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Drug-Eluting Coronary Stents: Evolution, Evidence and Stent Choice

…stents (DES) are the predominant device used during percutaneous coronary intervention (PCI). They evolved from balloon angioplasty and bare metal stents (BMS) in response to…

In-Stent Restenosis: Mechanisms and Treatment

…chronic coronary syndrome (CCS), acute coronary syndrome (ACS), myocardial infarction, and repeat target lesion revascularization. Restenosis after balloon angioplasty differs mechanistically from ISR. Balloon angioplasty…

Coronary Anatomy and Segmental Classification for the Clinician

…future plaque rupture. Anatomical severity versus functional significance The physiological effect of a coronary lesion depends on more than its visual diameter reduction. Relevant determinants…

Coronary Anomalies and Myocardial Bridging

…bridging is an anatomical variant in which a segment of an epicardial coronary artery passes through the myocardium rather than remaining on the epicardial surface…

Coronary Artery Calcium Scoring: Prognostic Use in Practice

…In contrast, coronary CT angiography (CCTA) can characterize both calcified and non calcified plaque and can assess stenosis. A major limitation is that CAC does…

Coronary CT Angiography and CAD-RADS Reporting

…15 seconds, with submillimetre spatial resolution. Iodinated contrast is generally required for coronary angiography because the intrinsic contrast between the cardiac chambers, blood pool, and…

Coronary Artery Disease

…managed as a distinct clinical entity. The hallmark of stable coronary artery disease is exercise related angina pectoris (chest pain); symptoms of ischemia appear during…

Acute coronary syndrome: quick reference for loading doses and time targets

Kardiologi Akutsjukvård Lathundar Overview Acute coronary syndrome comprises STEMI, NSTEMI and unstable angina. Management begins in parallel with the diagnostic work up. Obtain an interpretable…

Acute Coronary Syndrome: Definitions and Initial Triage

Emergency medicine Myocardial ischemia and infarction Definition and pathophysiology Acute coronary syndrome (ACS) comprises a spectrum of clinical presentations caused by suspected acute myocardial ischaemia…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…including transitions between stable angina, angina or ischaemia with non obstructive coronary arteries (ANOCA/INOCA), post ACS or post revascularization states, and heart failure of…

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