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

…younger and more often female than patients with atherosclerotic mediated myocardial infarction. A history of cigarette smoking may be present despite relatively few other conventional…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…restenosis and stent thrombosis. Intravascular imaging may also clarify the mechanism of an acute coronary syndrome (ACS), particularly when angiography shows no significant obstructive disease…

Cardiac arrest due to hypoxia and asphyxia

…Deasy et al ). A complete airway obstruction results in PEA and cardiac arrest within 8 minutes. Cardiac arrest as a result of asphyxia or hypoxia…

Invasive Coronary Angiography: Indications and Vascular Access

…thrombus and other structural features that may not be evident on angiography alone. It is particularly useful when ACS occurs without significant obstructive CAD or…

Vasospastic (Prinzmetal) Angina: Provocation Testing and Treatment

…Epicardial and microvascular angina can coexist, and this combination is associated with a worse prognosis. VA may occur in the presence of obstructive coronary artery…

Myocardial Perfusion Imaging With SPECT and PET

…and cardiac amyloidosis using appropriate radiopharmaceuticals. Functional perfusion imaging primarily identifies haemodynamically important disease. Non obstructive coronary atherosclerosis not associated with demonstrable ischaemia may therefore…

NSTEMI: Risk Stratification and Timing of the Invasive Strategy

…or delayed approach is recommended in this setting unless other findings justify urgent intervention. Risk scores Several risk scores integrate clinical, ECG, and biomarker variables…

Indications and contraindications for myocardial perfusion imaging

…severe hypotension, or high degree AV block. Caffeine and other methylxanthines, which antagonize adenosine receptors, should be avoided for at least 12 hours before testing…

Indications, Contraindications, and Preparations for Exercise Stress Testing

…or other professionals. A physician is always formally responsible for conducting the test. All personnel must be appropriately trained and the laboratory must be equipped…

Stress Echocardiography: Protocols and Interpretation

…appropriate when: The pre test likelihood of obstructive CAD is moderate or high, generally greater than 15% and less than 85% Baseline ECG abnormalities make…

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