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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…

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

…progressive, and cardiogenic shock may develop rapidly. Ventricular septal rupture VSR typically causes: Recurrent chest pain. Dyspnoea. Hypotension. Rapid development of biventricular failure. Pulmonary oedema…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…with or without left ventricular hypertrophy. Among patients with NSTE ACS undergoing angiography, approximately 10% have no critical epicardial stenosis. In some of these patients…

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

…atherothrombosis. It is usually precipitated by disruption of an atherosclerotic plaque through rupture or erosion. The relative contributions of plaque disease and thrombus vary considerably…

Mitral regurgitation

…follows: Endocarditis Papillary muscle rupture (complication of acute myocardial infarction) Rupture of chordae tendineae. Acute regurgitation of blood into the left atrium results in sudden…

Coronary Anatomy and Segmental Classification for the Clinician

…physiological effect of a coronary lesion depends on more than its visual diameter reduction. Relevant determinants include: Lesion eccentricity Vessel tortuosity Calcification Plaque rupture or…

Coronary Artery Disease

…STE ACS (ST Elevation Acute Coronary Syndrome) : STE ACS occurs when plaque rupture, and the ensuing atherothrombosis, causes a complete occlusion of the coronary artery…

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