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Acute Limb Ischaemia: Recognition and Urgent Management

…obstruction may result from progression of peripheral arterial disease, cardiac or aortic embolisation, acute aortic dissection, thrombosis of a graft or aneurysm, popliteal artery entrapment…

Periprocedural Myocardial Infarction After PCI and CABG

…from acute compromise of coronary flow. Mechanisms include: Coronary dissection with obstruction of the true lumen Occlusion of a major epicardial artery or bypass graft…

P-wave, PR interval, PR segment: physiology, criteria & ECG findings

…a consequence of increased resistance to empty blood into the right ventricle. This may be due to pulmonary valve stenosis, increased pulmonary artery pressure etc…

Immediate Management of Type A and Type B Aortic Dissection

…A related entity is non A non B dissection , which involves the arch without involvement of the ascending aorta or represents retrograde extension from the…

Spontaneous Coronary Artery Dissection

…pathophysiology Spontaneous coronary artery dissection (SCAD) is an acute coronary disorder caused by separation within the coronary arterial wall, usually through formation of an intramural…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…exposure of thrombogenic material. Superficial plaque erosion. Thrombosis associated with a calcified nodule. Epicardial or microvascular coronary spasm. Spontaneous coronary artery dissection. Coronary embolism of…

Indications and contraindications for myocardial perfusion imaging

…or pericarditis Acute aortic dissection Physical disability that precludes safe and adequate testing Relative contraindications Known obstructive left main coronary artery stenosis Moderate to severe…

Exercise stress test on cycle ergometer

…Indications Evaluation of chest pain with an intermediate pre test probability of coronary artery disease. Assessment of exercise capacity and symptoms in known heart disease…

Traumatic cardiac arrest

…In severe cases, there can be a rupture of the atria or ventricles. Myocardial infarction : The contusion can cause coronary artery dissection, atherothrombosis or rupture…

Pulmonary Embolism (PE)

…Cardiopulmonary effects of pulmonary embolism Figure 1. Pathophysiology of pulmonary embolism (PE). Hemodynamic effects Pulmonary embolism leads to increased resistance in the main pulmonary artery…

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