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Cryotherapy of skin lesions

…in the freeze. Contraindications Absolute: Suspected melanoma or any other pigmented lesion of uncertain diagnosis. A lesion in which histology is needed for management. Cryoglobulinaemia…

Complete Versus Culprit-Only Revascularization in Acute Coronary Syndrome

…lesions causing ischaemia have been treated. Conversely, angiographically satisfactory stenting may leave clinically relevant residual ischaemia, particularly after complex coronary intervention. The clinical importance of…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…instability. Fewer than 1% of patients with ST elevation myocardial infarction (STEMI) who reach the catheterization laboratory are found to have complete LMCA occlusion, likely…

Fractional Flow Reserve and Non-Hyperaemic Pressure Ratios

…stenosis with the pressure that would be available in the absence of that stenosis. The complete physiological formulation considers coronary venous pressure: Distal coronary driving…

Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…weeks after infarction. Predisposing features Risk features vary by lesion but include: Older age. Female sex. Hypertension. Absence of an adequate collateral circulation. A first…

Left Main Coronary Artery Disease: Revascularisation Strategy

…both clinical risk and the feasibility of complete revascularisation. The clinical evaluation includes: Symptom burden and functional limitation Evidence of heart failure Haemodynamic stability Diabetes…

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

…lesion of atherosclerosis: the fatty streak [5] . Ruptured atherosclerotic lesion with atherotrombosis. Over decades, the lesion progresses from a simple fatty streak to a complex…

🟠 SYNTAX Score

…ability is less robust in CABG treated patients, as surgery can bypass complex lesions irrespective of their angiographic complexity. Evolution: SYNTAX Score II To address…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…higher after treatment of ST segment elevation myocardial infarction (STEMI) and following complex PCI. Stent thrombosis remains multifactorial, reflecting interactions between patient related, lesion related…

🟠 SYNTAX Score II

…II Anatomical SYNTAX Score : Derived from the original SYNTAX Score, which evaluates the complexity of coronary lesions. Clinical Variables : Age : Older patients have a higher…

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