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ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…or sudden loss of effective cardiac output. Their recognition is essential because treatment often requires urgent surgical or transcatheter intervention, with temporary mechanical circulatory support…

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

…coronary artery (LMCA) occlusion is a rare but catastrophic manifestation of acute coronary syndromes. The LMCA supplies a large myocardial territory through the left anterior…

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

…cardiologists – particularly interventional cardiologists – this knowledge is of critical importance as they must be able to directly pinpoint where the coronary artery occlusion is located…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…spasm may account for the ischaemia. STEMI usually results from rapid thrombotic occlusion of a previously atherosclerotic coronary artery. Slowly progressive severe stenoses are less…

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…

The ECG in assessment of myocardial reperfusion

…are robust indicators of successful reperfusion (patent artery). This is also associated with better prognosis, return of R wave amplitudes, and improved left ventricular function…

Regional Myocardial Contractile Function: Wall Motion Abnormalities

…of the stenosis/occlusion, microvascular function, myocardial oxygen extraction, presence of collateral circulation, etc –ischemia may also develop during resting conditions. Indeed, in patients with…

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…

Posterior acute myocardial infarction (STEMI)

…NSTEMI) since they present with ST segment depressions on the 12 lead ECG (recall that ST segment depression is the hallmark of NSTE ACS/NSTEMI…

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