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Chest Pain in the Emergency Department: Diagnostic Pathways

…symptom. It includes pain, pressure, tightness, heaviness, burning, or discomfort in the chest and may extend to the arms, shoulders, neck, jaw, upper back, abdomen…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…management is different. Takotsubo syndrome and myocarditis should not be classified as MINOCA when they are established as the explanation for the presentation. Clinical presentation…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…heart disease, or several mechanisms acting simultaneously. Acute myocardial infarction Acute myocardial infarction requires: Acute myocardial injury, demonstrated by a rise and/or fall in…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…myocardial injury alone is an entity in itself and may arise from non ischaemic cardiac conditions (such as myocarditis) or non cardiac conditions (such as…

Cardiovascular Risk in Inflammatory and Autoimmune Disease

…including: Coronary arteritis Accelerated atherosclerosis Coronary microvascular dysfunction Pericarditis Myocarditis Valvular disease APS and Behçet disease can cause both arterial and venous thrombosis. In SLE…

Cardiovascular effects of COVID-19 (Coronavirus Disease 2019)

…risk of myocarditis, given the similarities between COVID 19 and MERS (Middle East Respiratory Syndrome, coronavirus). Recent studies on COVID 19 and cardiovascular disease Cardiovascular…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…negative predictive value in patients with suspected acute coronary syndrome (ACS). Cardiac troponin is a marker of myocardial injury, not a disease specific marker of…

Indications and contraindications for myocardial perfusion imaging

…with increased risk of hypotension in patients with autonomic dysfunction, hypovolemia, or severe coronary or valvular disease Recent (<48 hours) use of dipyridamole or dipyridamole…

Chronic Heart Failure With Reduced Ejection Fraction: Four-Pillar Therapy

…and an LVEF below 40%. Signs may be absent in early disease or after effective treatment. HFrEF is commonly associated with structural and functional ventricular…

Exercise stress test on cycle ergometer

…artery disease. Assessment of exercise capacity and symptoms in known heart disease. Risk assessment after myocardial infarction or before revascularisation. Evaluation of treatment effect in…

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