Heart HQ – Episode 8: Coronary Artery Anomalies and HRT
In this week’s podcast, Peter and Stuart chat about coronary artery anomalies.
There are many different types of coronary artery anomalies such as an inter-arterial course and a coronary artery fistula. Peter and Stuart discuss a couple of recent patients who had a fistula, and were diagnosed thanks to a CT Coronary Angiography (CTCA) scan.
And, prompted by a recent patient enquiry about the risk of cardiovascular disease when using hormone replacement therapy (HRT), they also discuss the 5 things to consider when it comes to HRT and CVD.
Show notes: Episode 8
Hormone Replacement Therapy (HRT)
For more on HRT and CVD risk, please refer to Figure 3 in the Treatment of Symptoms of the Menopause: An Endocrine Society Clinical Practice Guideline.
Coronary Artery Anomalies
CTCA scans discussed
Coronary Artery Fistulae repair
Figure 3 from the Circulation article on Coronary Artery Anomalies
Further reading on coronary artery anomalies
- Angelini P, Villason S, Chan AV, Diez JG. Normal and anomalous coronary arteries in humans. In: Angelini P, ed. Coronary Artery Anomalies: A Comprehensive Approach. Philadelphia: Lippincott Williams & Wilkins; 1999: 52
- Angelini P. Coronary artery anomalies: an entity in search of an identity. Circulation. 2007 Mar 13;115(10):1296-305
- Villa AD, Sammut E, Nair A, Rajani R, Bonamini R, Chiribiri A. Coronary artery anomalies overview: The normal and the abnormal. World J Radiol. 2016 Jun 28;8(6):537-55.
Further reading on HRT
- Stuenkel CA, Davis SR, Gompel A, Lumsden MA, Murad MH, Pinkerton JV, Santen RJ. Treatment of Symptoms of the Menopause: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2015 Nov;100(11):3975-4011.
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BSc (Hons) MBBS FRACP FCSANZ. Stuart is an interventional cardiologist and structural heart specialist. He has a special interest in treating complex and previously untreatable coronary artery disease, and a passion for distal radial artery access for coronary angiography and stenting.
After completing his training in Brisbane and Perth with an interventional cardiology fellowship, he returned to paradise to take up cardiology consulting at various local hospitals and now is a director of HeartHQ.
MBBS (Hons) FRACP FCSANZ. Peter is a clinical and interventional cardiologist with various special interests including coronary angioplasty and stenting, endovascular procedures and structural heart interventions. He studied and trained in Queensland and completed a Fellowship in Interventional Cardiology and Vascular Diagnosis in Boston, MA.
Peter returned home to become Director of Cardiology at Sunshine Coast Hospital, before becoming a founding partner and managing director of HeartHQ