…myocardial territory supplied by the occluded artery. Conversely, an angiographically identified CTO without demonstrable ischaemia or viable myocardium provides a less compelling basis for intervention…

…had a reduced value — the majority of sudden cardiac deaths occur in patients with preserved LVEF, for whom no practical risk prediction tool currently exists…

…artery (LMCA) occlusion is a rare but catastrophic manifestation of acute coronary syndromes. The LMCA supplies a large myocardial territory through the left anterior descending…

…to patients with symptoms. Current guidance supports revascularisation for significant left main stenosis irrespective of symptomatic status or the documented ischaemic burden. In chronic coronary…

…system (i.e PDA is supplied from RCA). Figure 1A. The coronary arteries and their relation to the ECG leads. Localization of myocardial infarction / ischemia…

…function. The abnormalities affect the myocardial area supplied by the arteries distal to the occlusion or stenosis. If the ischemia persists for 20 minutes, myocardial…

…dx), which originates from the right coronary artery (RCA). The RCA also supplies the inferior left ventricular wall in over 90% of all individuals. Hence…

…The thrombosis causes occlusion of the artery; blood flow may be partially or completely obstructed. Consequently, the myocardium supplied by the occluded artery becomes ischemic…

…high risk of CAD, invasive coronary angiography is the first line option. Coronary computerized tomography angiography (CCTA) is currently the first line investigation for patients…

…areas supplied by the disease artery. Thus, vasodilators replicate the effects of exercise on coronary arteries, without the need for physical activity. Advantages of regadenoson…

…or immediately after PCI. The clinical presentation depends on the extent of microvascular obstruction and the territory supplied by the treated vessel. Possible manifestations include…

…troponin rise, with thresholds differing for PCI and CABG; and At least one additional indicator of new myocardial ischemia or procedural coronary compromise. When preprocedural…

…In the setting of ST elevation myocardial infarction (STEMI), cardiogenic shock most commonly reflects severe left ventricular (LV) dysfunction, accounting for approximately 80% of cases…

…the number one killer in Western and high income countries for more than half a century, causing approximately 20% of all deaths in these regions…

…Causes and secondary contributors A search for secondary contributors is an essential first step. Recognised causes include: Diabetes and insulin resistance Thyroid disease Kidney disease…

…the subsequent two weeks. Cerebral circulatory autoregulation is also disturbed. This helps explain the neurological manifestations of preeclampsia and the potential for stroke even at…

…As for now, it is sufficient to note that the more myocardium supplied by an artery, the greater the ischemic area in case of occlusion…

…purpose of the stress test is to increase the myocardial workload (and thus the oxygen demand) in order to provoke ischemia in myocardium supplied by…

…PDA is supplied by the left circumflex coronary artery (LCX). Right dominant system is by far the most common anatomy, occurring in 90% of all…

…system (i.e PDA is supplied from RCA). Figure 1. The coronary arteries and their relation to the ECG leads. Localization of myocardial infarction / ischemia…

…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…