Professional Documents
Culture Documents
Guidelines on
Myocardial
Revascularization
Speaker
Dr. Gobinda kanti Paul
Asst. Prof. of Cardiology.
Chairperson
Dr. M.Saiful Bari,
Assoc. Prof. & Head of the Dept
Guidelines on Myocardial
Revascularization
European Heart Journal(2010)31, 250155
The Task Force on Myocardial
Revascularization of the European
Society of Cardiology (ESC) and the
European Association for
Cardio-Thoracic Surgery (EACTS)
Guidelines on Myocardial
Revascularization
Introduction
Myocardial revascularization is
appropriate when the expected
benefits, in terms of survival or
health outcomes (symptoms,
functional status, and/or quality
of life), exceed the expected
negative consequences of the
procedure.
Patient Information
ECG,
ECHO
Stress Tests-ETT,
MDCT(CT angiogram)
MPI
Stress Echo.
Hybrid/Combined imaging(MDCT &
SPECT, MDCT & PET)
Invasive Tests
Fibrinolysis
OMT
Lifestyle modification
Pharmacological management
CABG
Bypass grafts are placed to the midcoronary vessel beyond the culprit
lesions, providing extra sources of
nutrient blood flow to the
myocardium.
PCI
SYNTAX Trial
LM stenosis
LM stenosis
Revascularization in non-STEMI
Revascularization in STEMI
Primary PCI:
PCI in the setting of STEMI without previous
or concomitant fibrinolytic treatment
STEMI
Hybrid revascularization
Conclusion