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Drug-Eluting Coronary Stents: Evolution, Evidence and Stent Choice

…considered unlikely to adhere to medication. However, contemporary data support the use of DES in most PCI procedures, including many patients with high bleeding risk…

Supraventricular and intraventricular conduction defects in myocardial ischemia and infarction

…dominant system. Bundle branch blocks Bundle branch blocks may be caused by ischemia/infarction. A new bundle branch block in a patient presenting with chest…

Diuretic Strategy and Decongestion in Heart Failure

…and reduce systemic output. In this setting, venous congestion is generally treated initially with diuretics, whereas norepinephrine and/or inotropes are reserved for low output…

Aortic stenosis

…Calcification has traditionally been considered a passive degenerative process, but emerging evidence suggests it is propelled by a biologically active process. Risk factors for calcification…

Hypertensive crisis: drugs and doses

…A markedly raised blood pressure without acute target organ damage should not normally be lowered rapidly with intravenous drugs. Such treatment has not been shown…

🟠 SYNTAX Score

…has been validated to predict major adverse cardiac events (MACE) , including mortality, myocardial infarction, and repeat revascularization. For example, in the SYNTAX trial, patients with…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…propagate through gaps between stent struts, and compromise the treated lumen. Conventional angiography has limited sensitivity for detecting coronary thrombus. Drug eluting stents (DES) may…

The ECG in assessment of myocardial reperfusion

…This rhythm has been discussed previously in this article. Briefly, accelerated ventricular rhythm (also called idioventricular rhythm) is a benign ventricular rhythm with a heart…

Coronary Anomalies and Myocardial Bridging

…a more proximal vessel location, are associated with greater clinical risk. Most bridges do not cause important haemodynamic disturbance. Nevertheless, clinically significant bridging has been…

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

…assessment is required. Patients with NSTE ACS should be admitted for management of acute ischaemia. Those with possible ACS, a non diagnostic ECG, and normal…

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