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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

…applies where you work. They assume normal renal and hepatic function, a non pregnant adult of normal weight, and individual assessment. See the separate quick…

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

…traditional aggravating and relieving characteristics of angina; many patients report less characteristic symptoms, while others present primarily with exertional dyspnoea. Symptoms should be characterized systematically…

Spontaneous Coronary Artery Dissection

…FMD was identified in 86% of patients with SCAD. SCAD should therefore prompt consideration of systemic arteriopathy rather than being regarded solely as an isolated…

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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