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chest pain , PCI , CHEIF COMPLAIN CHEST PAIN HEART ATTACK , EKG 12 LEAD ,…

- - - - increase blood flow through by removing plaque biuldup
    - - USED TO PROP OPEN AN ARTERY DURING ANGIOPLASTY
        
        Holds the artery open , improve blood flow , releive chest pain
- - - - Some what vessels dependent
        
        mild coronary artery dx =50%narrowing )
        
        Moderate CAD : 50-70%NARROWING
        
        sever CAD : 70 % NARROWING
      - To evaluate CAD we need more than visual appearance of the artery
        
        FFR ( FRACTIONAL FLOW RESERVE )
        
        IFR ( INSTANT WAVE FREE RATIO)
        
        IVUS ( INTRAVASCULAR U\S
        
        FFR ANF IFR USE PRESSURE SENSOR WIRES
        
        MEASURE PRESSUR ON BOTH SIDES OF THE NAROWING
        
        DETERMINE SUGNIFICANT OF BLOCKAGE
        
        intravascular U\S ALLOWS ACTUAL VISUALIZATION WITHIN ARTERY
        
        1 more item...
        
        if FFR< 0.89 FOR IFR)PATIENT DID BETTER WITH CORONARY INTERVENTION BALLOON ANGIOPLASTY OR STENDING
        
        IF FFR >than \equal to 0.80 ( greater than 0.89 for IFR ) medical therapy provided
- - - - CFR- Coronary flow reserve
        
        Optimal Cohernce TamOgrophy
- - - - CHD
        
        CAD
        
        PVD
- - - - to prevent clots and Aspirin is giving
        
        continue taking ASPIRIN even after PCI
      - complex procedure , require specialist
        
        a tiny tube inserted
        
        put into a large artery in groin \arm
        
        passed through blood vessels to the heart
        
        balloon inflate once is in narrowed site
        
        medication used
        
        antiplatelet
        
        anticoagulant
  - - - increase ability for physical activity
        
        prevent stroke