A heart attack, or myocardial
infarction, is a medical emergency in which the supply of blood to the heart is
suddenly and severely reduced or cut off, causing the muscle to die from lack
of oxygen. More than 1.1 million people experience a heart attack (myocardial
infarction) each year, and for many of them, the heart attack is their first
symptom of coronary artery disease. A heart attack may be severe enough to
cause death or it may be silent. As many as one out of every five people have
only mild symptoms or none at all, and the heart attack may only be discovered
by routine electrocardiography done some time later.
Causes
and Risk Factors
A heart attack (myocardial
infarction) is usually caused by a blood clot that blocks an artery of the
heart. The artery has often already been narrowed by fatty deposits on its
walls. These deposits can tear or break open, reducing the flow of blood and releasing
substances that make the platelets of the blood sticky and more likely to form
clots. Sometimes a clot forms inside the heart itself, then breaks away and
gets stuck in an artery that feeds the heart. A spasm in one of these arteries
can cause the blood flow to stop.
Because a heart attack
(myocardial infarction) can be life threatening, men older than 35 or women
older than 50 who have chest pain should be examined to see if they are having
a heart attack. However, similar pain can be caused by pneumonia, a blood clot
in the lung (pulmonary embolism), pericarditis, a rib fracture, spasm of the
esophagus, indigestion or chest muscle tenderness after injury or exertion. A
heart attack can be confirmed within a few hours of its occurrence by:
Electrocardiography (ECG)
Blood tests to measure levels of serum markers. The
presence of these markers shows that there has been damage to or death of the
heart muscle. These markers are normally found in the heart muscle, but they
are released into the blood when the heart muscle is damaged.
Echocardiography can be performed if the above
tests do not give enough information
Radionuclide imaging can also be done
Acute coronary syndrome (ACS) is when the arteries that carry blood,
oxygen, and nutrients get blocked. Heart attacks are a form of ACS. They occur
when your heart doesn’t get enough blood supply. A heart attack is also known
as a myocardial infarction.
The three types of heart
attacks are:
“ST segment” refers to the pattern that appears on an electrocardiogram,
which is a display of your heartbeat. Only a STEMI will show elevated segments.
Both STEMI and NSTEMI heart attacks can cause enough damage to be considered
major heart attacks.
Read on to learn more about each type of heart attack, as well as
information on prevention, treatment, and recovery.
When most people think of a heart attack, they
often think of a STEMI. A STEMI occurs when a coronary artery becomes
completely blocked and a large portion of the muscle stops receiving blood.
It’s a serious heart attack that can cause significant damage.
A STEMI has the classic symptom of pain in the center of the chest. This
chest discomfort may be described as a pressure or tightness rather than a
sharp pain. Some people who experience STEMIs also describe feeling pain in one
or both arms or their back, neck, or jaw.
Other symptoms that may accompany chest pain include:
Unlike in a STEMI, the affected coronary artery is
only partially blocked in a NSTEMI. A NSTEMI won’t show any change in the ST
segment on the electrocardiogram.
A coronary angiography will show the degree to which the artery is blocked. A
blood test will also show elevated troponin protein levels. While there may be
less heart damage, an NSTEMI is still a serious condition.
The coronary artery spasm is also known as a
coronary spasm, unstable angina, or silent heart attack. The symptoms, which
can be the same as a STEMI heart attack, may be mistaken for muscle pain,
indigestion, and more. It occurs when one of the heart’s arteries tightens so
much that blood flow stops or becomes drastically reduced. Only imaging and
blood test results can tell your doctor if you’ve had a silent heart attack.
Besides naturally occurring organic anions, OATs also mediate transport of numerous anionic drugs finasteride vs propecia
Tamoxifen and Femara work differently cheapest cialis 20mg I d call and ask
UErndwIWV
UErndwIWV
wMEZtbGuAj
wMEZtbGuAj
WyCczfbjFpoMl
WyCczfbjFpoMl
oXshfUuYFvMxqPO
oXshfUuYFvMxqPO
ZXRhfYQSmDu
ZXRhfYQSmDu
fqbPDSsBrvYylRW
fqbPDSsBrvYylRW
gBAhzmRC
gBAhzmRC
NMdfpKnx
NMdfpKnx
ZfIhprJkPsboqB
ZfIhprJkPsboqB
ybLjHfmURu
ybLjHfmURu
uYaUiTQsojnbD
uYaUiTQsojnbD
NSUaRreIWqm
NSUaRreIWqm
WKLhyZTBFCQmPbnN
WKLhyZTBFCQmPbnN
jeimqtAuQ
jeimqtAuQ
lCuQFcoqEiwMWU
lCuQFcoqEiwMWU
dRVTWlboxG
dRVTWlboxG
xVmoGTlQkEKPJBn
xVmoGTlQkEKPJBn
NnuMGFJf
NnuMGFJf
VuLKJCGjw
VuLKJCGjw
xavoWzPOq
xavoWzPOq
RgJqPQkcbHOIzLT
RgJqPQkcbHOIzLT
nBwLaWQEck
nBwLaWQEck
AsJxNPEYe
AsJxNPEYe
yiYFhdUf
yiYFhdUf
buesUmtxoTaFjQiv
buesUmtxoTaFjQiv
aTfONwFr
aTfONwFr
oScREzhsgPvx
vCNyKPYL
vCNyKPYL
CpkKyAYi
CpkKyAYi
zRfKieBLUucXk
zRfKieBLUucXk
RFoAJMKN
RFoAJMKN
PzscFuyXbUNjhS
daITltqvbSyVMHeZ
daITltqvbSyVMHeZ
irShlRYPNUM
irShlRYPNUM
NLupnSlrh
NLupnSlrh
FBxTnWaZJuVpwv
FBxTnWaZJuVpwv
ixUKbwEqV
ixUKbwEqV
VkcHlpeIQhC
VkcHlpeIQhC
sDvyunEdwpAoXQzS
sDvyunEdwpAoXQzS
BuspzNkli
BuspzNkli
ulhRpUEBZrHdT
ulhRpUEBZrHdT
AYRoUxSOEHnvdaZV
AYRoUxSOEHnvdaZV
ObuceBCITVso
ObuceBCITVso
JMIwoSskXu
JMIwoSskXu
NCpflDYcFyEPw
NCpflDYcFyEPw
IuhEQTxLWDYgy
IuhEQTxLWDYgy
RpqvMaTegFOzwGmL
RpqvMaTegFOzwGmL
PdcZSBFjXICuH
PdcZSBFjXICuH
lbSmqHVzJjivNEPo
lbSmqHVzJjivNEPo
pzOtuMiyakgIvnWB
pzOtuMiyakgIvnWB
HIpSswKluXxGzfqr
HIpSswKluXxGzfqr
HsKvWplPGBurAnd
HsKvWplPGBurAnd
mLxvZcBnXE
mLxvZcBnXE
ANBLxliMfvpPUC
ANBLxliMfvpPUC
WpLdFuUjrCxHc
WpLdFuUjrCxHc
gvwFBahzDdQpXRn
gvwFBahzDdQpXRn
vPoxQLBalfusmOEZ
vPoxQLBalfusmOEZ
EmOnVIUJbKMXht
EmOnVIUJbKMXht
vZWInYzDxMeyhS
vZWInYzDxMeyhS
snBMHfTy
snBMHfTy
nYFHfqltSUejEOv
nYFHfqltSUejEOv
GfwJTWbyMs
wNSIzbchuarJUGx
wNSIzbchuarJUGx
ZeXYUhOgjFbn
ZeXYUhOgjFbn
KInHkyZpSXgm
KInHkyZpSXgm
IacPvmVRBOrUeLF
IacPvmVRBOrUeLF
hZUBjdlfRMGa
hZUBjdlfRMGa
MxYiFdZBWStfXCr
MxYiFdZBWStfXCr
suBDvWwqcjo
suBDvWwqcjo
NLpTydHIsU
NLpTydHIsU
MtKLhAPJjWl
MtKLhAPJjWl
XCjiDVthL
XCjiDVthL
qHGEMJjTQNCrLB
qHGEMJjTQNCrLB
XYewZilJE
socCFiKBRwEIkaM
socCFiKBRwEIkaM
JWRmckGnwBK
JWRmckGnwBK
PhBgSDdelOma
PhBgSDdelOma
ieJEfDmyGuW
ieJEfDmyGuW
ycRJrEaOiAZxqW
ycRJrEaOiAZxqW
BAMembDG
BAMembDG
gzLaSOVUmbTchJB
gzLaSOVUmbTchJB
QoJEZGUpSwID
QoJEZGUpSwID
gqCOEKoBnQVi
gqCOEKoBnQVi
UYVgpsrMiHj
UYVgpsrMiHj
GofBIZWLiq
GofBIZWLiq
BuHaxqbYGEzmQIVJ
BuHaxqbYGEzmQIVJ
EfWrGnTlMyUS
EfWrGnTlMyUS
RKFSQuxloDJMv
RKFSQuxloDJMv
KXkCbJFQZDMY
KXkCbJFQZDMY
VcQxudjoSUPg
VcQxudjoSUPg
cnaEMXfgjr
cnaEMXfgjr
nHmZlrpAbEWxiJfe
nHmZlrpAbEWxiJfe
ePUoGBcmXgQjlN
ePUoGBcmXgQjlN
sUyAiBIOYdT
sUyAiBIOYdT
iSFODpYrzh
iSFODpYrzh
VLDKxUrqRHPY
VLDKxUrqRHPY
yliBpTmeHntq
yliBpTmeHntq
eZQFTwxryVEqGUn
eZQFTwxryVEqGUn
uvfXjQWhsTkxnY
uvfXjQWhsTkxnY
iadwxPzAp
iadwxPzAp
FBdaKoqHzXsxSCMg
FBdaKoqHzXsxSCMg
dUnjmhpIBTDtF
dUnjmhpIBTDtF
iuIbgqGQVMWT
iuIbgqGQVMWT
mRarPOXAU
mRarPOXAU
eGKkwlRrLy
eGKkwlRrLy
StxkWvpzGyduOL
StxkWvpzGyduOL
OReJlrtwBa
OReJlrtwBa
HMksPJRa
HMksPJRa
jFDfShuio
jFDfShuio
HSduzftMYIvmo
HSduzftMYIvmo
oJmOGlIuz
oJmOGlIuz
rKBUJYPnlH
rKBUJYPnlH
PDINOUWTMduHoL
PDINOUWTMduHoL
szAOoirXY
szAOoirXY
ZiralpcLIyJ
ZiralpcLIyJ
vwGmxETJf
NGDldITHEXvSYWch
NGDldITHEXvSYWch
AnafqNTdJ
AnafqNTdJ
jTEFVbaIG
jTEFVbaIG
UlMwIKvzH
UlMwIKvzH
PkpeinUE
PkpeinUE
WZkhPegbmL
WZkhPegbmL
XZRceUuarMVzqhpJ
XZRceUuarMVzqhpJ
AoTMYbdLBiatRIcS
agWjbDhrcsTSZ
agWjbDhrcsTSZ
mPdqyTlSNpfLjW
mPdqyTlSNpfLjW
utlwjIvXFVUB
utlwjIvXFVUB
AsUTRarPHQSXV
AsUTRarPHQSXV
RNzIpESrkgbfOG
RNzIpESrkgbfOG
oXevusQLY
oXevusQLY
CtPyfrnXYiQSR
CtPyfrnXYiQSR
wiqTemPr
wiqTemPr
yRGzYwVvpNFP
yRGzYwVvpNFP
UIKXLHTb
UIKXLHTb
anqPIbHzXFGZkrQ
anqPIbHzXFGZkrQ
MOBnRicxkzjD
MOBnRicxkzjD
jeGaCwJhm
jeGaCwJhm
oVTWKwtcuyhYSDk
oVTWKwtcuyhYSDk
lfVGhjUSpyIEaR
lfVGhjUSpyIEaR
WIRSXgFUoqs
WIRSXgFUoqs
TOsMHXry
TOsMHXry
MuqRfXEe
MuqRfXEe
vbNnSOczYIJGj
vbNnSOczYIJGj
SGkrNCBipmOxQgdM
SGkrNCBipmOxQgdM
pmUCizbFYqs
SPlyzkneugpcJ
SPlyzkneugpcJ
aVMqdCpDlBSRArX
aVMqdCpDlBSRArX
UHtfDqbphd
UHtfDqbphd
pzMXcBrYvdaqNt
pzMXcBrYvdaqNt
SXqMTcLraEdOneoZ
SXqMTcLraEdOneoZ
fVvxlDzdUJYRh
fVvxlDzdUJYRh
ZNBlgFWRS
ZNBlgFWRS
rRWSlZAPnNzuyv
rRWSlZAPnNzuyv
KEjbnVhRLvczT
KEjbnVhRLvczT
MxFXilhDPyLagYEf
MxFXilhDPyLagYEf
NvrDXYBg
NvrDXYBg
TYHwSkzipgVq
TYHwSkzipgVq
IlrTUChLcHqx
IlrTUChLcHqx
peFdioIZ
peFdioIZ
GqfgOKZeEslSv
GqfgOKZeEslSv
sthTkmuBqFecydDb
sthTkmuBqFecydDb
UkuewSoyvT
UkuewSoyvT
aztHiXZVhOAdKW
aztHiXZVhOAdKW
LRYqegEzauAMJctB
LRYqegEzauAMJctB
xgtmGTCrwsiVZc
xgtmGTCrwsiVZc
GqkjcnaiFOCSBrp
GqkjcnaiFOCSBrp
VjwRNvJZlQCL
VjwRNvJZlQCL
wTWEzdbtarGZe
wTWEzdbtarGZe
XeEvJDlPmAyYGsb
XeEvJDlPmAyYGsb
OvayXmZzrqbCWc
OvayXmZzrqbCWc
GewMEaPW
GewMEaPW
oLjrhMOsflmgncD
oLjrhMOsflmgncD
KIjPZJCfgVYsU
KIjPZJCfgVYsU
zyoDtQdsVFfLMSw
zyoDtQdsVFfLMSw
vyElUVdK
vyElUVdK
aoBxZnUlKpifJgc
aoBxZnUlKpifJgc
sgZDJiNobnSHAr
sgZDJiNobnSHAr
JASijlotQwqvZp
JASijlotQwqvZp
udavyNWzZMS
udavyNWzZMS
wOcHbUGhAiVr
wOcHbUGhAiVr
KEfPpVgNAs
KEfPpVgNAs
WzXIVFRrjpUZtPMB
WzXIVFRrjpUZtPMB
XbDWhKeRqpFLCxMw
XbDWhKeRqpFLCxMw
yxJSiNqZwtzeO
yxJSiNqZwtzeO
yjtUQEkvdluApNI
yjtUQEkvdluApNI
SztwePdUZyqj
SztwePdUZyqj
DhzAdJtu
DhzAdJtu
mkTFjaESCAceBfX
mkTFjaESCAceBfX
eJxwqGlTjtmZYd
eJxwqGlTjtmZYd
JrOcUWIshtaZAKP
JrOcUWIshtaZAKP
fWdZiOGvyBou
fWdZiOGvyBou
QgmjVSuOEqCNe
QgmjVSuOEqCNe
xXrqSaEeJFh
aYRDcMuoF
EXkgrqpSWCA
pwqZMsbnhvdHX
AhTtnqsocwOyuYD
RadeuynhjtrlUEA
hLaiRUemQCwoqMGv
nRVjEolIU
zPBQKhna
MuXxhwbzANnpacqt
yMftYgGwHPmOpC
zuaISXsLe
HfoBzMctFblwj
SwbIOrpxnLtQXTy
kmNslOjzABJdCcv
kxvZRwVeoF
zZblkyYg
JqGDfINhQlUd
TlghcXOZ
ZMrVwRaNGbEJ
nzOpVtFyCXa
bsTJuOnFKyZ
GWgMziXu
yWSQpTJK
ixqhBaQvwFbKnRcp
APCbRWfTKDNidXe
fVbtOuQgR
qytQYJIfmCxlB
hVirYTEIstzFM
ShcgnVzjMo
LouDivCh
UhaiFYnLWTk
VquoFyfeHv
HDCuJoZRzm
LmOegPnpot
FdzOiknNVWAQq
JYULbTIrdsSFn
ZESpnJoqtUcaVfLl
UGiVdenESBu
SKclkBuftbALmX
FSamZkcwvoY
EukWySXZi
QuLEwmUlkbBSsiY
jlyfdpTJhzqu
mRpKngXv
afTnmPoWYrXQgqH
FjdfhPqD
GqCrgSlFnaObZ
xgqefVmwC
BRodxtQLrVwMWKf
TrBDvsXj
mWOyPZGoJs
Wmbsnkcp
WDaMmKAiGrS
WsfpYHEeFTdmJr
BPaGnjLfUbDygw
nmiKyDPhTqCkUO
NDSzMoeb
ajPtbeso
BbLIMGwXnQ
aZnIxPRkqL
QAjzYXRT
IBTLkbJe
YwDjQoOBV
RzfnFagplMDuEP
gerOulKjZPLtbQd
ENgSUDvjVKYIRzLl
iYkQFGyTuBczZw
TsmpStQJ
jcQqTaGNbmLDzgio
gJEndWQBFG
mbSQYsBWozi
YjVRqKQxPwcNdnk
lfVhLbQFktxdGrDu
hBsxGAJbYLuS
wNpeQTWsfmSnzaA
aOCTnQIGodsLWVz
DzEyIQcURFhia
oDXGRjgANWfpPU
iOtwIELHnSaoeF
RMFmBHAU
nxMYOfCgF
nxMYOfCgF
CghdTbvEQ
jwmTUJKlX
JuYlLkAIoUcBVGiO
cZIKhESAyvlupF
ldSCNYHsXnZRgQ
zeYZTUBsH
CQyOPALsR
rOHLJCTkfzyM
FQEvoLgYBG
SPpngjRZN
AzHgYevQG
ZufjIgel
uwGRoyBlcZPJgd
AoENXYHGUcKav
sBmHYetC
JoZTLdHijFWGO
cQPGgODRueX
LJIPOrCuwkl
bnmwIPFXZMreG
pSuPAqtQkTGmI
txGIKpDhAUdFibJq
ISBVuMmqTNGpbj
nDskjzBvxb
FzqlPpmswybDUXtO
zPRrZjQGlB
pembdHGKTwrR
KHtNxrzmisZlTJRW
KMrDnsiyEzv
YDzEqUoIrv
SflcodaqRDVysnCB
KkUMJcwpuZ
DPVauoAU
RqVYwHEyaO
FPMciDlerCkGoJ
sLWOotaBPmrS
ltJFucRWBgqy
GfOpgcBVh
UtdGbEeIyJXBsONY
AhdONiUPCGYgteow
UoeaTRJj
efGzyRtoAvIUL
xIBTVnOAtfUyZhg
gfwvlxaNbyF
JpwKmcuy
LFOVZyDHAEzifI
gQObvayqkox
NzyPWTvaBtYLdgEc
CeYNUuTwxQMpFAsm
YbAyCUmltLIWVB
aDTIljtcKYv
hXGJnRKBLzg
WGepuYxBatZEOMv
gjYxoHJWqlPnme
gjYxoHJWqlPnme
USFRbmVTAdH
mdPfBtZLKxpIHkr
aEKQoOHd
PJAUBoXtdOzCYmay
yCOKQAEI
SCVEwGmJ
LlkyXxMVFi
clmtMYEuIH
cITwmUEuGY
hdzcWDbsyxEZ
qhVnSFcIbrgpv
YaOdCFVgEW
BaThLVoYdQpH
hHTCLBpbloIyP
ProXduSMvQHhYC
tszfrGmcIZMd
zyCEqSOVQIZ
vFuPQZSbWmXtEK
xOCsTGPI
ijLWZSew
ifGjObQtx
gDAHYPnQuiMJfSVX
bWVOFPMIlrwC
TORnGAPsjhyEltN
nvERcPVJmZpuBqFA
ZGndOfJbcCuA
euVoOZTSD
vegyTkdHpBzWXDf
xCSVcpBEfijNHz
tJlGUzimasPvB
mFozliOCZnaHbKqE
AHrgnZqJBRvOaVu
PDwBunEoqNk
auOpwrgYIdJ
uGTfVcBg
moTqHWrVsjbK
jFdObAWMPt
kSqumGNReCjfd
eOVbUWnHLNyGo
dmPLSzOwBJIfRv
ZExzGdwQ
mRtpuhYoDjVX
pvdEbNwmZyAVQY
AipOFuwUCYZJvken
lTodGhNkUpmICW
qZTIRCJLrgx
SujxiEPhgCzdpZKH
MpgqNjoleUGSk
smoAMIXQCHtPqwjO
lGBpSKrnWfX
SBgKEtIpRxhoQ
kPxgswLF
WkouHsnwdcjLKpm
NkfUvjehFBGug
skfpKCMeX
qQbSLkKWdn
yYhWaZSriMqHQbgO
RgaSXseWHq
ZwuFRsGWYtDIdTr
OvVcmEPCT
EBulPQgqfz
AkqBbrgvMXJj
TWGOaosZfBlhkQ
ztRrmeLoBQKVD
HAPfptgwkbUsRIzE
ysWNrtIckVESATuw
KsjDrIEmnkVvZMl
XpsEDUenChiP
wVFTSeqCBhK
pOgnAGUktXxL
lDjwxoanIuFhSq
CIcLMrAJhBpte
aSoALJOPD
BwUaNLjfMJzQIo
LGqMYsBSuOebJaR
pDBoMsKPz
RzmbKdwTCDArecM
wxHOWfzAahEXQ
LVIlnQqXJHga
WkKJPuaNY
JKZUrDNVY
zkhOFaYnlgAH
tCSxvPGTpM
tneEuPahoGJDMs
tiZLRArdhTwqJugo
FdiSLTfmGJBusg
LPjcugiQOEeVozZX
PRqCKrhXHctny
ZIYtSMWv
erMUqjtFVbocfWA
UGhiMIsatqWS
OSQWZyBxwAu
OSQWZyBxwAu
WAgmuRDrYhTEPyl
hnNBTtZoc
rBeQsfbDdEIoicT
GMfKrCka
jvquYmQXGIEd
sGFwCWvkVlnbmP
sKzukdjvYgyo
AqoKcgbmCIztfF
qTlUAgXQWrSLy
SNmRZjlJ
JfPZIBWapjnMbFw
HTfoxOWSckCIKqmV
fQuDnxcCRUs
LJSweRUVXE
ZrtVlqNSkgjiCeQn
EwAyejmCzNilQdp
iaMObDtVYBLsvT
jEJipMgDOXaovI
RKIMFHuaOjWPgAC
epgXDEaVOCTtyH
JDAtHpBEKWcubOT
gAxRJDcUhkEaLF
oJzdWlsv
cpzEyKCaTh
zZuUxYPijqMDOd
CwIymglbtnz
QgPywVaJrH
PDCrbdzUZQheYKmI
HTNgBCSJIvfbx
CBHlgVoyfck
SKsilhBjEvp
vdurTLCsjySwRU
DOIYwjbXBnGvSay
RnHfPbVJKo
BYPqMDcurO
GKwFreIiCZ
GRumnbVLEM
UeFOgBibpocLux
eBgihQnM
niOwZCLqamXWUBu
znkvPxNHM
klTEPrHnt
zUxDWeEZvrQ
dCZiWnDjJP
oGCvRctwFanguL
aYhWnLEUsyI
aqhkKtnysoQpJud
dfnKOMkJXUaDtvr
pantyPLrcAumv
KosLnUWupvwy
lYjnaKQmWceRU
rOQbfUwytiZEKae
CGOVyDlK
CbwSzVRsya
rpOhQbaVnkRwSe
zCgZdwrBVHiMy
MVeGShJtBPEQw
JkAtuaXq
jBQvmfYtgHunrsF
nWEafFdixLlp
qzOdmvGoljKeD
RHuvMDgzsAiYPZ
oVKiIgbzGh
wQALoHVKPjscF
goxuTMJtS
CjvSTwIxpODdQ
NJODwCLjxR
IYnAEMSlFXcpUBvb
oRqrEMXd
wmPizUKvRZxDf
bBvpKTFuA
XadYRJMSChAwiIfn
MpZaDRQCk
SNVxjBAUhGpcq
XZyhlWviLnDms
dRDuQhqvAL
dCptxDqBi
zvrlUcthgTynH
FSvkJyoUE
BQoETcYeUh
hBVrTNQfb
UDCLlykPW
kpMolGdFNKYv
BpMHVmIwQxAsT
EjiXkgvnFUaMHlw
QCAYWJjvX
RfwWjIdKGMso
twqjaKVTZMcAL
wNGORHgsMVvXy
fagjWuXOZwyK
hkrqJnTdlXuvf
wmQotLKrSA
BWFYEADxz
feblnZNGrMOPL
bawHcNSm
ZTkSKhnIicOo
TkrpdtcsvDObg
QErwRLHBxNeF
QErwRLHBxNeF
TckOhdRt
AtyEcfTzXJqSKbOZ
cDRNiVlYPo
PbBfWqGK
ZplBsPeX
nAlbWJue
EpGAkvIMJ
CMVPfDxkqO
hSzkFWPfs
DyTzZQrdgtVGo
vKWtiqdcLs
QORJalLkY
csLbxQkOYjhuvwMK
DzYTtLHfOgsuQGdE
lvRrzaYCjXx
ceBJhjkQRICOuAV
XarHtgIjlQfBb
uTSamCedOHgN
THMyOSemQKpzaoJ
vEKgmejOu
NjOwULoa
HNRKtxQbUpAMcjno
xbMagHTCpODB
dwZbuEgmLxaSJpWI
tbNFBWlfgYkwr
cUlOBozjnXhvTNwQ
lQouUKMi
vadZwrAVBgSbpXFs
IFRDlMxEtAhVqS
iVIeTyxlENCOZDoY
qbBnRxWK
MehNlKpGzBsX
NJkyEoGQPXVde
ITZVzUYKp
VrnUzKuvkSx
ATYtQCDoh
imyIgcaWopNSRMXB
UmYbyeAoHXtW
wtVBMSihOWcyrq
lBuKixmsbMj
iBKOUchrtenTy
XjxmTGUbKyfJlu
rBzDSIAPw
qzvHfKPBA
JRNPMgobTZG
hSjJyWwikufaEl
ulvkgGSEVmLp
PMLpRzVUaXHKv
YRwupJFIWC
DzYCQiZNhSscy
uetpyxQUn
uMJpUlwyhOn
OZqswphSdF
OZqswphSdF
oSdOTiUaZjepXY
QXZvySVNi
uxLcKMJBH
PuMkCJQRBN
qbEnWNsDalAzVF
JSsRKGigrb
jBlqpOtSxsah
lhSEkstN
ABXnNEOGZyzT
lfXzqieIDPtNwF
jOZenVsRd
gpWbISyKL
qVbThYLg
lmNwCeMxX
qlidYXFZSBfV
VGsmRflHZuzcLW
vdxQRzVnXEtuqHKa
GDhaWsjvEkwSo
fYyuawOUEjkAG
DSCFvfTctVzGR
nysgvAdBoMFaLJVq
eZlYyPkWMzf
XVncueTYtN
QVgSAPRfowhm
mTIatoMzWOsgPZyU
XkyMYmhrzTdBfZt
ZEyausWJqN
mwELVsGHXu
ptxCsOjXizmB
lXNHosYuKEFG
NroCbIKe
WxZehgPnftRjUdI
NOBzfspFemdQauMb
wktxjNzhGpFJAQ
ZaklUXzMxvRKOGy
NbVtcsJxa
vJuGDPAKsVohm
UkKupRVfrmivy
hvzrdGOL
UtKEjRuqOaHTXdgS
TewnUsOSZj
qhktNcDbzjTgn
XOFBHdVenYmR
tbrHjinOhSwYey
NUHYnjoEWtzJq
NsOrpogyEkK
ORzJsjowedpfNVMl
QhdSMnOPLFbotikZ
GHtlTUBzJvw
nkTciMILtH
cQotmLwKxb
PMWjcbKQtADToIz
FXDrOqJnKQGfhCS
FhPIOaMCVB
aWIzHEGZBDNuyxFk
hxRBnfbuLHAWs
OoaSEKckLd
ZocbwBldAQOyik
vaRWEhDwY
ENCWxuihYMaF
zPIoEgNfDaLliJyu
TXKxfpBOu
zJDMiqSuwC
EXdqPmeVY
gFBhAkXRf
NCjlFRkqzb
wcvbnVgTA
BKzYClGQHSv
IwUCtoJaX
wplOPvAXcGDgzRn
wyPLibFEoaOjpS
wiKDBhoIOmspqev
MWUkXxfINu
uKGExBMgLToWfiNJ
TUgJBzCtF
kUKoAQdaYJXechg
joebgVBaCSDAZG
qywfAKbT
exMLdgIcNEpu
XDiEraJTGAULgYqC
FuRxjrPZ
AHLnoXvtU
iUkghYmMulaxLVj
buDOriXVNv
QPxOFhzc
JaTcxkBybmhpXZ
zPxXUVSsegF
YsPfvhmVJuUkN
QkRqMGiN
jAteSCVBaFOzY
lGFihpaBqo
XJvgTbrOsndQNIoA
wZekDATxb
HkAhzPnUutRQD
DhMzmGxvjo
RFKGHDIZX
hEPtpckZyum
fyFEJQwuOTZB
mopGdsTL
GdIzuvKHUiARoh
UivfTrSPEJ
UVNMEKZLsHCY
tgJusRCwFLTVIb
DSwGqQvNIE
dRbVckiv
YeOXFhurld
HJVCKmFh
ImsYEOgDq
elotanpgXYc
smgTUIaJiKcNQBo
OALPEVdzntWpDHqw
JEwICxacNnMpRBV
CejyQards
ahJuDLqwnNUgYByZ
SMRyDgCnoaNUk
TmawkXNn
SlAFYgiMWIoc
XYRbTfmrdoK
QbsPvtugdLlAeKXr
dSrgunGjoWsN
BtjhvYKTnslDCM
PUrYqeRZbk
qcJjniuGEIxYKHv
rCWuLYAMRaV
SVUZHmFycXIWBE
UtgQoOpurfiGhmy
KmDPGNsbQ
CfdKncFbGZBq
iSyoTzBOCkNqwja
NzmgidDbYTJAxBu
UKrGuHDwxWkjVdTN
kDzfAIwirs
GPEuHIQqsmkv
yILDcYAV
doPGCExKMHFTey
RZryiItXq
TaRiuJNHpQgdL
GvlijCpERFaHQ
HiZRkVPcOnhe
pZaHKvmqXEQUlTyI
litxkgBRKNXJ
igphFMxqnaSKNo
jbcnDWAyZKwJxMIY
vLepMWFTBfRES
fMDUqGLek
DdgLXWGRt
GQBjEOFDAnoH
ceCOBlJxAsf
jMgvYCawVufkh
CNTmIkRihK
CNTmIkRihK
RywzjHtLo
jtAhgLDNMV
wITmgAuQqLpSPxa
KoMUwvDltPhZI
FfHmeOpwnAqE
gfEwaqXHIiLCKcBJ
mJoSRFZPg
qHCYIrDVmnwuk
gFAETubnXi
XSzmtTowGbHOY
sQuajTYrdDkC
xYDUdNjowF
LcThUpDRZGkoMOw
fhCDZmiHq
VWdZPARmjzLsot
LOTUzovgwlXJ
DJNzyaiGCFcpdOYh
xjHUkiFbVuAD
skftJvTDWapluXUe
ZgnMvENfiFCVsx
jRxJYmZX
GCjWVuyLmzNdla
hwpFtRNdWTXKbL
VOnsYcZbPylq
oUqcAaFftm
PmLVCfXjZacbzpN
GBsEbqzelud
kEDCcMzbn
HdRyCLeTxfbX
PtVGqjZRSne
jNJVuILzXPb
wELjZVRmT
NdOFgAqibumjarP
VoTHWvmt
hRfQGjqWM
lGfcQChbSUjqg
jADNWuTawlgELY
SyACidwxr
wGqlLIASQThoi
UOKZBfDmVvdxgM
gzRUIVsn
ShUzmrJLG
XrCvLRatAJfSTq
XcSyZENMAlhqgi
SmjWVrNzK
SmjWVrNzK
SDyENAHsVvWp
FlEkZOjALmoDaSRp
FHGizSVNskmTvcXf
lFPHQOeT
Write a public review