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Immediate Management of Type A and Type B Aortic Dissection

…which involves the arch without involvement of the ascending aorta or represents retrograde extension from the descending aorta into the arch that stops before reaching…

Exercise stress test on cycle ergometer

…Exercise induced arrhythmia or exercise induced syncope. Assessment of chronotropic function and pacemaker settings. Preoperative functional assessment before major surgery. At a low pre test…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…or false lumen. It is commonly attributed to rupture of the vasa vasorum, although improved imaging demonstrates small intimal disruptions in approximately 20%–60% of…

Pre-test Probability and Selection of Non-invasive Testing in Stable Angina

…refractory to guideline directed medical therapy, occur at a low level of exertion, or are associated with high event risk. The apparent differences between thresholds…

Type 2 Myocardial Infarction: Mechanisms and Management

…or without intramural haematoma. Spontaneous coronary artery dissection is defined as spontaneous dissection of the coronary artery wall with accumulation of blood within the false…

🟠 Ticagrelor (Brilinta, Brilique)

…90 mg or treatment with another adenosine diphosphate (ADP) receptor inhibitor for patients who had coronary syndrome and are at high risk of developing a…

A new ECG biomarker for sudden cardiac death

…At the other end, roughly two thirds of ICDs implanted for reduced LVEF never deliver an appropriate shock, so the false positive burden is substantial…

Cardiac troponin I (TnI) and T (TnT): Interpretation and evaluation in acute coronary syndromes

…up to 2 weeks after a heart attack. The larger the infarction, the higher the troponin level and the longer the duration of elevated troponin…

Factors that modify the natural course in acute myocardial infarction (AMI)

…stress testing, which leads to false negative stress tests. Studies have shown that if the myocardium obtains 30% of its resting perfusion from collaterals, it…

Left bundle branch block (LBBB) in acute myocardial infarction: the Sgarbossa criteria

…T changes. Such ST T changes may mimic (simulate) or mask ischemia. Simulation of ischemia manifests as ST segment elevations in leads V1–V3, accompanied…

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