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Cardiac amyloidosis

…Despite congestive heart failure, a third or fourth heart sound is rarely heard due to restrictive pathophysiology and impaired ventricular relaxation [10]. There is also…

Heart Failure with Reduced Ejection Fraction (HFrEF)

…failure (HF) is a complex clinical syndrome characterized by symptoms and signs resulting from structural or functional impairment of ventricular filling or ejection of blood…

Spontaneous Coronary Artery Dissection

…coronary disorder caused by separation within the coronary arterial wall, usually through formation of an intramural haematoma that compresses the true lumen. The resulting reduction…

Cardiovascular Risk in Women: Sex-Specific Factors

…conventional risk factors have sex dependent effects: Blood pressure rises more steeply in women from young adulthood, resulting in a greater lifetime burden of hypertension…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…and severity of ischemic injury. In its most severe form, known as no reflow, structural and functional impairments sustain vascular obstruction. Endothelial dysfunction triggers leukocyte…

Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

…cigarette smoking, hypertension, diabetes mellitus and other adverse influences disturb these functions. The resulting endothelial dysfunction promotes inappropriate vasoconstriction, adhesion of circulating cells, inflammatory cell…

Chronic Heart Failure With Reduced Ejection Fraction: Four-Pillar Therapy

…sleep disordered breathing, cancer related disease and cardiac amyloidosis among the relevant clinical settings or comorbidities. HFrEF is distinguished from heart failure with mildly reduced…

Assessment of Pacemaker Malfunction

…or lead dislodgement/fracture. Functional failure to capture occurs when a stimulus is delivered during the myocardial refractory period. A stimulus delivered during the refractory…

Microvascular Angina and INOCA: Diagnosis with CFR and IMR

…microcirculation. These abnormalities may impair coronary flow reserve (CFR), reduce microcirculatory conductance, or cause abnormal vasoconstriction of coronary arterioles. Structural and functional mechanisms may coexist…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…medicine Definition and pathophysiology Peripheral artery disease (PAD) is a clinical disorder caused by stenosis or occlusion of the aorta or arteries supplying the limbs…

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