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Left Main Coronary Artery Disease: Revascularisation Strategy

…is variable. Patients may have: Stable angina or an anginal equivalent Exertional dyspnoea or reduced exercise tolerance Acute coronary syndrome Silent ischaemia Heart failure, particularly…

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

…disease and collateral circulation. Flow limitation may be clinically silent, manifest as exertional symptoms, or progress to chronic limb threatening ischaemia (CLTI). Clinical presentation and…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…oxygen demand and coronary blood supply, resulting in myocardial hypoperfusion or ischaemia. Ischaemia is commonly precipitated by exertion, emotional stress, or another form of physiological…

Coronary Anomalies and Myocardial Bridging

…clinical risk. Most bridges do not cause important haemodynamic disturbance. Nevertheless, clinically significant bridging has been associated with exertional angina, myocardial ischaemia, myocardial infarction, ventricular…

Differential Diagnosis of Chest Pain: A Clinical Overview

…or heaviness [7]. Classically, it is initiated by exertion or stress and is relieved by rest or nitroglycerin [4], [6]. Presentation Nuances: While typical angina…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…During exertion, however, the limited diastolic reserve becomes evident, with a rise in left atrial and pulmonary pressures that contributes to exertional breathlessness and reduced…

Microvascular Angina and INOCA: Diagnosis with CFR and IMR

…and obstructive angina may produce overlapping symptom patterns. Patients may present with: exertional angina or angina like chest discomfort; symptoms suggestive of myocardial ischaemia despite…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…it may present with chronic angina, an anginal equivalent or exertional dyspnoea. Patients may continue to have lifestyle limiting symptoms despite guideline directed medical therapy…

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

…can improve coronary flow, exercise capacity and angina related health status, and both can reduce myocardial ischaemia during exertion or emotional stress. Neither procedure, however…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…A sense of impending doom When STEMI begins during exertion, the symptoms generally do not resolve simply with cessation of activity, unlike typical exertional angina…

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