful opening...

Cardiologists in the UK use clinical practice guidelines from the National Institute for Health and Care Excellence (NICE) and from the European Society of Cardiology (ESC) to aid clinical decision-making. This review compares their recommendations regarding stable angina. NICE's diagnostic algorithm changed clinical practice in the UK, with most cardiologists moving from the exercise ECG towar...

background: radial movement of the arterial wall is a well-known indicator of the mechanical properties of arteries in arterial disease examinations. in the present study, two different motion estimation methods, based on the block-matching and maximum-gradient algorithms, were examined to extract the radial displacement of the carotid artery wall. methods: each program was separately implement...

BACKGROUND Complete arterial revascularisation using the radial artery (RA) is an attractive alternative to venous graft implantation for the coronary artery bypass grafting (CABG). In spite of the favourable long-term results of this approach, the sensitivity of RA to vasoconstriction and spasm is still limiting its use. It has been suggested that vasospastic properties of the artery may diffe...

OBJECTIVES To investigate in a retrospective study the technical aspects of using the in situ bilateral internal mammary arteries (IMAs), with the right IMA (RIMA) used for revascularisation of the circumflex system, and to evaluate early and late outcome. MATERIALS AND METHODS Between January 1997 and July 2003, 552 consecutive patients underwent grafting of the circumflex artery system with...

In the UK 2.5 million people have diabetes. Three quarters of all deaths in patients with diabetes are caused by coronary artery disease. It has been projected that 25–30% of all revascularisations will be in patients with diabetes by 2010. The choice of optimal revascularisation strategy—coronary artery bypass graft (CABG) surgery or percutaneous coronary intervention (PCI)—remains controversi...

OBJECTIVE To assess the impact of coronary revascularisation on the health related quality of life (HRQOL) of patients with chronic stable angina compared with data from "community" norms four years following revascularisation. DESIGN Prospective survey and review of medical records. SETTING Seven of the eight public Swedish heart centres that performed coronary artery interventions. SUBJ...