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ECG in myocardial ischemia: ischemic changes in the ST segment & T-wave

…may wish to view the video lecture on The ST segment, J point, J 60 point and T wave to facilitate understanding of this chapter…

Empirical antibiotic therapy: quick reference for common infections

…IV Exacerbation of COPD with an indication for antibiotics amoxicillin 750 mg × 3 PO 5–7 days or doxycycline 200 mg × 1 on day 1…

Renal parameters

…Cystatin C based eGFR With an atypical muscle mass, or to confirm a creatinine based value The mean of creatinine and cystatin C The most…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…obstruction: Buttock, hip or thigh symptoms suggest aortoiliac disease. Calf symptoms are typical of femoropopliteal disease. More distal disease may cause foot symptoms, although lower…

Atrial Flutter: Mechanisms, ECG Recognition and Management

…influence of antiarrhythmic drugs—can produce atypical ECG patterns. Conversely, upper loop reentry can mimic a typical flutter ECG pattern without being dependent on the…

Chest Pain in the Emergency Department: Diagnostic Pathways

…cardiac . The term “atypical” is discouraged because it may understate the possibility of ischaemia. A focused history should establish: Quality of the discomfort. Location and…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…including rest or medication. Time of day and temporal pattern. Change in frequency, severity, or exercise threshold. Potential anginal equivalents include: Dyspnoea on exertion. Fatigue…

Spontaneous Coronary Artery Dissection

…manifestations of myocardial ischaemia. In pregnancy, the clinical presentation of ACS is generally similar to that in non pregnant patients, although symptoms may be atypical…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…any time, although clustering in the morning within several hours of awakening has been described. Atypical and painless presentations Pain is not universal. Painless STEMI…

Brugada syndrome: ECG, clinical features and management

…atypical chest pain (30%) and dyspnea (10%). The major ECG findings in ARVC are T wave inversion in V1–V3 (in the absence of right…

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