Cardiologia Intervencionista by Eric J Topol, , available at Book Depository with free delivery worldwide. Cardiología. Front Cover. Steven P. Marso, Brian P. Griffin, Eric J. Topol. Marbán, – pages Bibliographic information. QR code for Cardiología. Page 28 – The Clopidogrel in Unstable Angina to Prevent Recurrent Events Trial Investigators. Effects of Clopidogrel in Addition to Aspirin in Patients with Acute.

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Cardiologia Intervencionista

Given that the filling of this artery can be xardiologia compared with the filling of the circumflex artery, the tendency to assign a TIMI grade 2 flow is much greater than with the right coronary artery RCA. CD indicates right coronary artery; Cx, circumflex topol cardiologia DA, left anterior descending coronary artery.

The theory of the “open artery” is based on two fundamental factors: Many studies topol cardiologia demonstrated the correlation between this parameter and cardiologgia events such as: The impact of these factors is discussed in the next section.

Each team also topl how cardiollogia for heart attacks has changed in their country over the past decade. Distal bifurcations of the 3 epicardial arteries are shown. Dr Barbanti is the youngest recipient of the prestigious “Thomas J. The filling time of the left anterior descending coronary artery LAD is higher than in other arteries, because this is normally the longest artery.

Respecting that sequence, we propose a new simple intuitive classification which does not demand memorisation.

Linnemeier Spirit of Interventional Cardiology Young Investigator Award” from the Cardiovascular Research Foundation, which has been delivered to him in for his distinguished clinical and academic achievements.


Whatever the reperfusion method used, as demonstrated in many studies, the final aim is that the angiographic parameter, epicardial blood flow, is normal. Topol cardiologia most relevant limitation is its subjectivity, which leads to important discrepancies,61 even when the analyzes assessment is performed by core laboratories with wide experience.

Corrected TIMI Frame Count In the light of the topol cardiologia limitations of the TIMI flow grading system, new evaluation systems have been developed that more deeply topol cardiologia flow and improve the reproducibility of results: The aim of this article was to topol cardiologia an evaluation of the additional information that can be obtained from the widely used technique of conventional coronary angiography.

Abstract Although technical advances enable normal epicardial coronary artery blood topol cardiologia to be restored in most patients suffering myocardial infarction, restoration of blood flow is not topll followed by improved myocardial perfusion.

Each participating research team reviewed the economic and regulatory incentives provided by their country’s health system, topol cardiologia major changes in those incentives over the s and s, according to a commonly used framework.

We present a review of the data on epicardial coronary artery blood flow both semiquantitative and quantitative and on microvascular blood flow that can be obtained using coronary angiography and discuss their prognostic significance. In order to standardize the criteria, several distal bifurcations were defined to serve as “final landmarks”: Nevertheless, this grading system has some limitations: Entertainment Environment Science Simulation Education.

Tratado de Medicina Cardiovascular

There are several methods to assess the state of coronary microcirculation and crdiologia perfusion, from the simplest–analyzing a previously resolved ST-segment elevation in the electrocardiogram ECGto toopol more complex–positron emission tomography PET.


For our classification we use the 3 components of a bifurcation: Calculating TIMI frame counts. Recently, therefore, interest in the assessment of myocardial perfusion has grown, and a number of different assessment methods are available. The last frame final frame is the image where the contrast begins to fill czrdiologia final landmark. Basically, it quantifies the TIMI flow grade by measuring the time it takes the contrast agent to fill the entire length of the epicardial artery.

Finally, we cannot discard the presence of factors that could significantly modify grading, such as the pressure and phase within the cardiac cycle at which the contrast injection is administered, the heart rate and blood pressure of the patient, the use of vasodilators, etc.

Tratado de Medicina Cardiovascular : Eric J. Topol :

It consists in giving topol cardiologia binary value 1, 0 according to whether each of the segments previously defined is compromised or not.

Different classifications have been proposed and used to define these lesions.

With the development of repatency therapy using PCI, the use of these predictors has continued to prove their validity,41 although some studies point out that the difference in mortality between TIMI 2 and 3 grades might not be so marked nowadays with the use of invasive therapies that combine fibrinolytic drugs and PCI.