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Cardiac amyloidosis

…in which abnormal plasma cells produce misfolded immunoglobulin light chains [8, 19]. Light chains are directly toxic to cardiomyocytes, inducing the elaboration of high levels…

Interpretation of myocardial perfusion images (Myocardial SPECT / PET)

…pronounced during stress. RR is characterized by normal or near normal perfusion observed during stress, followed by the appearance of a perfusion defect in rest

Intraventricular conduction delay: bundle branch blocks & fascicular blocks

…spreading from the left ventricle. This will also yield a wide QRS complex. Altered QRS morphology – Because the normal sequence of depolarization is altered in…

Hypoglycaemia: quick reference for emergency management

…physical activity and any other precipitating factor. Thresholds The thresholds below are used above all in diabetes. The severity of the symptoms and the patient…

Obesity and Cardiovascular Disease: Assessment and Treatment

…can have pathophysiological characteristics that differ from those of non obese patients, and obesity complicates assessment of intravascular volume in both ambulatory and inpatient settings…

The ST segment: physiology, normal appearance, ST depression & ST elevation

…is flat and isoelectric (i.e in level with the baseline). Displacement of the ST segment is of fundamental importance, particularly in acute myocardial ischemia…

Delirium in older adults: quick reference

…however, and an abnormal result is not specific to delirium. Symptoms are often worse in the evening and at night, but diurnal variation is not…

ECG changes due to electrolyte imbalance (disorder)

…Hypocalcemia Causes of hypocalcemia Acute pancreatitis, pancreas surgery, alkalosis (hyperventilation), rhabdomyolysis, septicemia (sepsis), osteolytic cancer metastases, abnormal calcium absorption (gastrointestinal) and resorption (from primary urine…

Diagnostic Criteria for Acute Myocardial Infarction: Cardiac troponins, ECG & Symptoms

…limit is currently the 99th percentile in a healthy population. Troponin levels higher than the 99th percentile of a normal population are considered elevated (abnormal)…

Left Bundle Branch Block: ECG criteria and clinical implications

…upright in leads with predominantly negative QRS complexes (such as V1 and V2) [7]. Etiology and Mechanisms LBBB may result from lesser degrees of conduction…

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