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ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…patient denial, often leads to a mistaken impression of indigestion. STEMI pain can simulate pain from acute pericarditis, pulmonary embolism, acute aortic dissection, costochondritis, and…

Aortic regurgitation

…stroke volumes. Failure to increase cardiac output sufficiently will result in the following compilations: Pulmonary edema develops due to rising LAP and LVEDP. Cardiogenic shock…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…patients present with severe chest pain, diaphoresis, hypotension, pulmonary edema, malignant arrhythmias, and rapid progression to cardiogenic shock. Ventricular fibrillation or asystole may occur early…

Diuretic Strategy and Decongestion in Heart Failure

…by producing a negative sodium and water balance. They can reduce jugular venous pressure, pulmonary congestion, peripheral edema and body weight, often within days. However…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…distal thrombotic debris, cardiomyocyte swelling, interstitial edema, and inflammatory extravascular compression. This impaired tissue perfusion can extend injury beyond the initial ischemic zone and contributes…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…bacterial, and tuberculous infections. Post pericardiotomy syndrome. Acute transmural myocardial infarction. Rupture of the free ventricular wall. Neoplasms (particularly breast and lung cancer). Inflammatory conditions…

Mitral regurgitation

…Compensatory mechanisms may alleviate the condition temporarily, but the elevated left atrial pressure will rapidly propagate to the pulmonary circulation and cause pulmonary edema. Also…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

Cardiology Emergency medicine Definition and pathophysiology Acute pulmonary embolism (PE) is classified according to haemodynamic status, clinical severity, evidence of right ventricular (RV) dysfunction, and…

Acute exacerbation of COPD: quick reference

…a sufficient explanation for all acute dyspnoea in a patient with COPD. Pneumonia, heart failure, pulmonary embolism, pneumothorax and acute coronary syndrome must be actively…

Levosimendan (Simdax, Simendan) in acute heart failure

…increases cardiac output, and lowers pulmonary artery pressure without increasing myocardial oxygen consumption. The inotropic effect of levosimendan is not affected by the concurrent use…

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