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ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…incidence of cardiogenic shock complicating STEMI has fallen with prompt reperfusion and reduction of infarct size. Earlier estimates approached 20%, whereas contemporary trials and observational…

Myocardial Mechanics: Structure and Function of Myocardial Fibers

Echocardiography Structure and contractile function of myocardial fibers The left ventricular wall can be subdivided into several layers. These layers are similar to those seen…

Physics of myocardial perfusion imaging (SPECT, PET): Radiotracers, perfusion, blood flow and viability

…radiotracers emit gamma photons directly. These gamma rays are detected by gamma cameras to create tomographic images of the left ventricle. In PET (Positron Emission…

Left Main Coronary Artery Disease: Revascularisation Strategy

…defined as a diameter reduction of at least 50%. Severe proximal disease of both the proximal left anterior descending and proximal left circumflex arteries may…

Left atrial enlargement (P mitrale) & right atrial enlargement (P pulmonale) on ECG

…first half of the P wave is therefore a reflection of right atrial activation and the second half is a reflection of left atrial activation…

Myocardial ischemia and infarction: lack of oxygen or imbalance between supply/demand

…to describe a reduction of blood flow to tissues and organs. A few decades later Cohnheim demonstrated that ligation of the left anterior descending artery…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…progressive reduction of coronary blood flow sufficient to produce myocardial ischaemia and, when prolonged or severe, myocardial necrosis. It most commonly reflects atherothrombosis: disruption of…

Assessing left ventricular systolic function

…left ventricular function (systolic function). It should be noted, however, that three dimensional (3D) echocardiography offers greater precision in the calculation of ejection fraction, and…

Overview of the ECG Waves, Deflections, Intervals, Durations

…left ventricle is usually considerably larger than the right ventricle, the QRS complex is actually a reflection of the electrical potentials generated by the left…

Technical aspects of the ultrasound image

…image of the tissue, the ultrasound machine must overcome the following technical obstacles. The ultrasound machine must know which sound waves are reflected and from…

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