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Diuretic Strategy and Decongestion in Heart Failure

…are elevated. Consequently, congestion may occur across the full range of left ventricular ejection fraction and may result from systolic dysfunction, diastolic dysfunction, or both…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…Endothelial dysfunction triggers leukocyte and platelet activation, while thrombotic debris may worsen the obstruction. Furthermore, cardiomyocyte swelling, interstitial edema, and tissue inflammation promote extravascular compression…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…extent and degree of myocardial involvement The anatomical territory, including anterior, inferoposterolateral or right ventricular involvement Pre existing abnormalities such as prior infarction, left bundle…

Anticoagulation Strategies in Atrial Fibrillation

…endothelial dysfunction, and hypercoagulability [1] [2] . Mechanical stasis in AF is most pronounced in the left atrial appendage (LAA). The LAA is a highly trabeculated…

Non-ST Elevation Acute Myocardial Infarction (NSTEMI) and Unstable Angina

…metalloproteinases (MMPs) degrade the interstitial collagen of the cap, leading to structural failure. Rupture exposes highly thrombogenic subendothelial matrix components, notably tissue factor and collagen…

Hypoglycaemia: quick reference for emergency management

…sample and send a venous plasma glucose, but do not delay treatment of a neurologically compromised patient. Continuous glucose monitoring reflects interstitial glucose and lags…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…reflects severe left ventricular (LV) dysfunction, accounting for approximately 80% of cases. Other causes include acute mechanical complications—particularly ventricular septal defect (VSD) and papillary…

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

…producing abundant extracellular matrix (ECM) components, primarily interstitial collagen types I and III, elastin, and proteoglycans [6] . This matrix forms a fibrous cap that sequesters…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…of its high blood flow and the concentration of filtered substances along the nephron as water is reabsorbed. Nephrotoxic injury may involve the tubules, interstitium…

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