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Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…Coronary mechanisms Coronary mechanisms include: Plaque rupture or plaque erosion with thrombosis, despite the absence of an angiographically obstructive lesion Coronary embolism or thrombus Epicardial…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…overlapping of vulnerable plaque and thrombogenic blood, which are critical determinants for infarction occurrence and extension. Plaque rupture or erosion leads to thrombus formation and…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…size and persistence of the thrombus depend not only on plaque composition but also on circulating thrombotic and fibrinolytic factors. Plaque erosion Plaque erosion is…

Non-ST Elevation Acute Myocardial Infarction (NSTEMI) and Unstable Angina

…notably tissue factor and collagen, to the circulating blood [3] . Plaque Erosion: Responsible for up to 30% of ACS cases, plaque erosion is increasingly recognized…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…itself and may arise from non ischaemic cardiac conditions (such as myocarditis) or non cardiac conditions (such as renal failure). To establish a diagnosis of…

Diagnostic Criteria for Acute Myocardial Infarction: Cardiac troponins, ECG & Symptoms

…rupture or erosion of a vulnerable (unstable) atherosclerotic coronary plaque. Upon such damage, the plaque exposes highly thrombogenic materials which activate circulating platelets and coagulation…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…Occlusion and Myocardial Injury STEMI generally results from abrupt reduction in coronary blood flow caused by thrombotic occlusion of a previously atherosclerotic artery. Plaque erosion…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…and release from an early cytosolic pool have all been associated with detectable troponin. High sensitivity assays may therefore identify a continuum of myocardial injury…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…Definition and pathophysiology Type 1 MI results from acute coronary atherothrombosis. It is usually precipitated by disruption of an atherosclerotic plaque through rupture or erosion…

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