Discuss the pathogenesis of acute myocardial infarction, from the initial atherosclerotic plaque to the resulting myocardial necrosis, and outline the major complications that may follow.

Discuss the modifiable risk factors for ischaemic heart disease and the mechanisms by which each contributes to disease development.

Discuss the pathogenesis and consequences of hypertensive heart disease, including the progression from compensated hypertrophy to heart failure.

Describe the pathophysiology of acyanotic and cyanotic congenital heart diseases, giving examples of each.

A 31-year-old pregnant woman presents with hypertension. (a) Which other laboratory investigation would have reflected the condition of the patient? (b) What does the D-dimer test signify? (c) What is the integral component of the D-dimer? (d) Name the condition more likely to be associated with this presentation. (e) Name the pharmacological management approach for this patient.