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Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…that was previously only mildly or moderately stenosed. Plaque rupture Plaques prone to rupture characteristically contain a large lipid pool, numerous macrophages or foam cells…

Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

…and extracellular matrix beneath the endothelium. Plaques that are particularly prone to rupture characteristically contain: a large lipid rich core; abundant foam cells and macrophages…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…endothelial coverage. Complementary Characteristics IVUS and OCT are complementary rather than interchangeable. IVUS generally provides better visualization of overall vessel dimensions, plaque burden, large vess

No-Reflow Phenomenon During Percutaneous Coronary Intervention: Prevention and Treatment

…Plaque or thrombus may be dislodged by: Balloon inflation Atherectomy Stent implantation Manipulation of friable SVG lesions Embolic debris obstructs the distal microcirculation and may…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…mortality, as well as limb complications. Atherosclerotic lesions generally affect large and medium sized arteries. Pathological features include plaque formation with calcium deposition, medial thinning…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…poor fibrous cap overlying a large lipid core with many macrophages, resulting in a red, fibrin rich thrombus. In contrast, plaque erosion tends to occur…

Statin Intolerance and Statin-Associated Muscle Symptoms

…oxidative stress, endothelial function, plaque stability, thrombogenic responses and immune activity. Statin intolerance refers to adverse effects attributed to statin treatment that improve or resolve…

ApoB and Non-HDL Cholesterol in Cardiovascular Risk Assessment

…other apoB containing lipoproteins within the arterial wall. This initiates inflammatory reactions that promote plaque formation and progression. As the burden of retained atherogenic particles…

Cardiovascular Risk in Inflammatory and Autoimmune Disease

…and premature myocardial infarction Coronary microvascular dysfunction Myocarditis and pericarditis Coronary or large vessel arteritis Pulmonary arterial vasculopathy and pulmonary hypertension Arterial and venous thrombosis…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…disease may be obstructive or non obstructive. Atherosclerotic plaque accumulation in the epicardial arteries is a major pathological substrate, but ischaemia may also result from…

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