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Pericardiocentesis

…needles. An 18 G puncture needle, 7–9 cm (a spinal needle or the needle from a pericardiocentesis set), 10 mL and 20 mL syringes…

Epistaxis — compression, cautery and anterior nasal packing

…after two minutes. Management is a ladder — compression, cautery, anterior packing — and each step presupposes that the previous one has been done properly. Indications Ongoing…

Fascicular block (hemiblock): Left anterior & left posterior fascicular block

…coronary artery disease, left ventricular hypertrophy, dilated cardiomyopathy, hypertrophic cardiomyopathy, degenerative disease, hypertension, hyperkalemia, myocarditis, and amyloidosis may all cause LAFB. Prognosis of left anterior…

Tricuspid regurgitation (TR/TI)

Echocardiography Tricuspid regurgitation The tricuspid valve separates the right ventricle and the right atrium. It normally consists of three leaflets (anterior, posterior and septal leaflet)…

Left Main Coronary Artery Disease: Revascularisation Strategy

…a lesion proximal to the first septal perforator of the left anterior descending artery was associated with lower five year survival than a more distal…

Left Ventricular Thrombus After Myocardial Infarction

…embolic manifestations. The source material does not provide a detailed catalogue of specific embolic syndromes. Clinical suspicion should be heightened after: Anterior STEMI. A large…

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

…coronary artery (LMCA) occlusion is a rare but catastrophic manifestation of acute coronary syndromes. The LMCA supplies a large myocardial territory through the left anterior…

Mitral valve stenosis

…Figure 1). The anterolateral papillary muscle receives blood supply from the left anterior descending artery (LAD) and the left circumflex artery (LCX), whereas the posteromedial…

The Cabrera format of the 12-lead ECG and inverted lead aVR

…For example, if there is acute ischemia located in the anterior wall and there is ST segment elevation in lead V3, then there should also…

The Coronary Arteries

…right coronary artery ( RCA ) originates on the right aspect of the aortic bulb. The left main coronary artery ( LMCA ) originates from the left anterior aspect…

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