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==Introduction==
 
==Introduction==
Hyalisation of muscle fibrils of skeletal, intercostal, diaphragmatic and cardiac muscles.  Histologically there is '''[[Zenker Degeneration - Pathology|Zenker degeneration]]''' and occasionally also '''[[Myocardial Mineralisation|dystrophic calcification]]'''.
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Hyalisation of muscle fibrils of skeletal, intercostal, diaphragmatic and cardiac muscles.  Histologically there is '''[[Zenker Degeneration|Zenker degeneration]]''' and occasionally also '''[[Myocardial Mineralisation|dystrophic calcification]]'''.
    
Grossly the condition is seen as grey/yellow streaks on the innermost part of the myocardium.   
 
Grossly the condition is seen as grey/yellow streaks on the innermost part of the myocardium.   
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The condition is associated with '''Vitamin/Selenium deficiency'''.  Also known as [[Muscles Degenerative - Pathology#Nutritional myopathy|'''nutritional myopathy''']] or '''[[White Muscle Disease - Pathology|White muscle disease]]'''.   
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The condition is associated with '''Vitamin/Selenium deficiency'''.  Also known as [[:Category:Muscles - Degenerative Pathology|'''nutritional myopathy''']] or '''[[White Muscle Disease|White muscle disease]]'''.   
 
The myocardium of the left ventricle is most affected as it has the largest metabolic demand and so the largest production of anti-oxidants and the greatest need for Vitamin E/Selenium.  This manifests clinically as left sided heart failure with clinical signs:
 
The myocardium of the left ventricle is most affected as it has the largest metabolic demand and so the largest production of anti-oxidants and the greatest need for Vitamin E/Selenium.  This manifests clinically as left sided heart failure with clinical signs:
 
*Pulmonary oedema.
 
*Pulmonary oedema.
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==Test yourself with the Mycocardial Pathology Flashcards==
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{{Learning
 
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|flashcards = [[Myocardial Pathology Flashcards]]
[[Myocardial_Pathology_Flashcards_-_Pathology|Myocardial Pathology Flashcards]]
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}}
 
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[[Category:Cardiovascular_System_-_Metabolic_Pathology]][[Category:Myocardial_Pathology]]
 
[[Category:Cardiovascular_System_-_Metabolic_Pathology]][[Category:Myocardial_Pathology]]
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[[Category:Cardiology Section]]
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