Totally Occlusive Diffuse In-stent Restenosis in Saphenous Vein Graft to Right Coronary Artery and Acute Coronary Syndrome

A 78-year-old gentleman presented with Canadian Cardiological Society (CCS) class III angina and had been getting excruciating substernal pain while walking 50 to 100 m on the flat over the last 15 days despite optimal medical therapy. From his past medical history the patient underwent CABG in 1997 (LIMA to LAD and SVG to dominant RCA); in 2006 he had an angioplasty done in his SVG and stents were implanted (no medical data regarding the angioplasty were found). Cardiac enzymes and troponin were negative; a mild increase of creatinine was noted on admission. The echocardiogram revealed severe basal inferior wall hypokinesia with overall reasonably preserved left ventricular and right ventricular systolic function... (excerpt

Telemonitoring in Chronic Heart Failure: A Systematic Review

Heart failure (HF) is a growing epidemic with the annual number of hospitalizations constantly increasing over the last decades for HF as a primary or secondary diagnosis. Despite the emergence of novel therapeutic approached that can prolong life and shorten hospital stay, HF patients will be needing rehospitalization and will often have a poor prognosis. Telemonitoring is a novel diagnostic modality that has been suggested to be beneficial for HF patients. Telemonitoring is viewed as a means of recording physiological data, such as body weight, heart rate, arterial blood pressure, and electrocardiogram recordings, by portable devices and transmitting these data remotely (via a telephone line, a mobile phone or a computer) to a server where they can be stored, reviewed and analyzed by the research team. In this systematic review of all randomized clinical trials evaluating telemonitoring in chronic HF, we aim to assess whether telemonitoring provides any substantial benefit in this patient population