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

…interpretation more difficult and time consuming, because the reader must go back and forth between the leads on the paper. It would be more efficient…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…bacterial infection engages the heart valves and this is a serious condition. The focus of infection on the flap is called vegetation. As a rule…

Warfarin therapy

…that a dose change can reach the patient the same day the result arrives. 3. Reduce to 5 mg (two tablets) on days 1 and…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…Instead, the infarct related electrical changes may be recorded indirectly as reciprocal abnormalities in the anterior precordial leads. Acute myocardial ischaemia alters the resting membrane…

Other ECG changes in ischemia and infarction

…myocardial infarction. U wave changes New U waves (in absence of bradycardia) may indicate ischemia. If U waves were present on previous recording, the amplitude…

Myocardial Ischemia & infarction: Cellular changes, ECG and symptoms

…atherosclerosis) At rest Oxygen supply is adequate and ischemia cannot occur. No changes on resting ECG. Increased myocardial workload (exercise) Oxygen supply increases in parallel…

Aberrant ventricular conduction (aberrancy, aberration)

…refractory. In this case ( Figure 1 ) it encounters a refractory right bundle branch and therefore the impulse is conducted with right bundle branch block morphology…

Proximal Isovelocity Surface Area (PISA)

…is flat, which is often not the case for the valves. For example, a closed aortic valve assumes the shape of a cone. Fortunately, this…

Biventricular hypertrophy ECG and clinical characteristics

…Biventricular hypertrophy ECG In case the ECG or other examinations suggest left ventricular hypertrophy (LVH), one should suspect concomitant right ventricular hypertrophy (RVH) if the…

Left Bundle Branch Block: ECG criteria and clinical implications

…leads, and narrow r waves followed by broad, deep S waves in the right precordial leads [7]. Septal q waves are usually absent [7]. Stricter…

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