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Isoprenaline and Dopamine Infusions for Bradycardia

…toxins (alcohol, cocaine, cancer therapies), or physical reactions (radiation therapy), frequently involves the conduction system. In these conditions, involvement of the AVN and the conduction…

Sinus bradycardia: definitions, ECG, causes and management

…sufficient cardiac output at low heart rates. During vasovagal syncope (e.g during intense emotional stress) During vagal maneuvers (Valsalva maneuver, carotid sinus [baroreceptor] stimulation…

Myocardial Ischemia & infarction: Cellular changes, ECG and symptoms

…In acute coronary syndromes, however, symptoms and ECG changes are manifest at rest because of the severe reduction of coronary flow caused by acute atherothrombosis…

Exercise stress testing in special patient populations

…and prognosticate survival. However, exercise stress testing must not be performed within 4 to 6 days after acute myocardial infarction. Moreover, early exercise tests should…

Acute Coronary Syndrome: Definitions and Initial Triage

…in symptoms or clinical signs, with or without diagnostic electrocardiographic abnormalities and with or without an acute rise in cardiac troponin. The spectrum ranges from…

Stress Echocardiography: Protocols and Interpretation

…In patients with suspected or established non ST segment elevation acute coronary syndrome, stress testing may be considered after at least 24 hours of stabilization…

Takotsubo cardiomyopathy (broken heart syndrome, stress induced cardiomyopathy)

…certainly acute condition. Much research has been devoted to it in recent years. Most cases (70%) of takotsubo cardiomyopathy occur in situations with extreme stress…

Factors that modify the natural course in acute myocardial infarction (AMI)

…Myocardial ischemia and infarction Factors that modify infarct size and the natural course in acute myocardial infarction (AMI) The traditional distinction between NSTE ACS (NSTEMI…

Pharmacologic agents in myocardial perfusion imaging

Cardiology Indications for pharmacologic agents Pharmacologic stress tests are indicated in the following scenarios: Inability to exercise due to physical limitations. Contraindications to exercise, such…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

Myocardial ischemia and infarction Definition and therapeutic rationale Multivessel coronary artery disease (CAD) refers to clinically significant atherosclerotic disease affecting two or more major epicardial…

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