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Coronary Artery Calcium Scoring: Prognostic Use in Practice

…of coronary calcification using four categories—none, mild, moderate, or severe—is recommended when such findings are available. Further diagnostic imaging solely because calcified plaque…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…mistaken impression of indigestion. STEMI pain can simulate pain from acute pericarditis, pulmonary embolism, acute aortic dissection, costochondritis, and gastrointestinal disorders. Radiation of discomfort to…

Coronary CT Angiography and CAD-RADS Reporting

…anatomical examination that depicts the coronary arterial lumen, atherosclerotic plaque, and the severity and distribution of coronary stenosis. Modern cardiac CT can acquire a three…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…and radiation. Quality and intensity. Precipitating factors, including exertion, emotional stress, meals, or exposure to cold. Relieving factors, including rest or medication. Time of day…

Unstable Angina: Definition and Contemporary Management

…myocardial bridging and radiation induced coronary disease. The distinction between UA and NSTEMI has become increasingly dependent on the use of highly sensitive cardiac troponin…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…plaque morphology and location, comorbidities, environmental factors and genetic background. Thrombotic susceptibility is likewise affected by inflammation and other systemic influences. The severity of myocardial…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…Disruption of the cap exposes the lipid core and extracellular matrix to circulating blood. Tissue factor within the plaque and tissue factor bearing microparticles contribute…

Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

…episodic plaque disruption followed by thrombosis. Atherosclerotic disease usually evolves over decades. Intimal thickening may be present during the second and third decades of life…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…endothelial coverage. Complementary Characteristics IVUS and OCT are complementary rather than interchangeable. IVUS generally provides better visualization of overall vessel dimensions, plaque burden, large vess

Statin Intolerance and Statin-Associated Muscle Symptoms

…test can distinguish a pharmacological SAMS effect from a nocebo response. Predisposing factors The likelihood of SAMS increases with higher statin doses and with several…

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