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

…is supplied by the left circumflex coronary artery (LCX). Right dominant system is by far the most common anatomy, occurring in 90% of all individuals…

Cardiac thromboembolism: cardiac sources of embolism

…in the atria, left atrial appendage (LAA), ventricles, valves, and proximal aorta can cause stroke, TIA (transient ischemic attack), coronary artery occlusion, and peripheral embolization…

The left ventricle in myocardial ischemia and infarction

…the right coronary artery (RCA). The RCA also supplies the inferior left ventricular wall in over 90% of all individuals. Hence, a proximal occlusion (in…

Regional Myocardial Contractile Function: Wall Motion Abnormalities

…of the Left Ventricle). Regional wall motion abnormalities are defined as regional abnormalities in contractile function. Ischemic heart disease is the most common cause of…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…with tamponade, and less common causes such as severe pre existing valvular disease or excessive beta blocker or calcium channel blocker exposure. The incidence of…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…Additional features associated with greater difficulty include a previously failed attempt, a blunt proximal stump, vessel bending, calcification and an occlusion length of at least…

Pulmonary Embolism (PE)

…are common risk factors (see Risk factors below). A significant proportion of cases with pulmonary embolism require thrombolysis to dissolve the occlusion. Administration of thrombolysis…

ST elevation myocardial infarction (STEMI) without ST elevations on 12-lead ECG

…occur simultaneously (if both territories are affected by the same artery occlusion). Approximately 30% of patients with posterolateral infarction will also have right ventricular infarction…

Takotsubo cardiomyopathy (broken heart syndrome, stress induced cardiomyopathy)

…no coronary artery occlusion can be identified. Injection of contrast media into the ventricle will instead reveal that the apical portion of the left ventricle…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…with an initial STEMI pattern has myocardial infarction as the final diagnosis. The underlying process usually involves acute thrombotic obstruction of an epicardial coronary artery…

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