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Heart Failure With Mildly Reduced Ejection Fraction

…systolic function. This dynamic nature makes prior imaging particularly important when interpreting a current LVEF of 41–49%. Diagnostic phenotype Criterion HFmrEF Symptoms and/or…

Mechanisms of cardiac arrhythmias: from automaticity to re-entry (reentry)

…the sinoatrial node) is a common finding in athletes and during sleep; in these scenarios, it should not be considered abnormal. On the other hand…

ECG interpretation: Characteristics of the normal ECG (P-wave, QRS complex, ST segment, T-wave)

…reader firm knowledge of normal findings , normal variants (i.e less common variants of what is considered normal) and pathological variants . Thus, in this chapter…

🟠 Reference values for adult ECG

…P waves should precede every QRS complex and the P wave should be positive in lead II. Common findings Sinus rhythm (which is the normal…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…without haemodynamic instability require more detailed prognostic evaluation using two complementary domains: Indicators of acute PE severity , including clinical findings, RV dysfunction on imaging, and…

Interpretation of myocardial perfusion images (Myocardial SPECT / PET)

…defects and differentiate between normal and abnormal patterns. Reverse redistribution (RR) Reverse redistribution (RR) in SPECT myocardial perfusion imaging is an unusual phenomenon in which…

ST segment depression in myocardial ischemia and differential diagnoses

…on the other hand, the ST segment depressions are secondary findings and the primary findings are the ST segment elevations. As explained in the previous…

Pre-excitation, Atrioventricular Reentrant (Reentry) Tachycardia (AVRT), Wolff-Parkinson-White (WPW) syndrome

…ECG findings during pre excitation. Figure 1. Hallmarks of pre excitation on the ECG. Secondary ST T changes during pre excitation As mentioned in Chapter…

T-waves in ischemia: hyperacute, inverted (negative), Wellen's sign & de Winter's sign

…1 ). If the T wave and the QRS complex head in opposite directions, the T wave is said to be discordant which is abnormal. Because…

Digoxin - ECG changes, arrhythmias, conduction defects & treatment

…Hence, arrhythmias may occur in the absence of ECG changes and vice versa (i.e. ECG changes may be pronounced without any arrhythmias occurring). Plasma…

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