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Alcohol withdrawal and delirium tremens: quick reference

…particularly in patients with marked tolerance. The most important measures in severe or complicated withdrawal are: 1. A benzodiazepine in a sufficient and repeated dose…

Myocardial ischemia and infarction: lack of oxygen or imbalance between supply/demand

…discussion: the ECG blog Myocardial ischemia and infarction Myocardial ischemia The definition of ischemia may appear trivial but it is actually a very complicated topic…

Pleural aspiration and chest drain

…or complicated parapneumonic effusion. Suspected malignancy, tuberculous pleurisy or chylothorax. Therapeutic aspiration: dyspnoea caused by a pleural effusion, whatever the aetiology. Chest drainage: empyema, complicated…

Early repolarization on ECG: when guidelines confuse ECG criteria

…was not too impressed with current guidelines. He said that guidelines tend to be too complicated and too verbose. Those of us who have read…

Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…2800 adults per 1 million individuals have congenital heart defects, and half of them have moderate or complicated defects; the remaining third have mild defects (…

ECG in left ventricular hypertrophy (LVH): criteria and implications

…It should be noted that there are newer, more complicated, indexes that are utilized in modern ECG machines but the sensitivity and specificity are only…

Left ventricular diastolic function

…is straightforward to understand why systolic function is fundamental to global cardiac function. Systole is a complicated process involving three distinct ventricular contractions, namely longitudinal…

Right ventricular strain: definition, causes, echocardiography

…behind the sternum and thus is the most anteriorly located part of the heart. The right ventricle has a complicated anatomy. In cross section (SAX…

Complete Versus Culprit-Only Revascularization in Acute Coronary Syndrome

Myocardial ischemia and infarction Definition and pathophysiology In acute coronary syndrome (ACS) with multivessel coronary artery disease (MVD), revascularization may be directed exclusively at the…

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