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

…99th percentile in a healthy population. Troponin levels higher than the 99th percentile of a normal population are considered elevated (abnormal). Criteria for elevated troponins:…

Interpretation of myocardial perfusion images (Myocardial SPECT / PET)

…thickness, often indicative of early or mild ischemia. Moderate defects : Associated with wall thinning, suggesting a more advanced level of ischemia or partial scarring. Severe…

Hypoglycaemia: quick reference for emergency management

Endokrinologi & metabolism Akutsjukvård Lathundar Emergency overview Measure the plasma glucose immediately in everyone with a reduced level of consciousness, seizures, confusion, a change in behaviour…

ECG changes due to electrolyte imbalance (disorder)

…hyponatremia) sodium levels do not have any effect on the ECG, nor cardiac rhythm, or impulse conduction. 2. Calcium Hypercalcemia Causes of hypercalcaemia Primary hyperparathyroidism…

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

…reason why the ST segment is flat and isoelectric (i.e in level with the baseline). Displacement of the ST segment is of fundamental importance…

Delirium in older adults: quick reference

…patient to recite the months of the year backwards. A normal result does not exclude delirium, however, and an abnormal result is not specific to…

Cardiac amyloidosis

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

Left Bundle Branch Block: ECG criteria and clinical implications

…leads [7]. These stricter parameters correlate more closely with abnormal LV mechanical function and the potential benefit of resynchronization pacemaker therapy [7]. R Wave Peak…

Digoxin - ECG changes, arrhythmias, conduction defects & treatment

…in the absence of ECG changes and vice versa (i.e. ECG changes may be pronounced without any arrhythmias occurring). Plasma levels 2 ng/mL…

Intraventricular conduction delay: bundle branch blocks & fascicular blocks

…from the right bundle branch at the level of the origin of the anterior papillary muscle. A network of Purkinje fibers sprouts out from the…

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