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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…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…than percutaneous coronary intervention (PCI). A CTO may be discovered incidentally during diagnostic angiography. Collateral vessels may maintain distal perfusion and permit visualization of the…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…however, reverses the underlying coronary atherosclerotic process. Their clinical effects therefore occur within the broader framework of guideline directed medical therapy and secondary prevention. PCI…

Dual Antiplatelet Therapy Duration After Acute Coronary Syndromes and Elective Percutaneous Coronary Intervention

…as a de escalation strategy after a period of DAPT. The therapeutic objective is to reduce coronary thrombotic events without exposing the patient to disproportionate…

The ECG in assessment of myocardial reperfusion

…and this confirms that the coronary artery flow is patent. The rapid ST segment return is explained by rapid normalization of myocardial cell membrane potentials…

Microvascular Angina and INOCA: Diagnosis with CFR and IMR

…is demonstrated. ANOCA may occur in up to 70% of patients undergoing invasive coronary angiography, while approximately 25% of these patients have documented ischaemia. Among…

🟠 Prasugrel (Effient, Efient, Prasita)

…single loading dose of 60 mg. Maintenance dose : 10 mg once daily. For UA/NSTEMI patients undergoing coronary angiography within 48 hours of hospital admission…

Periprocedural Myocardial Infarction After PCI and CABG

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

Stress Echocardiography: Protocols and Interpretation

…assessment of left ventricular (LV) structure and function with exercise or pharmacological stress. The physiological basis is an imbalance between myocardial oxygen demand and coronary…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…In patients undergoing percutaneous coronary intervention, even mild baseline renal dysfunction is associated with worse outcomes. The risk of death at 1 year is increased…

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