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Background: Myocardial intramural course (MIC), a benign anatomical lesion, is an abnormal anatomical structure formed due to abnormal blood vessel routing. An increasing number of studies indicate that MIC is associated with coronary heart disease (CHD). However, it remains unclear whether MIC contributes to cardiac function impairment in patients with CHD.
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J Stroke Cerebrovasc Dis
March 2025
CARIM, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands. Electronic address:
Background: Carotid intraplaque hemorrhage (IPH) is a strong predictor of stroke, but factors contributing to IPH development are incompletely understood. Therefore, we investigate the longitudinal relationship between a thin/ruptured fibrous cap (TRFC)/disrupted plaque surface and IPH volume.
Methods: 116 ischemic TIA/stroke patients with ipsilateral carotid plaques underwent baseline and two-year follow-up MRI.
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Curr Opin Anaesthesiol
February 2025
Department of Orthopaedics and Trauma Surgery.
Purpose Of Review: Bleeding complications from pelvic injuries occur after high-energy trauma as well as after low-energy trauma in elderly patients and are the main contributors to mortality. Demographic changes necessitate focussing on both entities and targeted therapies throughout the course of management.
Recent Findings: This article reviews the recent evidence and expertise on bleeding management for haemodynamically unstable patients with pelvic fractures with insights from prehospital care to trends in resuscitation and endovascular techniques and revival of older strategies, to challenges of definitive treatment.
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Takotsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy or "broken heart syndrome," is a transient form of myocardial dysfunction often triggered by emotional or physical stress. While typically associated with emotional distress and possible physical stress, TTC has rarely been reported in the context of physical trauma, including blunt chest injuries. This case report describes a novel instance of TTC in an 84-year-old woman who developed the condition following a motor vehicle accident, resulting in blunt chest trauma.
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An anomalous left circumflex artery is a congenital anatomic variant of typical coronary circulation that can potentially contribute to cardiac ischemia or altered blood flow. These variants can cause changes to be seen on electrocardiograms, particularly to the T wave and ST segments, including depressions, inversions, or elevations. We describe the case of a healthy 35-year-old man with previously undiagnosed anomalous origin of the left circumflex artery from the right coronary artery ostium with evidence of ST-segment changes and T-wave inversions on electrocardiogram during exercise stress testing, despite the lack of evidence of atherosclerosis and the patient being in good cardiac health otherwise.
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