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

…threatening ischaemia (CLTI). Clinical presentation and symptoms Asymptomatic and atypical disease Fewer than half of patients with PAD have typical symptoms. Many have impaired walking…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…including acute occlusions, subtotal stenoses, and discusses associated clinical presentations, prognostic implications, and management strategies. In the GRACE ECG substudy of 5000 patients with non…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…myocardial necrosis. It most commonly reflects atherothrombosis: disruption of an atherosclerotic plaque followed by platelet activation and coagulation, with formation of an intraluminal thrombus. The…

ECG localization of myocardial infarction / ischemia and coronary artery occlusion (culprit)

…artery occlusion is located. The term culprit – which means "the guilty one" – is used to denote the occluded coronary artery. In the majority of cases…

A New Approach to Acute Coronary Syndromes: Occlusion MI (OMI) vs. Non-Occlusion MI (NOMI)

…reperfusion therapy. This approach fails to identify a substantial proportion of patients with acute coronary occlusion (ACO) who present without diagnostic ST elevation, often resulting…

Classification of Acute Coronary Syndromes (ACS) & Acute Myocardial Infarction (AMI)

…is caused by partial occlusion of the artery (i.e. coronary blood flow is not completely obstructed). NSTE ACS typically presents with ST segment depressions…

Interpretation of ECG after ROSC (Return of Spontaneous Circulation)

…waves) do not affect the management of cardiac arrest. Recurrent VT or VF after ROSC in a patient with a coronary risk profile should lead…

The ECG in assessment of myocardial reperfusion

…microcirculation. Indeed, studies show that 15–35% of patients with STE ACS/STEMI have inadequate microvascular flow despite patent epicardial blood flow. In such cases…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…19th century first linked thrombotic occlusion of a coronary artery with myocardial necrosis. Although early clinical descriptions emerged at the dawn of the 20th century…

Cardiac thromboembolism: cardiac sources of embolism

…a cerebral artery is occluded due to local atherothrombosis or occlusion due to embolization. Approximately 30% of all ischemic strokes are caused by cardiac embolism…

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