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Relaxation of the left ventricle

…aorta. Afterload affects myocardial muscle fibers during systole and diastole. Afterload is a function of the following three variables: Aortic resistance (pressure). Left ventricular volume…

Atrial and ventricular enlargement: hypertrophy and dilatation on ECG

…of them are easy to use and require very little calculation. Sensitivity and specificity vary markedly, as discussed in detail in the articles on left…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…severe left ventricular (LV) dysfunction, accounting for approximately 80% of cases. Other causes include acute mechanical complications—particularly ventricular septal defect (VSD) and papillary muscle…

Myocardial Mechanics: Structure and Function of Myocardial Fibers

Echocardiography Structure and contractile function of myocardial fibers The left ventricular wall can be subdivided into several layers. These layers are similar to those seen…

Strain, strain rate and speckle tracking: Myocardial deformation

…The orientation of myocardial muscle fibers results in longitudinal, radial and circumferential shortening (contraction). Traditional methods for investigating left ventricular function — e.g ejection fraction…

Aortic regurgitation

…and the development of myocardial fibrosis. Contractile dysfunction further aggravates the regurgitation (the regurgitation volume increases). Mechanically, wall stress (the load on individual muscle fibers)…

Cardiac electrophysiology and ECG interpretation

…actual contraction but are also capable of transmitting the action potential, albeit at a much lower speed than the conduction cells. The terms contractile myocardium …

Exercise physiology: from normal response to myocardial ischemia & chest pain

…as follows: Sympathetic activity causes constriction of the veins, which increases the venous return to the heart. Contracting muscles function as a pump that propels…

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

…degradation. Histologically, a vulnerable plaque is defined by a fibrous cap thickness of less than 65 μm, heavy macrophage infiltration, sparse smooth muscle c

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…injury. Mechanisms of troponin release Troponin I and troponin T are components of the myocardial contractile apparatus and are expressed predominantly in cardiac muscle. Troponin…

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