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The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…cardiac biomarkers, imaging, angiography, and, occasionally, pathological examination. Pathologically, infarction represents myocardial cell death caused by prolonged ischaemia. The first cellular abnormalities of ischaemia include…

No-Reflow Phenomenon During Percutaneous Coronary Intervention: Prevention and Treatment

…the true lumen and cause ischemia. Guiding catheter trauma is an additional mechanism of dissection and impaired distal flow. These alternative causes must be distinguished…

Cardiac arrest due to pneumothorax

…of free air in the thoracic cavity. While this can occasionally be benign and manifest even in healthy individuals, a tension pneumothorax arises when the…

Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…the most severe malformations have become routine practice. The treatment repertoire includes surgery, catheter interventions, and medical therapies. Adults with congenital heart disease are mostly…

Central venous catheter

Procedurer What determines the outcome of a central venous catheter insertion is decided before the needle goes in: the choice of site, the use of…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

Myocardial ischemia and infarction Definition and Pathophysiology Intravascular imaging comprises catheter based techniques that directly visualize the coronary lumen, vessel wall, plaque, thrombus, and implanted…

Invasive Coronary Angiography: Indications and Vascular Access

…Procedurer Definition and Clinical Role Invasive coronary angiography (ICA) is a catheter based investigation that visualizes the coronary arterial tree after selective intracoronary contrast injection…

Complications of Coronary Angiography and Vascular Access Management

…contrast media are injected selectively into the epicardial coronary arteries through a catheter advanced from a peripheral artery to the aortic root and coronary ostia…

Right ventricular strain: definition, causes, echocardiography

…in investigating right ventricular load. Pressure in the right atrium (right atrial pressure) With the PA catheter (Swan Ganz catheter), the right atrial pressure can…

Epistaxis — compression, cautery and anterior nasal packing

…drawstring, absorbable alternatives (oxidised cellulose, a gelatin–thrombin matrix), a balloon catheter, or petroleum jelly impregnated ribbon gauze. Antibiotic ointment (for example mupirocin or bacitracin)…

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