Clinically, discerning the etiology of depressed myocardial contractile function is difficult, whether it is due to stunned myocardium, silent ischemia, or hibernating myocardium. Finding all 3 entities in the same patient with chronic myocardial dysfunction is not uncommon (see the image above).onsidering the frequency of ischemia and the prevalence of hibernating myocardium, recognition of hibernation and how it affects treatment are important. The mortality rate is higher in patients with hibernating myocardium who do not undergo revascularization.
The bazaar seems to represent one's ability to choose one's destiny. As the bazaar contains many stalls, life contains many choices. Making a choice, or entering a particular stall, affects what you can buy, or what further choices you can later make.
In chapter one Hanna explains what is meant by pre-capitalist economy in Egypt, examines the impact of the Ottoman economy on the guild system, and highlights the role of the artisans, alongside the merchants, in the process of commercialization at the level of local production and artisan economy.