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Heart Failure With Mildly Reduced Ejection Fraction

…is not mandatory for HFmrEF when the diagnosis of heart failure is clinically secure and the LVEF measurement is reliable. Nevertheless, these findings increase diagnostic…

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)

…this chapter, you will learn the physiological basis of all ECG waves and how to determine whether the ECG is normal or abnormal. Although heart…

🟠 Reference values for adult ECG

…wave not clearly visible: look for retrograde (inverted) P waves, which can be located anywhere between the J point and the terminal part of the…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…complementary domains: Indicators of acute PE severity , including clinical findings, RV dysfunction on imaging, and myocardial injury shown by laboratory testing. Comorbidity and aggravating conditions …

Interpretation of myocardial perfusion images (Myocardial SPECT / PET)

…facilitates precise reporting and ensures consistent communication of findings across clinicians. Perfusion defects are categorized by their size, encompassing: Small defects : <10% of the left…

ST segment depression in myocardial ischemia and differential diagnoses

…left ventricle will not be depolarized via the Purkinje network, but rather via spread of the depolarization from the right ventricle. The abnormal ventricular depolarization…

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

…changes. This is due to the fact that pre excitation leads to abnormal depolarization of the ventricles and this leads to abnormal repolarization as well…

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

…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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