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Myocardial ischemia and infarction: lack of oxygen or imbalance between supply/demand

…of its spread in textbooks, this theory has not been proven, mostly because we have never been able to measure oxygen demand (measuring oxygen supply…

Principles of myocardial perfusion imaging (SPECT, PET), coronary blood flow and flow reserve (CFR)

…particularly in significant coronary artery stenosis. Stress can be induced pharmacologically with coronary vasodilatory agents or simulated hemodynamically through exercise or the use of chronotropic…

ECG localization of myocardial infarction / ischemia and coronary artery occlusion (culprit)

…2. The arterial supply of the conduction system. As seen, the sinoatrial node is supplied by the right coronary artery in 60% of individuals, and…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…of coronary thrombi in a significant proportion of deceased patients. Historically referred to as coronary thrombosis, the term myocardial infarction ultimately prevailed. The need for…

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

…4b and 4c fulfil the criteria for type 1 MI because they represent coronary atherothrombotic events in the setting of a stent thrombosis or restenosis…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…factors. Plaque erosion Plaque erosion is increasingly recognized and is present in at least one third of acute coronary syndromes in the cited material. Eroded…

Regional Myocardial Contractile Function: Wall Motion Abnormalities

…an atherosclerotic plaque may prevent oxygen supply from increasing in parallel with oxygen demands. Depending on several factors– including the severity of the stenosis/occlusion…

Mitral regurgitation

…may also result in mitral prolapse. Extensive myocardial infarction may lead to papillary muscle rupture. The risk of rupture is greater for the posteromedial papillary…

Wound suturing

Procedurer The result of a repair is determined before the first needle goes in. A wound that has not been irrigated clean, has not been…

Myocardial Ischemia & infarction: Cellular changes, ECG and symptoms

…Thus, supply and demand are balanced and no ischemia occurs. (Some individuals display a benign form of ischemia located in the subendocardium during exercise; this…

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