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3 years ago
Multiple variations of congenital anomalies of the coronary arteries exist that may occur in isolation or in association with other congenital anomalies. They can cause myocardial ischaemia. A rare but potentially lethal condition is the anomalous origin of the left coronary artery from the pulmonary artery. As pulmonary pressures fall in newborns with this condition, myocardial perfusion becomes…
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3 years ago
Despite the low prevalence in the overall population, congenital coronary artery (CA) anomalies are frequently found as the cause of sudden death (SD) in the young, particularly in the athletic field.1-11 These anomalies are observed both in paediatric and adult patients, with an equal incidence of SD. Why a patient may survive asymptomatic until adulthood and then suffer from angina, myocardial…
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3 years ago
Over the last few decades, the rapid development of cardiac computed tomography (CT) has been unequalled by any other imaging technique. The driving forces behind cardiac multidetector-row CT (MDCT) are the enormous socioeconomic relevance of coronary artery disease (CAD) and the need for comprehensive, reliable and reproducible diagnostic tests that overcome the morbidity and mortality of…
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2 years ago
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3 years ago
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3 years ago
Computed tomography coronary angiography (CTCA) has entered the level of daily clinical practice in many institutions worldwide. All studies previously performed on the diagnostic accuracy of CTCA have shown a high negative predictive value, indicating a high ability of this method to exclude relevant coronary artery disease.1–3 However, CTCA is highly demanding not just of the technology, but…
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3 years ago
Low to moderate amounts of regular physical activity reduce cardiovascular (CV) risk factor burden, improve morbidity of CV and other chronic diseases and reduce CV mortality.1–6 Aerobic endurance activities such as walking, jogging and running are popular and advocated ways to improve and maintain health across all age groups. Marathon running is an extreme form of such endurance exercise and…
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3 years ago
In the clinical management of patients with complex congenital heart disease (CHD), accurate 3D evaluation of their morphological conditions is critical. 3D imaging should demonstrate the shape and spatial relation of great arteries, proximal branch pulmonary arteries and anomalous pulmonary venous or systemic connections, and eventually coronary artery course. 3D information on extra-cardiac…
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3 years ago
Non-compaction of the myocardium is gaining prominence as a rare, distinct cardiomyopathy characterised by the presence of numerous, excessive prominent trabeculations and deep intertrabecular recesses which communicate with the left ventricular cavity. Two decades of research have identified a new disease - firstly, its morphologic and clinical characteristics were described on clinical…
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3 years ago
Women with angina but no obstructive coronary artery disease (CAD) at coronary angiography have long been considered a low-risk population.1–3 Instead, data from the Women‘s ischaemia syndrome evaluation (WISE) study4 demonstrated that persistent chest pain (PChP) – also in the absence of CAD – is not a benign condition. These patients experienced major cardiovascular (CV) events, such as…
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