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ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…accounting for approximately 80% of cases. Other causes include acute mechanical complications—particularly ventricular septal defect (VSD) and papillary muscle rupture with acute severe mitral…

Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…18% for those associated with NSTEMI. The timing of VSR, free wall rupture, and papillary muscle rupture is characteristically bimodal. Events may occur within the…

Mitral regurgitation

…Anatomy of the mitral valve Acute mitral regurgitation Acute mitral regurgitation is relatively rare. The most common causes are as follows: Endocarditis Papillary muscle rupture…

Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

…and favour the accumulation of fat, smooth muscle cells, fibroblasts and extracellular matrix beneath the endothelium. Plaques that are particularly prone to rupture characteristically contain:…

Immediate Management of Type A and Type B Aortic Dissection

…90 days. The central clinical danger is progressive aortic wall disruption, rupture and compromise of branch vessels. Type A disease may cause cardiac tamponade, severe…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…to activation of coagulation. Plaque rupture is typically associated with a fibrin rich, red thrombus. The size and persistence of the thrombus depend not only…

Cardiovascular effects of COVID-19 (Coronavirus Disease 2019)

…results in increased levels of circulating pro inflammatory cytokines that may cause plaque rupture (i.e the risk of atherosclerotic plaque rupture is increased during…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…MI using a biochemical and clinical approach. This culminated in the Universal Definition of Myocardial Infarction Consensus Documents, with the Fourth Universal Definition published in…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…Identification of a coronary thrombus by angiography or autopsy, except in type 2 and type 3 MI. A diagnosis of MI should not be made…

Coronary Anatomy and Segmental Classification for the Clinician

…with functional assessment. A central practical principle is that the visual severity of a stenosis does not reliably establish its haemodynamic importance. A lesion that…

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