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ST-Elevation Myocardial Infarction (STEMI): Pathophysiology, Diagnosis, and Management

Cardiology Coronary Atherosclerosis Coronary atherosclerosis is a chronic, progressive, and highly complex lipid driven inflammatory disease of the arterial intima that serves as the fundamental…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…and death. The clinical consequences are particularly important when pulmonary vascular obstruction is accompanied by limited cardiopulmonary reserve or other adverse comorbidity. The classification of…

Familial Hypercholesterolaemia: Diagnosis, Cascade Screening and Treatment

…males and approximately 10 years later in females. Untreated HoFH is associated with extensive premature and progressive ASCVD; CAD and aortic stenosis may occur before…

Alcohol and Cardiovascular Disease

…and genetic predisposition. Acute cardiovascular effects Acute ethanol exposure has a negative inotropic effect and promotes peripheral vasodilation through reduced systemic vascular resistance. The resulting…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…annular dilatation, or both; progressive ventricular remodeling may also occur in primary valvular disease. Increasing severity of mitral regurgitation is associated with worse outcomes. Pulmonary…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…classic claudication. Asymptomatic or atypical PAD remains clinically important. Reduced activity may lead to progressive functional decline, sedentary behaviour and loss of independence. Identification of…

Antiplatelet Therapy in Secondary Prevention After Myocardial Infarction

…cardiovascular death, and progression of atherosclerotic disease in patients with established coronary or other atherosclerotic vascular disease. Antiplatelet therapy is a central component because platelet…

Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

…Lipid accumulation, oxidative stress and immune activation progressively alter the local vascular environment. The extracellular matrix is an active component of lesion development rather than…

Cardiovascular Prevention in the Very Elderly

Cardiology Clinical medicine Introduction Cardiovascular disease becomes increasingly prevalent with advancing age, while its clinical expression and management become progressively more complex. Older adults, often…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…left ventricular dysfunction, peripheral vascular disease and other manifestations of diffuse atherosclerosis. Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are revascularization procedures…

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