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ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…factor activation stimulates the coagulation cascade, generating thrombin and fibrin and enlarging the occlusive thrombus. The severity of myocardial injury depends on the size of…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…compression, exacerbating myocardial injury. Clinical Presentation and Symptoms In up to one half of STEMI cases, a precipitating factor such as vigorous physical exercise, emotional…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…environmental factors and genetic background. Thrombotic susceptibility is likewise affected by inflammation and other systemic influences. The severity of myocardial injury is determined not only…

Wound suturing

…pulse, and active movement of every tendon crossing the wound. A tendon injury can be painless and gives normal passive movement — test actively against resistance…

Nasogastric tube

…of skull fracture or a marked midfacial fracture — the tube can pass through a fracture in the cribriform plate into the cranium Absolute Corrosive injury…

Type 2 Myocardial Infarction: Mechanisms and Management

…Type 2 myocardial infarction (MI) is defined as an ischaemic myocardial injury occurring in the context of a mismatch between myocardial oxygen supply and demand…

Diagnostic Criteria for Acute Myocardial Infarction: Cardiac troponins, ECG & Symptoms

…platelets and coagulation factors, which results in thrombus formation (Figure 1). Disruption of an atherosclerotic plaque may also release atherosclerotic debris downstream, causing microvascular embolization…

Post-Infarction Pericarditis and Dressler Syndrome

…traditionally termed Dressler syndrome , which is a manifestation of post cardiac injury syndrome (PCIS). PCIS is an umbrella term that also includes post pericardiotomy syndrome…

Alcohol and Cardiovascular Disease

…g daily in females as capable of causing cardiomyopathy. Several mechanisms contribute: Direct toxic effects on cardiomyocytes Disruption of intracellular signalling and protein synthesis Electrical…

Approach to patients with chest pain: differential diagnoses, management & ECG

…of the pain. Refer to The ischemic cascade for details. History taking in patients with chest pain (chest discomfort) HISTORY PARAMETER QUESTIONS COMMENTS Risk factors…

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