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Coronary Anatomy and Segmental Classification for the Clinician

…an adjacent reference segment presumed to be relatively normal. This assumption may be incorrect when atherosclerosis is diffuse, leading to underestimation of the overall disease…

Immediate Management of Type A and Type B Aortic Dissection

…sharp or stabbing. Its location and radiation may reflect the segment of aorta involved, although the source material does not provide a detailed symptom to…

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

…within the broader framework of guideline directed medical therapy and secondary prevention. PCI treats focal stenotic segments, whereas CABG provides a bypass beyond diseased segments…

Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

Cardiology Myocardial ischemia and infarction Definition and pathophysiology Atherosclerosis is a chronic, inflammatory disease of the arterial wall in which lipid accumulation, vascular cell dysfunction…

Acute vertigo: quick reference for HINTS and differential diagnosis

…is: Continuous acute dizziness with spontaneous nystagmus: consider HINTS plus, but only if the examiner is trained. Brief attacks triggered by the position of the…

Lumbar puncture

…clinical signs of herniation halt the puncture, and antibiotics and a corticosteroid are then given immediately after blood cultures. For questions other than acute meningitis…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…subclavian artery. Penetrating atherosclerotic ulcer PAU is focal ulceration of an atherosclerotic plaque that penetrates through the internal elastic lamina into the media. The lesion…

Atrial Flutter: Mechanisms, ECG Recognition and Management

…related to high ventricular rates and the loss of the atrial kick. The rapid ventricular response can lead to a reversible depression of systolic function…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…stenosis have no focal neurological symptoms. Asymptomatic disease may be discovered during targeted duplex ultrasound (DUS), pre operative assessment, or evaluation of other atherosclerotic disease…

Acute exacerbation of COPD: quick reference

…messages Two things set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and the blood gas determines…

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