Articles related to CORONARY ARTERY DISEASE (CAD)

“Less plaque does not necessarily mean low risk in women. Plaque biology and distribution matter, not just total quantity.” — Kevin Shah, MD, MemorialCare Heart & Vascular Institute

“Atherosclerosis is often called a ‘silent’ disease because it typically causes no symptoms in its early stages.” — Medically reviewed by Jimmy Almond, MD, Epoch Times

Given that the patient lived 80 years with this congenital condition without right atrial or right ventricular enlargement or significant pulmonary hypertension, the decision was made to manage medically.

“A patient- and caregiver-centered discussion on what matters most can help guide the clinician. A palliative approach may be appropriate to alleviate symptoms even if there are competing dominant diseases.”

The study identifies three scenarios where CAC testing provides limited value: “too early” (younger patients without risk factors), “too late” (elderly patients or those already on statins), and “too often” (repeated imaging after statin initiation).

A network meta-analysis of 24 trials (16,371 patients) found complete revascularization in myocardial infarction with multivessel disease reduced all-cause mortality by 15% compared to culprit-only revascularization, suggesting potential improved outcomes for this population.