Titlebook: Controversies in Cardiology; John A. Ambrose,Alfredo E. Rodríguez Book 2015 Springer International Publishing Switzerland 2015 Atheroscler

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Elevated Triglycerides, Atherosclerosis and Adverse Clinical Eventshemic heart disease. The mechanism of atherogenicity is complex involving elevated levels of chylomicron and very low density lipoprotein remnants, generation of small dense low density lipoprotein particles frequently in the setting of obesity, insulin resistance or genetic disorders of lipoprotein

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Patent Foramen Ovale Closure and Strokene through echocardiographic studies. Due to the high prevalence of PFO, the identification of “high risk” features such as atrial septal aneurysm (ASA) becomes extremely important in the management of these patients. Currently, the major controversy regarding the treatment and secondary prevention

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CT Angiography Versus Routine Stress Testing for Patients with Chest Pain Seen in the Emergency RoomCG, and a single set of biomarkers of myocardial necrosis usually fails to provide a fast and safe discharge without further diagnostic testing. Among low risk patients with normal or non-diagnostic ECG and negative initial cardiac enzymes, stress imaging (particularly stress-only SPECT) is an effec

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Takotsubo Cardiomyopathy – An Interesting and Somewhat Unexplained Clinical Entityesenting as an ACS in postmenopausal women usually following a significant mental or physical stress. Since its initial description nearly 25 years ago, it has been reported under various scenarios. While criteria for diagnosis have been proposed, there remain several unresolved issues pertaining to

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Chest Pain in Women: Evaluation and Managementlear, complicated by gender differences in presentation, etiology and disease perception as well as a relative paucity of specific, well-powered studies in this field. In contrast to male IHD, which is typically characterized by classical symptomology and demonstrable obstruction on angiography, che

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Myocardial Infarction Diagnosis, Troponin Elevation and Angiographic Coronary Artery Diseasees when attempting to diagnosis an acute MI. This chapter will review the use of cardiac biomarkers in the setting of the current universal definition of acute MI, the pitfalls in interpreting the cause of troponin elevations, and discuss controversies regarding AMI presentations when angiography re

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