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Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…remain stable for prolonged periods, but chronic coronary disease can progress or destabilize abruptly, leading to an acute coronary syndrome (ACS). Clinical manifestations may therefore…

Chronic Heart Failure With Reduced Ejection Fraction: Four-Pillar Therapy

…Pharmacology & dosing Definition and pathophysiology Heart failure is a clinical syndrome in which the heart cannot provide blood flow commensurate with the body’s requirements…

Chronic Kidney Disease as a Cardiovascular Risk Factor

…between the cardiac and renal axes may produce cardiorenal syndrome. Worsening renal function in the presence of persistent congestion is particularly associated with elevated central…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…presentation and symptoms A CTO may be asymptomatic and identified during angiography performed for another indication. When clinically significant, it may present with chronic angina…

ST-Elevation Myocardial Infarction (STEMI): Pathophysiology, Diagnosis, and Management

Cardiology Coronary Atherosclerosis Coronary atherosclerosis is a chronic, progressive, and highly complex lipid driven inflammatory disease of the arterial intima that serves as the fundamental…

Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

…and thrombosis interact to produce focal arterial lesions. Although epicardial coronary arteries are a major site of disease, atherosclerosis is systemic and may affect multiple…

Obesity and Cardiovascular Disease: Assessment and Treatment

…tissue promotes: Chronic, low grade systemic inflammation Insulin resistance Abnormal adipokine signalling Endothelial dysfunction Dyslipidaemia A prothrombotic state Albuminuria and declining estimated glomerular filtration rate…

Coronary Artery Disease

…syndrome of chronic coronary syndromes (CCS) . This syndrome includes six clinical manifestations of coronary artery disease (discussed below). Moreover, prognostication, selection of diagnostic tests, and…

Non-ST Elevation Acute Myocardial Infarction (NSTEMI) and Unstable Angina

…Plaques, Atherothrombosis Coronary atherosclerosis is a chronic, progressive, and highly dynamic inflammatory disease of the arterial wall. It is characterized by the subendothelial accumulation of…

Stable Coronary Artery Disease (Angina Pectoris): Diagnosis, Evaluation, Management

…artery disease Chronic coronary syndrome (CCS) Stable coronary artery disease (CAD), frequently referred to as stable angina pectoris , has traditionally been defined and managed as…

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