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Ischemic Cardiomyopathy: Myocardial Viability Assessment and Revascularization

…from several overlapping processes: Recurrent or extensive MI with necrosis and scar formation Diffuse myocardial fibrosis Reversible ischemic dysfunction Chronic hypoperfusion with hibernating myocardium Post…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…ventricular dysfunction, peripheral vascular disease and other manifestations of diffuse atherosclerosis. Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are revascularization procedures. Both…

Abscess incision and drainage

…a diffuse oedematous picture without a demarcated fluid collection. Ultrasound also shows the depth of the cavity and its distance to vessels. Contraindications and when…

Coronary Anatomy and Segmental Classification for the Clinician

…when atherosclerosis is diffuse, leading to underestimation of the overall disease burden. Angiography also provides limited information about plaque composition, vulnerability and the risk of…

No-Reflow Phenomenon During Percutaneous Coronary Intervention: Prevention and Treatment

…multivessel coronary artery disease, and diffuse disease increase the likelihood of cardiovascular collapse when PCI fails or flow is severely compromised. Clinical Presentation No reflow…

Periprocedural Myocardial Infarction After PCI and CABG

…artery bypass grafting (CABG), and is classified within the universal MI framework as follows: Type 4a MI: MI related to PCI. Type 4b MI: MI…

Refractory Angina: Options When Standard Therapy Fails

…survive with severe, diffuse CAD that is no longer amenable to additional mechanical revascularization. Despite treatment with antianginal drugs and PCI or CABG, daily or…

Statin Intolerance and Statin-Associated Muscle Symptoms

…systematic reassessment and rechallenge. The principal manifestation is statin associated muscle symptoms (SAMS). These range from diffuse myalgia with a normal CK and no functional…

Cardiac amyloidosis

…A history of increasing frequency of hospitalizations and visits for heart failure without disease recognition in the 3 years preceding diagnosis is also a notable…

Chest Pain in the Emergency Department: Diagnostic Pathways

…diagnostic. The severity of pain also has limited discriminatory value. Features suggesting myocardial ischaemia Ischaemic discomfort commonly: Is substernal and diffuse. Is described as pressure…

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