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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

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Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
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Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
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The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
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Aortic Ring Assay
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Hot Aortic Nodules.

Erik Soule1, Quoc-Han Nguyen1, Mario Dervishi1

  • 1Interventional Radiology, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Cureus
|October 21, 2020
PubMed
Summary

Positron emission tomography can detect 18-fluorodeoxyglucose uptake in atherosclerotic plaques. This finding may help identify high-risk patients for cardiovascular disease, enabling early intervention.

Keywords:
atherosclerotic cardiovascular diseasecerebrovascular accident (stroke)fluorodeoxyglucose positron emission tomographyinflammatory plaquesmyocardial infarctionplaque rupture

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Area of Science:

  • Cardiovascular Medicine
  • Nuclear Medicine
  • Radiology

Background:

  • Atherosclerotic cardiovascular disease (ASCVD) is a major global health concern, leading to severe thrombotic complications like stroke and heart attack.
  • Early identification of aggressive ASCVD is crucial for effective risk stratification and treatment planning.

Observation:

  • This report details four patients where 18-fluorodeoxyglucose (FDG) uptake was observed in atherosclerotic plaques during positron emission tomography (PET) scans.
  • These PET scans were initially performed for indications unrelated to atherosclerosis detection.

Findings:

  • The study highlights the potential for FDG-avid atherosclerotic plaques to be incidentally discovered via PET imaging.
  • This incidental finding suggests a potential imaging biomarker for active or high-risk atherosclerosis.

Implications:

  • Detecting FDG-avid plaques could facilitate earlier diagnosis and intervention for ASCVD.
  • This may lead to improved patient outcomes through intensified lifestyle changes, medication, or procedures like endovascular atherectomy.