Paul A Sainsbury

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BACKGROUND Many patients with coronary artery disease who are not candidates for revascularization have refractory angina despite standard medical therapy. The balloon-expandable, stainless steel, hourglass-shaped, coronary-sinus reducing device creates a focal narrowing and increases pressure in the coronary sinus, thus redistributing blood into ischemic(More)
Sainsbury PA, et al. Heart 2017;103:1911–1922. doi:10.1136/heartjnl-2015-308564 IntroductIon Refractory angina (RA) is conventionally defined as a chronic condition (≥3 months in duration) characterised by angina caused by coronary insufficiency in the setting of coronary artery disease (CAD) which cannot be controlled by a combination of medical therapy,(More)
A 23 year old pregnant lady at 35 weeks gestation presented to accident and emergency with worsening dyspnoea, palpitations and dizziness. Twelve lead electrocardiogram, routine bloods and echocardiography were normal. Ambulatory monitoring previously had shown an episode of monomorphic broad complex tachycardia (BCT) and a short episode of ventricular(More)
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