| What is the guideline for managing statins before surgery? | continued till day of surgery or initiated if not previously started | Beta-blockers should not be discontinued to avoid acute ischemia Statins should be continued till day of surgery or initiated if not previously started Angiotensin-converting enzyme inhibitors and similar drugs might be discontinued 1–2 days prior to surgery Before elective surgery, discontinue Aspirin 48 hours and other anti-platelet drugs at least 5 days before surgery. | 83 | summary | 0.970 | Beta-blockers should not be discontinued to avoid acute ischemia Statins should be continued till day of surgery or initiated if not previously started Angiotensin-converting enzyme inhibitors and similar drugs might be discontinued 1–2 days prior to surgery Before elective surgery, discontinue Aspirin 48 hours and other anti-platelet drugs at least 5 days before surgery. | 1 | page=1,block=3 | 0.700 | valid |
| What is the full form of ACS? | Acute Coronary Syndrome | (in the following subsets) ACS: Acute Coronary Syndrome ARB: Angiotensin Receptor Blockers ARNI: Angiotensin Receptor Neprilysin Inhibitor BMI: Body Mass Index CABG: Coronary Artery Bypass Graft CAD: Coronary Artery Disease CHF: Congestive Heart Failure CPB: Cardiopulmonary Bypass ECG: Electrocardiogram LAD: Left Anterior Descending Artery LIMA: Left Internal Mammary Artery MI: Myocardial Infarction OPCAB: Off-Pump Coronary Artery Bypass Surgery PCI: Percutaneous coronary intervention RIMA: Right Internal Mammary Artery STEMI: St Elevation Myocardial Infarction July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. | 32 | definition | 0.900 | (in the following subsets) ACS: Acute Coronary Syndrome ARB: Angiotensin Receptor Blockers ARNI: Angiotensin Receptor Neprilysin Inhibitor BMI: Body Mass Index CABG: Coronary Artery Bypass Graft CAD: Coronary Artery Disease CHF: Congestive Heart Failure CPB: Cardiopulmonary Bypass ECG: Electrocardiogram LAD: Left Anterior Descending Artery LIMA: Left Internal Mammary Artery MI: Myocardial Infarction OPCAB: Off-Pump Coronary Artery Bypass Surgery PCI: Percutaneous coronary intervention RIMA: Right Internal Mammary Artery STEMI: St Elevation Myocardial Infarction July/ 2024 This STW has been |
| What does ARB stand for? | Angiotensin Receptor Blockers | (in the following subsets) ACS: Acute Coronary Syndrome ARB: Angiotensin Receptor Blockers ARNI: Angiotensin Receptor Neprilysin Inhibitor BMI: Body Mass Index CABG: Coronary Artery Bypass Graft CAD: Coronary Artery Disease CHF: Congestive Heart Failure CPB: Cardiopulmonary Bypass ECG: Electrocardiogram LAD: Left Anterior Descending Artery LIMA: Left Internal Mammary Artery MI: Myocardial Infarction OPCAB: Off-Pump Coronary Artery Bypass Surgery PCI: Percutaneous coronary intervention RIMA: Right Internal Mammary Artery STEMI: St Elevation Myocardial Infarction July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. | 61 | definition | 0.900 | (in the following subsets) ACS: Acute Coronary Syndrome ARB: Angiotensin Receptor Blockers ARNI: Angiotensin Receptor Neprilysin Inhibitor BMI: Body Mass Index CABG: Coronary Artery Bypass Graft CAD: Coronary Artery Disease CHF: Congestive Heart Failure CPB: Cardiopulmonary Bypass ECG: Electrocardiogram LAD: Left Anterior Descending Artery LIMA: Left Internal Mammary Artery MI: Myocardial Infarction OPCAB: Off-Pump Coronary Artery Bypass Surgery PCI: Percutaneous coronary intervention RIMA: Right Internal Mammary Artery STEMI: St Elevation Myocardial Infarction July/ 2024 This STW has been |
| What is the full form of ARNI? | Angiotensin Receptor Neprilysin Inhibitor | (in the following subsets) ACS: Acute Coronary Syndrome ARB: Angiotensin Receptor Blockers ARNI: Angiotensin Receptor Neprilysin Inhibitor BMI: Body Mass Index CABG: Coronary Artery Bypass Graft CAD: Coronary Artery Disease CHF: Congestive Heart Failure CPB: Cardiopulmonary Bypass ECG: Electrocardiogram LAD: Left Anterior Descending Artery LIMA: Left Internal Mammary Artery MI: Myocardial Infarction OPCAB: Off-Pump Coronary Artery Bypass Surgery PCI: Percutaneous coronary intervention RIMA: Right Internal Mammary Artery STEMI: St Elevation Myocardial Infarction July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. | 97 | definition | 0.900 | (in the following subsets) ACS: Acute Coronary Syndrome ARB: Angiotensin Receptor Blockers ARNI: Angiotensin Receptor Neprilysin Inhibitor BMI: Body Mass Index CABG: Coronary Artery Bypass Graft CAD: Coronary Artery Disease CHF: Congestive Heart Failure CPB: Cardiopulmonary Bypass ECG: Electrocardiogram LAD: Left Anterior Descending Artery LIMA: Left Internal Mammary Artery MI: Myocardial Infarction OPCAB: Off-Pump Coronary Artery Bypass Surgery PCI: Percutaneous coronary intervention RIMA: Right Internal Mammary Artery STEMI: St Elevation Myocardial Infarction July/ 2024 This STW has been |
| What does BMI stand for? | Body Mass Index | (in the following subsets) ACS: Acute Coronary Syndrome ARB: Angiotensin Receptor Blockers ARNI: Angiotensin Receptor Neprilysin Inhibitor BMI: Body Mass Index CABG: Coronary Artery Bypass Graft CAD: Coronary Artery Disease CHF: Congestive Heart Failure CPB: Cardiopulmonary Bypass ECG: Electrocardiogram LAD: Left Anterior Descending Artery LIMA: Left Internal Mammary Artery MI: Myocardial Infarction OPCAB: Off-Pump Coronary Artery Bypass Surgery PCI: Percutaneous coronary intervention RIMA: Right Internal Mammary Artery STEMI: St Elevation Myocardial Infarction July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. | 144 | definition | 0.900 | (in the following subsets) ACS: Acute Coronary Syndrome ARB: Angiotensin Receptor Blockers ARNI: Angiotensin Receptor Neprilysin Inhibitor BMI: Body Mass Index CABG: Coronary Artery Bypass Graft CAD: Coronary Artery Disease CHF: Congestive Heart Failure CPB: Cardiopulmonary Bypass ECG: Electrocardiogram LAD: Left Anterior Descending Artery LIMA: Left Internal Mammary Artery MI: Myocardial Infarction OPCAB: Off-Pump Coronary Artery Bypass Surgery PCI: Percutaneous coronary intervention RIMA: Right Internal Mammary Artery STEMI: St Elevation Myocardial Infarction July/ 2024 This STW has been |
| What is the meaning of CABG? | Coronary Artery Bypass Graft | (in the following subsets) ACS: Acute Coronary Syndrome ARB: Angiotensin Receptor Blockers ARNI: Angiotensin Receptor Neprilysin Inhibitor BMI: Body Mass Index CABG: Coronary Artery Bypass Graft CAD: Coronary Artery Disease CHF: Congestive Heart Failure CPB: Cardiopulmonary Bypass ECG: Electrocardiogram LAD: Left Anterior Descending Artery LIMA: Left Internal Mammary Artery MI: Myocardial Infarction OPCAB: Off-Pump Coronary Artery Bypass Surgery PCI: Percutaneous coronary intervention RIMA: Right Internal Mammary Artery STEMI: St Elevation Myocardial Infarction July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. | 166 | definition | 0.900 | (in the following subsets) ACS: Acute Coronary Syndrome ARB: Angiotensin Receptor Blockers ARNI: Angiotensin Receptor Neprilysin Inhibitor BMI: Body Mass Index CABG: Coronary Artery Bypass Graft CAD: Coronary Artery Disease CHF: Congestive Heart Failure CPB: Cardiopulmonary Bypass ECG: Electrocardiogram LAD: Left Anterior Descending Artery LIMA: Left Internal Mammary Artery MI: Myocardial Infarction OPCAB: Off-Pump Coronary Artery Bypass Surgery PCI: Percutaneous coronary intervention RIMA: Right Internal Mammary Artery STEMI: St Elevation Myocardial Infarction July/ 2024 This STW has been |
| Which conditions indicate the use of low molecular weight heparin? | atrial fibrillation, recent coronary/renal stenting, prosthetic heart valve in-situ, limb ischaemia, and left ventricular clot | Add LMW heparin in high thrombogenic conditions like atrial fibrillation, recent coronary/renal stenting, prosthetic heart valve in-situ, limb ischaemia, and left ventricular clot CABG IN NSTE-ACS CABG IN STEMI (ACUTE) CABG IN EVOLVED STEMI (DELAYED) Indications for CABG CABG is preferred over PCI in left main disease, multivessel CAD and diabetics Timing: After medical stabilization, and or IABP support followed by early CABG Indications for CABG ∙ CABG is preferred over PCI in left main disease, multivessel CAD, and diabetics • Mechanical complications (Emergency surgery) • Coronary anatomy unsuitable for PCI/failed PCI Timing: Preferably should wait for one week, until and unless there is hemodynamic instability refractory to medical management/ IABP, or if patient develops mechanical complications of MI | 53 | list | 0.820 | Add LMW heparin in high thrombogenic conditions like atrial fibrillation, recent coronary/renal stenting, prosthetic heart valve in-situ, limb ischaemia, and left ventricular clot CABG IN NSTE-ACS CABG IN STEMI (ACUTE) CABG IN EVOLVED STEMI (DELAYED) Indications for CABG CABG is preferred over PCI in left main disease, multivessel CAD and diabetics Timing: After medical stabilization, and or IABP support followed by early CABG Indications for CABG ∙ CABG is preferred over PCI in left main disease, multivessel CAD, and diabetics • Mechanical complications (Emergency surgery) • Coronary anatomy |
| For which conditions is CABG considered better than PCI? | left main disease, multivessel CAD and diabetics | Add LMW heparin in high thrombogenic conditions like atrial fibrillation, recent coronary/renal stenting, prosthetic heart valve in-situ, limb ischaemia, and left ventricular clot CABG IN NSTE-ACS CABG IN STEMI (ACUTE) CABG IN EVOLVED STEMI (DELAYED) Indications for CABG CABG is preferred over PCI in left main disease, multivessel CAD and diabetics Timing: After medical stabilization, and or IABP support followed by early CABG Indications for CABG ∙ CABG is preferred over PCI in left main disease, multivessel CAD, and diabetics • Mechanical complications (Emergency surgery) • Coronary anatomy unsuitable for PCI/failed PCI Timing: Preferably should wait for one week, until and unless there is hemodynamic instability refractory to medical management/ IABP, or if patient develops mechanical complications of MI | 302 | list | 0.820 | Add LMW heparin in high thrombogenic conditions like atrial fibrillation, recent coronary/renal stenting, prosthetic heart valve in-situ, limb ischaemia, and left ventricular clot CABG IN NSTE-ACS CABG IN STEMI (ACUTE) CABG IN EVOLVED STEMI (DELAYED) Indications for CABG CABG is preferred over PCI in left main disease, multivessel CAD and diabetics Timing: After medical stabilization, and or IABP support followed by early CABG Indications for CABG ∙ CABG is preferred over PCI in left main disease, multivessel CAD, and diabetics • Mechanical complications (Emergency surgery) • Coronary anatomy |
| What lifestyle modifications are advised for patients to improve their health? | Smoking Complete cessation Physical Activity Weight management | Target low density lipoprotein < 70 mg/dl Diabetes Hemoglobin A1c <7% Control of Hypertension Blood pressure (mm Hg) < 140/85 for most patients, < 130/85 for CHF or renal failure, < 130/80 for diabetes Smoking Complete cessation Physical Activity Weight management | 202 | list | 0.820 | Target low density lipoprotein < 70 mg/dl Diabetes Hemoglobin A1c <7% Control of Hypertension Blood pressure (mm Hg) < 140/85 for most patients, < 130/85 for CHF or renal failure, < 130/80 for diabetes Smoking Complete cessation Physical Activity Weight management | 1 | page=1,block=18 | 0.700 | valid |
| What is the recommended daily dosage for single-antiplatelet therapy with Aspirin? | Aspirin 75 to 325mg/day, indefinitely | BMI between 18.5 and 24. Single-antiplatelet - Aspirin 75 to 325mg/day, indefinitely Aspirin plus Clopidogrel/Ticagrelor (for one year for OPCAB patients, 6 months for on-pump CABG patients operated during acute coronary syndrome). Thereafter, single antiplatelet agent indefinitely • Left main stenosis greater than 50% • Three vessel disease with diabetes/LV dysfunction • Two vessel disease with critical proximal LAD disease • Two vessel disease without proximal LAD disease (with severe ischemic burden) • Single vessel disease with critical proximal/ostial LAD disease | 47 | factual | 0.570 | Single-antiplatelet - Aspirin 75 to 325mg/day, indefinitely Aspirin plus Clopidogrel/Ticagrelor (for one year for OPCAB patients, 6 months for on-pump CABG patients operated during acute coronary syndrome). | 1 | page=1,block=30 | 0.700 | valid |