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Immediate Management of Type A and Type B Aortic Dissection

…coronary angiography or other invasive procedures, and affected patients may be relatively painless compared with those with spontaneous dissection. Clinical manifestations may result from rupture…

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

…in other reports. It is more frequent in women and in patients presenting with NSTEMI than in those presenting with STEMI. Approximately one third of…

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)

…or extrapolation from other fields (e.g. sepsis research) or physiological reasoning. Cardiac arrest care is advanced and should preferably only be conducted in specialized…

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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