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Pericarditis, myocarditis & perimyocarditis: ECG, criteria & treatment

…by Bruce Blausen, Blausen Gallery 2014. Causes of acute pericarditis/myocarditis The most frequent cause of pericarditis is infections, in particular viral infections. This explains…

Acute Coronary Syndrome: Definitions and Initial Triage

…infarction. It may be acute, when serial troponin values show a dynamic change, or chronic, when troponin elevation persists without such a change. Myocarditis, sepsis…

Isoprenaline and Dopamine Infusions for Bradycardia

…phenothiazine, phenytoin, carbamazepine), and various chemotherapeutic agents. In the acute setting, bradyarrhythmic cardiac arrest or asystole may result from reversible systemic insults, including hypovolemia, hypoxia…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…troponin elevation resembling acute myocardial infarction. These disorders require distinction from true MINOCA because their management is different. Takotsubo syndrome and myocarditis should not be…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…Myocardial ischemia and infarction Definition and pathophysiology Myocardial infarction (MI) is a clinical diagnosis that integrates myocardial injury, evidence of acute myocardial ischaemia, electrocardiographic findings…

Exercise stress test on cycle ergometer

…Decompensated heart failure. Acute pulmonary embolism or deep vein thrombosis. Acute myocarditis, pericarditis or endocarditis. Acute aortic dissection. Physical inability to perform the test safely…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…cardiac conditions (such as myocarditis) or non cardiac conditions (such as renal failure). To establish a diagnosis of MI, acute myocardial injury must be coupled…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…represents acute myocardial injury rather than MI. Persistent elevation without a significant dynamic change is consistent with chronic myocardial injury. Non ischaemic conditions, including myocarditis…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…specific 99th percentile upper reference limit. It is classified as acute when serial measurements demonstrate a rise and/or fall. A stable elevation indicates chronic…

Type 2 Myocardial Infarction: Mechanisms and Management

…necrosis and troponin elevation due to mechanisms other than myocardial ischaemia. Acute myocardial injury may arise from conditions such as sepsis, myocarditis, or takotsubo syndrome…

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