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Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…The timing of VSR, free wall rupture, and papillary muscle rupture is characteristically bimodal. Events may occur within the first 24 hours or around days…

Immediate Management of Type A and Type B Aortic Dissection

…B disease may produce rupture, renal, mesenteric or limb malperfusion, spinal cord ischaemia, paraplegia or paraparesis, rapid aortic expansion, refractory pain and hypertension despite treatment…

Abdominal Aortic Aneurysm: Screening and Surveillance

…Expansion may produce pain in the abdomen, chest, lower back or scrotum. Aneurysmal pain is clinically important because it may herald rupture and constitutes a…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…rupture; identifying spontaneous coronary dissection or intramural hematoma when angiography is inconclusive; assessing stent expansion, apposition, edge dissections, and endothelial coverage. Complementary Characteristics IVUS and…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…lesion expansion and involvement of the adventitia, requiring urgent imaging because of the risk of rupture. Type A IMH may cause: Aortic regurgitation Haemopericardium or…

Diuretic Strategy and Decongestion in Heart Failure

…dysfunction, or both. The clinical consequences of extracellular volume expansion include elevated cardiac filling pressures, pulmonary congestion, systemic venous hypertension, and peripheral interstitial edema. These…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…and fibrin formation. Within a stented segment, thrombus may also develop because of disturbed flow, residual dissection, inadequate stent expansion, incomplete apposition, or persistent disease…

Atrial and ventricular enlargement: hypertrophy and dilatation on ECG

…Hypertrophy and dilatation may coexist. Moreover, the ECG cannot distinguish whether large QRS amplitudes are due to dilatation or hypertrophy. Because the majority of the…

In-Stent Restenosis: Mechanisms and Treatment

…of neoatherosclerosis helps explain why ISR and other stent related events may arise well after the initial intervention. Mechanical mechanisms Mechanical abnormalities may initiate or…

Invasive Coronary Angiography: Indications and Vascular Access

…on non invasive testing. Symptoms that are strongly suggestive of obstructive CAD. Uncertain or inconclusive non invasive test results, when confirmation or exclusion of ob

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