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Speculative Considerations about Some Cardiology Enigmas

[ Vol. 13 , Issue. 3 ]

Author(s):

Paulo Roberto Barbosa Evora, Andre Schmidt, Livia Arcêncio and José Antonio Marin-Neto   Pages 217 - 222 ( 6 )

Abstract:


Background: Enigmas often lead to hypotheses and speculations. For this reason, especially for the sake of the reader’s motivation, we opted for the plain discussion of some cardiology enigmas.

Objective: The present text was aimed to discuss speculatively some cardiology enigmas.

Method: Text was freely designed in the context of coronary artery and heart valve diseases.

Results: The results were presented as the combination enigma/hypothesis. 1) The absence of arteriosclerosis in intramyocardial coronary arteries/ endothelium-myocardial interaction (crosstalk); 2) The unique and always confirmed superior evolution of the internal thoracic artery as coronary graft/ higher NO basal release 3) The prophylactic left internal thoracic artery graft in mildlystenosed coronary lesions/need of more accurate functional imaging techniques; 4) The high incidence of perioperative atrial fibrillation in patients with coronary artery disease/atrial ischemia associated to left circumflex coronary lesions; 5) The handling of disease-free saphenous vein grafts at the time of reoperation/biological serendipity with graft vein segments; 6) The possible aortic stenosis protection against coronary artery disease/ endothelium-myocardium interaction (crosstalk) improving NO release.

Conclusion: The discussed topics associated with their respective speculative hypothesis remain as enigmas, but would become motivations for investigations

Keywords:

Coronary artery disease, heart valve disease, controversies, cardiology enigmas, arteriosclerosis, atrial fibrillation.

Affiliation:

Department of Surgery and Anatomy, Ribeirão Preto School of Medicine, University of São Paulo, Av. Bandeirantes, 3900 - Monte Alegre - CEP: 14049-900 Ribeirão Preto/SP, Department of Surgery and Anatomy (Division of Cardiothoracic Surgery); Department of Medicine (Division of Cardiology); Ribeirão Preto School of Medicine, University of São Paulo, SP, Department of Surgery and Anatomy (Division of Cardiothoracic Surgery); Department of Medicine (Division of Cardiology); Ribeirão Preto School of Medicine, University of São Paulo, SP, Department of Surgery and Anatomy (Division of Cardiothoracic Surgery); Department of Medicine (Division of Cardiology); Ribeirão Preto School of Medicine, University of São Paulo, SP

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