FFR-guided PCI strategy showed significantly lower rate of composite end point of death, myocardial infarction, or urgent revascularization.(FAME2)

This trial was conducted at 28 locations and 1,220 patients who are with stenosis >50%, comparing PCI + medical therapy to medical therapy alone.
The 888 patients who are FFR<0,80 were randomly categorized in either group.

At 5 years, the patients FFR-guided PCI group showed significantly lower rate than medical therapy only group, for composite end point of death, myocardial infarction, or urgent revascularization.

For details of this study, please refer to the following site.
Five-Year Outcomes with PCI Guided by Fractional Flow Reserve(The New England journal of medicine)

.....To manage patients after treatment, high accuracy tests requires stress and invasion to the patients, such as catheter, contrast agent, radiation and excersize.

MCG is the test to detect abnormality of heart cell without any invasion.
It is useful for long term monitoring of the patients who had surgery or events without invasion.

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It is challenge for conventional imaging technology to find abnormality of small vessels

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MCG study is presented at ESC Acute Cardiovascular Care 2018

MCG clinical study was presented at ESC Acute Cardiovascular Care 2018 in March 3rd, in Milan, Italy. This study was conducted in Myanmar, where the locations of the cath-lab are very limited. MCG was compared with CAG, and it showed high sensitivity and specificity for the presence of severe CAD by CAG (≥ 75%). By Author, it is evaluated as “MCG could be used for prompt detection of severe CAD in order to start appropriate (PCI/Optimal Medical Therapy) treatments in the emerging country such as Myanmar where less medical facilities and skills are available.”

The leading cause of death for diabetics

About 422 Million adults were suffered from diabetes in 2014 worldwide, as reported by WHO in 2016. One of the leading cause of death in these patients is heart disease. According to the report, about 2.2 million deaths are from cardiovascular diseases, chronic kidney disease, and others related to higher-than-optimal blood glucose. Also, adults with diabetes have a two or three times higher rate of cardiovascular disease (CVD) than adults without diabetes. The study conducted in Japan revealed that the heart disease is the No.1 Killer of diabetes. This study follows 1939 diabetic patients in Osaka about 10 years, and the mortality rates per 1000 person-years were 31.35 for males and 21.99 for females. Among them, heart disease killed 19.5%, cerebrovascular disease 16.7% and renal disease 13.1%. Thus this study showed heart disease is the No.1 killer of diabetes. It is told that many of diabetic patients are suffered from diabetic peripheral neuropathy. In heart it ...

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