What is STICH trial?
The STICH trial showed that in patients with ischemic cardiomyopathy, coronary artery bypass grafting (CABG) + medical therapy resulted in higher mortality at 30 days, but with a significant improvement in long-term mortality (out to 10 years) compared with medical therapy alone.
What is Syntax trial?
The SYNTAX trial was designed to compare current surgical and percutaneous techniques in patients with three-vessel or left main coronary artery disease (or both).
What is surgical ventricular restoration?
Surgical ventricular restoration (SVR) is a surgical option designed to reverse the maladaptive morphologic changes of postinfarction ventricular remodeling, by restoring LV volume and a more normal elliptical shape to the LV, thereby reducing myocardial wall stress and improving ventricular function.
What is a syntax score in cardiology?
The SYNTAX score is an angiographic tool to help cardiologists, interventionists and surgeons to grade the complexity of coronary artery lesions. [6] A higher SYNTAX score indicates a more complex condition as well as worse prognosis in patients undergoing contemporary revascularization especially with PCI.
What is Syntax score CABG?
Coronary artery bypass graft SYNTAX score (Synergy Between Percutaneous Coronary Intervention With Taxus) represents the native coronary atherosclerotic burden as well as the incompleteness of coronary revascularization in patients with prior coronary artery bypass surgery.
Can heart ventricles repair?
Left ventricular reconstructive surgery (or aneurysm repair surgery) allows the surgeon to remove the scarred, dead area of heart tissue and/or the aneurysm and return the left ventricle to a more normal shape.
What is good Syntax score?
as such, having a SYNTAX score of less than 22 is a class IIa indication and a SYNTAX score of less than 33 is a class IIb indication for revascularization with PCI in patients who are at higher risk to undergo CABG.
What does a low syntax score mean?
Low SYNTAX scores are 27. High scores are associated with increasing cardiac mortality, major adverse cardiac events, and a specific, predefined combination of end points. The SYNTAX angiographic grading system was used alone to identify potential risk for revascularization.
What is a high Syntax score?
What is low syntax score?
How long do pig valves last in humans?
Tissue valves, which are made from pig heart valves or cow heart-sac tissue, typically last about 15 years. But they usually don’t require the lifelong use of anti-clotting drugs. Older people are more vulnerable to the bleeding side effects of warfarin.
Why is left sided heart failure more common?
Left-sided heart failure is more common than right-sided heart failure and is caused by dysfunction of your left ventricle. It most often occurs due to coronary heart disease, heart attacks, or long-term high blood pressure. Left-sided heart failure can cause right-sided heart failure.
What does a high Syntax score mean?
Can a mechanical heart valve last 40 years?
Mechanical valves can last a lifetime, but they come with increased risks of blood clotting and bleeding, as well as the need to take the blood-thinning medication warfarin.
What is the Stitch Stitch trial?
STITCH TRIAL 1 Patients were eligible for medical therapy alone if they did not have a stenotic lesion leading to loss of 50% or… 2 Patients were eligible for surgical ventricular reconstruction if they had dominant anterior left ventricular… More
How effective is CABG for ischemic heart failure?
The STICH trial (Surgical Treatment for Ischemic Heart Failure): mode-of-death results In the STICH trial, the addition of CABG to medical therapy reduced the most common modes of death: sudden death and fatal pump failure events. The beneficial effects were principally seen after 2 years.
Is there a surgical treatment for ischemic heart failure?
Surgical Treatment for Ischemic Heart Failure (STICH) Trial: CABG Versus CABG + SVR. Presented by Drs. Robert H. Jones and Daniel Mark at ACC.09/i2, Orlando, FL, March 2009.
Does cardiac bypass grafting improve mortality in ischemic cardiomyopathy?
The STICH trial showed that in patients with ischemic cardiomyopathy, coronary artery bypass grafting (CABG) + medical therapy resulted in higher mortality at 30 days, but with a significant improvement in long-term mortality (out to 10 years) compared with medical therapy alone.