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Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…than percutaneous coronary intervention (PCI). A CTO may be discovered incidentally during diagnostic angiography. Collateral vessels may maintain distal perfusion and permit visualization of the…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…STEMI usually results from rapid thrombotic occlusion of a previously atherosclerotic coronary artery. Slowly progressive severe stenoses are less likely to cause STEMI because collateral…

ECG interpretation: Characteristics of the normal ECG (P-wave, QRS complex, ST segment, T-wave)

…the left ventricle is many times larger than the vector generated by the right ventricle, the QRS complex is actually a reflection of left ventricular…

The ECG in assessment of myocardial reperfusion

…inversion of the T waves. These T waves are called post ischemic T waves and they indicate that the infarction process is more or less…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

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

Coronary Anatomy and Segmental Classification for the Clinician

…exercise. Anomalous origin of the left coronary artery is less frequent but is considered more malignant than anomalous origin of the right coronary artery. High…

Cardiac Tamponade: Recognition and Pericardiocentesis

…less commonly, a mass. Tamponade occurs when intrapericardial pressure equals or exceeds right atrial pressure. The haemodynamic consequences are progressive impairment of right and left…

Pulmonary Embolism (PE)

…A substantial reduction in pulmonary perfusion and the subsequent reduction in left ventricular preload lead to a cascade of hemodynamic alterations which may culminate in…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…renal sodium and water excretion, and reduction of cardiac fibrosis through activation of the natriuretic peptide A receptor. NT proBNP is an inactive cleavage product…

Stress Echocardiography: Protocols and Interpretation

…coronary artery disease (CAD). It combines echocardiographic assessment of left ventricular (LV) structure and function with exercise or pharmacological stress. The physiological basis is an…

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