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Immediate Management of Type A and Type B Aortic Dissection

…rupture and compromise of branch vessels. Type A disease may cause cardiac tamponade, severe acute aortic regurgitation, coronary malperfusion, myocardial ischaemia, heart failure, shock and…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…are: Plaque rupture with exposure of thrombogenic material. Superficial plaque erosion. Thrombosis associated with a calcified nodule. Epicardial or microvascular coronary spasm. Spontaneous coronary artery…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

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

Type 2 Myocardial Infarction: Mechanisms and Management

…plaque rupture, coronary artery spasm, coronary microvascular dysfunction (encompassing endothelial dysfunction, smooth muscle cell dysfunction, and dysregulation of sympathetic innervation), coronary embolism, and spontaneous coronary…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…plaque rupture, thrombus, spontaneous coronary artery dissection (SCAD), or another occult structural abnormality. IVUS IVUS generates images by transmitting ultrasound from an intracoronary catheter and…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…rupture or plaque erosion with thrombosis, despite the absence of an angiographically obstructive lesion Coronary embolism or thrombus Epicardial coronary vasospasm Coronary microvascular dysfunction Spontaneous…

Spontaneous Coronary Artery Dissection

…Definition and pathophysiology Spontaneous coronary artery dissection (SCAD) is an acute coronary disorder caused by separation within the coronary arterial wall, usually through formation of…

Care after return of spontaneous circulation (ROSC)

…brain death. The cause of brain injuries is anoxic cell death, continued dysfunction in cerebral blood flow (autoregulation) after ROSC and cerebral hypoperfusion. Myocardial dysfunction…

Interpretation of ECG after ROSC (Return of Spontaneous Circulation)

…ECG should be recorded in all patients after return of spontaneous circulation (ROSC). The purpose of a 12 lead ECG is to detect ST elevation…

Sudden cardiac arrest: Case 4

…ECG 1 . Sinus rhythm interrupted by ventricular tachycardia (VT). ECG 2 . Spontaneous termination of ventricular tachycardia (VT). ECG 3 . A single ventricular beat, followed by…

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