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Causes of sudden cardiac arrest

…is due to the dramatic decrease in the incidence of acute coronary syndromes over the past decades. Furthermore, early revascularization in acute coronary syndromes (STEMI…

Arrhythmias before and during cardiac arrest

CPR Cardiac arrest is a result of tachyarrhythmia, bradyarrhythmia or asystole. The tachyarrhythmias include ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT). The bradyarrhythmias include…

Cardiac arrest due to hypoxia and asphyxia

…0.4 0.8 2.1 Table 1. Survival in out of hospital cardiac arrest due to external causes ( Kitamura et al). References DeBehnke DJ…

Principles and Preparations for Echocardiographic Examinations

…External resources Guidelines from ASE (American Society of Echocardiography) Guidelines from ESC (European Society for Cardiology) Preparations for the examination Patients referred for echocardiography should…

Exercise Electrocardiographic Testing: Indications, Limitations and Interpretation

…heart rate, myocardial contractility and blood pressure. When coronary blood flow cannot increase adequately because of flow limiting disease, myocardial ischaemia may develop. The electrical…

In-Stent Restenosis: Mechanisms and Treatment

…stent disease is driven predominantly by tissue accumulation within the stented segment rather than by negative remodelling. Pathophysiology Neointimal hyperplasia The principal mechanism of ISR…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…coronary artery or structural heart disease High risk features on examination include: Unexplained systolic blood pressure < 90 mmHg Suggestion of gastrointestinal hemorrhage Persistent bradycardia…

Sinus node dysfunction (SND) and sick sinus syndrome (SSS)

…irreversible conditions, a progressive disease that necessitates treatment. Implementation of an external artificial pacemaker is an effective treatment. In cthe ase of concomitant tachyarrhythmia, the…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…imaging may also clarify the mechanism of an acute coronary syndrome (ACS), particularly when angiography shows no significant obstructive disease or when the culprit lesion…

Cardiovascular effects of COVID-19 (Coronavirus Disease 2019)

…Recent studies on COVID 19 and cardiovascular disease Cardiovascular implications of COVID 19 have been elucidated in recent studies from China and Italy (1–5…

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