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Approach to patients with chest pain: differential diagnoses, management & ECG

…under acute coronary syndromes (ACS). Aortic dissection Pneumothorax Pulmonary embolism Mediastinitis (rare condition) In addition to these five conditions, there are numerous other causes of…

Introduction to exercise stress testing (treadmill test, exercise ECG)

…exercise capacity (and VO2 max , see below). In addition to exercise capacity, stress testing also provides information on electrocardiographic (ECG) reaction, the occurrence of arrhythmias…

Performing Echocardiographic Examinations

…adult TTE are obtained with the patient positioned in the left lateral decubitus position. In this position, the heart comes closer to the thoracic wall…

Bempedoic Acid: Evidence and Clinical Use

…rationale Bempedoic acid is an oral, small molecule lipid lowering agent used to reduce low density lipoprotein cholesterol (LDL C), particularly when statins cannot be…

Adenosine: Administration Technique, Dose Escalation and Precautions

…contractility. Analogous electrophysiological changes occur within the sinus and atrioventricular (AV) nodes. In addition to these direct effects, adenosine antagonizes catecholamine stimulated adenylate cyclase. This…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…ventricular function is therefore an important therapeutic objective. Exercise intolerance Exercise limitation is multifactorial. In addition to elevated exercise induced filling pressures, patients may have:

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…and can develop gradually over several days to weeks. More acute endocarditis is often caused by staphylococcus auerus . This usually affects drug users (intravenous addiction)…

Interpretation of Pacemaker ECG

…pacing. 25 mm/s. In addition to stimulation artifacts, ventricular pacing yields wide QRS complexes with LBBB morphology (i.e left bundle branch block appearance)…

Pericardial Effusion & Cardiac tamponade

…the myocardium and valves. ECG is recorded in all patients with suspected pericardial disease. In addition to echocardiography, ECG and clinical examination, blood tests and…

The chain of survival in sudden cardiac arrest

…EMS) is trained in BLS. It is increasingly common to dispatch first responders to OHCA, in addition to ambulances. Chest compressions are prioritized above ventilations…

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