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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…

Heart Failure With Mildly Reduced Ejection Fraction

…left ventricular hypertrophy or abnormal LV filling supports the diagnosis Unlike HFpEF, objective evidence of structural or functional cardiac abnormality or raised natriuretic peptides is…

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

…determine whether the ECG waves and intervals are normal. This chapter will focus on the ECG waves in terms of morphology (appearance), durations and intervals…

🟠 Reference values for adult ECG

…Note that 10% of wide complex tachycardias actually originate from the atria but the QRS complexes become wide due to abnormal ventricular depolarization (e.g…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

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

Interpretation of myocardial perfusion images (Myocardial SPECT / PET)

…potentially indicating microvascular dysfunction or other pathologies. The software allows for detailed regional analysis of myocardial perfusion, highlighting specific segments of the left ventricle that…

ST segment depression in myocardial ischemia and differential diagnoses

…horizontal ST segment depression is more specific than the downsloping depression. Refer to Figure 1 . Figure 1. Characteristics of ischemic ST segment depressions on ECG…

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

…presents ECG findings during normal atrioventricular impulse transmission as well as ECG findings during pre excitation. Figure 1. Hallmarks of pre excitation on the ECG…

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

…wave amplitude is on average 3 mm in V2–V3 in females and it rarely exceeds 8 mm. Note that the amplitude of the T…

Digoxin - ECG changes, arrhythmias, conduction defects & treatment

…effect on impulse conduction because digoxin slows impulse conduction. It is important to note that the association between ECG changes and the risk of arrhythmia…

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