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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

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

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

…Large areas of jeopardized myocardium, severe baseline stenosis, multivessel coronary artery disease, and diffuse disease increase the likelihood of cardiovascular collapse when PCI fails or…

Periprocedural Myocardial Infarction After PCI and CABG

…stable or falling, the postprocedural level must demonstrate both the required absolute threshold and a rise of more than 20% from baseline. Type 4a MI…

Refractory Angina: Options When Standard Therapy Fails

…patients require a mechanism based assessment rather than reassurance based solely on the absence of obstructive CAD. Evaluation and Physical Examination Clinical assessment The asses

Statin Intolerance and Statin-Associated Muscle Symptoms

…some form of statin therapy after systematic reassessment and rechallenge. The principal manifestation is statin associated muscle symptoms (SAMS). These range from diffuse myalgia with…

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

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

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