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Chest Pain in the Emergency Department: Diagnostic Pathways

…be considered anginal equivalents. The emergency evaluation of non traumatic chest discomfort is structured around three principal diagnostic categories: Myocardial ischaemia , particularly acute coronary syndrome…

Ischemic Cardiomyopathy: Myocardial Viability Assessment and Revascularization

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

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

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

Abscess incision and drainage

…heterogeneous area whose contents move under pressure; cellulitis instead gives a diffuse oedematous picture without a demarcated fluid collection. Ultrasound also shows the depth of…

Coronary Anatomy and Segmental Classification for the Clinician

…adjacent reference segment presumed to be relatively normal. This assumption may be incorrect when atherosclerosis is diffuse, leading to underestimation of the overall disease burden…

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

…the criteria for type 1 MI. Procedural myocardial injury may also occur without satisfying the diagnostic threshold for periprocedural MI. This distinction is clinically important…

Refractory Angina: Options When Standard Therapy Fails

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

Statin Intolerance and Statin-Associated Muscle Symptoms

…symptoms (SAMS). These range from diffuse myalgia with a normal CK and no functional impairment to myositis with muscle inflammation and elevated CK. Rhabdomyolysis is…

Cardiac amyloidosis

…is a protein misfolding disorder characterized by the extracellular deposition of misfolded fibrillar proteins in the myocardium, leading to a diffuse infiltrative cardiomyopathy [8, 15]…

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