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Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…susceptible to disruption and thrombosis. Typical features include a lipid rich core, a thin fibrous cap, macrophage and foam cell accumulation, expansive or positive remodelling…

Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

…Atherosclerotic disease usually evolves over decades. Intimal thickening may be present during the second and third decades of life, while clinical manifestations commonly emerge much…

Right Ventricular Infarction: Recognition and Haemodynamic Management

…common in patients with inferoposterior left ventricular infarction, while infarction confined predominantly to the right ventricle is rare. The clinical spectrum extends from limited right…

Pericarditis, myocarditis & perimyocarditis: ECG, criteria & treatment

…and clinical features The pericardium is a double walled sac in which the heart and the roots of the great vessels are contained (Figure 1)…

ApoB and Non-HDL Cholesterol in Cardiovascular Risk Assessment

…Cholesterol Non HDL C is calculated as: Non HDL C = total cholesterol − HDL C It represents the cholesterol contained in all apoB containing lipoproteins…

Atrial Flutter: Mechanisms, ECG Recognition and Management

…form of typical atrial flutter, the reentrant circuit is confined to the right atrium and travels in a counterclockwise direction. The activation wavefront propagates in…

Immediate Management of Type A and Type B Aortic Dissection

…is confined to the ascending aorta. Type III: originates in the descending aorta, usually just distal to the left subclavian artery. Type IIIa: remains confined…

Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC, ARVD)

…disease is less pronounced in the left ventricle. Rarely the condition is confined to the left ventricle. ARVC causes ventricular tachycardia and sudden cardiac arrest…

Extracorporeal cardiopulmonary resuscitation (ECPR)

…Presently, this treatment is confined to well equipped centers and is generally reserved for meticulously selected cases. Extracorporeal Life Support (ECLS) encompasses several extracorporeal systems…

Exercise Electrocardiographic Testing: Indications, Limitations and Interpretation

…abnormal repolarization response to exercise induced myocardial oxygen supply–demand imbalance. The exercise response is not confined to the ECG. Ischaemia may also produce angina…

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