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I'm a cardiologist. Your scan came back and there's plaque in your arteries.
A calcium score of 200. Carotid plaque on ultrasound. Soft plaque on CT angiogram.
You're scared. Here's the first thing I tell every patient:
Plaque can stabilize. And it can regress. We have imaging proof.
This is not a life sentence — but what happens next depends almost entirely on what you do in the next 12 months.
Here is the exact protocol. Save this.
Would people be willing to keep note of all ACS-COVID cases. If we collect them prospectively we can review/analyse retrospectively and there may be important lessons learnt esp re Type 2 MI. Some good may come out of this @mmamas1973@DrDerekConnolly@ALadwiniec@DrPeterOKane
Lots to worry bout #COVID19#COVID19ireland, eg case fatality~3% (5-10% for elderly); but most of all is 10% intubation rate (reports from ITA). It took China & ITA until their ICUs were overwhelmed before they took extreme measures-why cant we learn from their mistake? @HSELive
@PeterBarlis@RadialFirstBot As per @_RohanB_ plus Try to wire from there, then engage with guideliner over a 2.0mm balloon. As minimal guide support so 2 wires will make case easier
@ProfDFrancis@SukhNijjer This also creates the possibility of tailoring. Create separate risk scores for probability of periprocedural vs. spontaneous MIs and see if there's a population that's low procedural, high spontaneous who will have clinical benefit.
Antonio Colombo at JIM Middle East in Cairo
(We should improve on PCI techniques and stop doingCABG 10 years from now .. PCI is less invasive and more comfortable to the patient )
It's precision PCI time for the future ,, no more guessing in the cath lab ,, QFR , IVUS , OCT ..