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Articles
Colchicine and Anti-inflammatory Therapy in Coronary Disease

…activation of innate immune pathways, cytokine signalling and recruitment of inflammatory cells to vascular lesions. The interleukin 1β pathway, with downstream effects involving interleukin…

Statin Intolerance and Statin-Associated Muscle Symptoms

…thrombogenic responses and immune activity. Statin intolerance refers to adverse effects attributed to statin treatment that improve or resolve after reducing the dose or stopping…

Injection technique — intramuscular, subcutaneous and intradermal

…skin prick testing, a local anaesthetic weal, BCG Slow, local effect Contraindications Absolute: Infection, a wound, scar tissue, a tattoo or skin disease at the…

Heart Failure with Reduced Ejection Fraction (HFrEF)

…global epidemics of obesity, diabetes mellitus, and metabolic syndrome [58] . Hypertension and coronary artery disease (CAD) remain the most potent population attributable risk factors. Furthermore…

Cardiovascular Risk in Inflammatory and Autoimmune Disease

…myositis, Sjögren syndrome, gout and antiphospholipid syndrome (APS). Collectively, these disorders are associated with excess cardiovascular disease (CVD), although the cardiovascular phenotype varies substantially between…

Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

…is a chronic, inflammatory disease of the arterial wall in which lipid accumulation, vascular cell dysfunction, immune cell recruitment, extracellular matrix remodelling, and thrombosis interact…

ST-Elevation Myocardial Infarction (STEMI): Pathophysiology, Diagnosis, and Management

…streak [5] . Ruptured atherosclerotic lesion with atherotrombosis. Over decades, the lesion progresses from a simple fatty streak to a complex fibroatheroma. Smooth muscle cells (SMCs…

Post-Infarction Pericarditis and Dressler Syndrome

…after AMI, although descriptions of the syndrome include a broader interval of approximately 1–8 weeks. The pathogenesis is presumed to be immune mediated. Pericardial…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…Infections are difficult to heal because the heart valves are not vascularized and therefore it is difficult for the immune system to reach the bacteria…

Introduction to Coronary Artery Disease (Ischemic Heart Disease)

…atherosclerosis is a disease in which the immune system elicits an active inflammation within the artery wall and lipids (particularly LDL cholesterol) plays a key…

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