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The advent of highly sensitive troponin assays has shown detectable levels in apparently healthy subjects. Persistently elevated levels (> 99% percentile) can be observed in patients with a variety of chronic diseases, including coronary artery disease (CAD), making the accurate diagnosis of myocardial infarction (MI) challenging.
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During my final year of interventional cardiology training, a woman in her 60s was brought emergently to the cath lab in cardiogenic shock, with diffuse ST-segment elevations. She had undergone PCI of the LAD and RCA just over a week earlier at an outside hospital.
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Asymptomatic episodes of atrial fibrillation (AF) are often detected when interrogating implanted pacemakers or defibrillators.
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Implantable pacemakers have existed for decades. Although numerous bells and whistles have been added, the essential components of pacemakers have remained unchanged.
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Medical professional liability studies most often use aggregated data across all physicians in a specialty and lack data on those who were not sued.
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The introduction of transcatheter aortic valve replacement (TAVR) has been a transformative step in the treatment of severe aortic stenosis. Patients who are ineligible or very high-risk for open surgery are now routinely treated with this less-invasive option.
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Percutaneous coronary intervention (PCI) is performed in more than 600,000 patients annually in the United States, and women make up approximately one-third of this population.