Journal of cardiovascular medicine
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J Cardiovasc Med (Hagerstown) · Mar 2011
Randomized Controlled Trial Comparative StudyAnatomical extent of pulmonary vein isolation after cryoballoon ablation for atrial fibrillation: comparison between the 23 and 28 mm balloons.
Pulmonary vein isolation seems to occur in the distal part of the ostium leaving the atrium largely unablated when using the 23 mm cryoballoon catheter ablation for atrial fibrillation. We hypothesize that ablating with the larger 28 mm cryoballoon would target a wider portion of the left atrial cavity. ⋯ Pulmonary vein isolation occurs significantly more proximally in the atrium when performing atrial fibrillation ablation with a 28 mm cryoballoon when compared with a 23 mm balloon.
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J Cardiovasc Med (Hagerstown) · Mar 2011
Case ReportsMitral valve repair complicated by iatrogenic coronary artery lesion treated with percutaneous coronary intervention.
We report a case of mitral valve repair complicated by iatrogenic coronary artery lesion. This rare coronary injury caused an acute ST-elevation myocardial infarction and it was treated successfully with a percutaneous coronary intervention.
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The elderly are a rapidly growing segment of the population with a high likelihood of acute coronary disease and worse outcomes after acute coronary syndromes than younger groups. Although underrepresented in clinical trial populations, they benefit to an equal or greater extent from treatment with proven medications and interventions, and survivors to hospital discharge have excellent longer term functional outcomes. With consideration of individual preferences for treatment and inherent risks for side-effects in this population, age alone should not determine management of elderly acute coronary syndrome patients.