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

…This chapter discusses typical and atypical changes in the ST segment and the T wave during myocardial ischemia. A thorough discussion of the electrophysiological principles…

Empirical antibiotic therapy: quick reference for common infections

…primary infection, low risk of recurrence vancomycin 125 mg × 4 PO 10 days Clostridioides difficile, high risk of recurrence fidaxomicin 200 mg × 2 PO 10…

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

…by an isoelectric baseline. The most likely mechanism underlying typical atrial flutter is reentry. In the common form of typical atrial flutter, the reentrant circuit…

Chest Pain in the Emergency Department: Diagnostic Pathways

…2–6% of patients discharged with presumed non ischaemic chest pain were subsequently found to have had an infarction. Pathophysiological Considerations The central pathophysiological concern…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…Definition and Pathophysiology Chronic coronary syndromes (CCS) comprise the clinical manifestations of chronic structural and/or functional disease involving the epicardial coronary arteries and/or…

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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