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

…prolongation of survival. Neonatal screening with pulse oxymetry The majority of all congenital heart defects are detected early in infancy or childhood. For obvious reasons…

Constrictive pericarditis: definition, causes, diagnosis & echocardiography

…thickened (about 80% have thickening). The parietal and visceral leaves of the pericardium are most often fused. The process most often affects the entire pericardium…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…saccular aneurysm. Symptomatic isolated lesions may represent early periulcer haemorrhage or developing IMH and carry greater risk of progression or rupture than asymptomatic lesions. Predisposing…

Immediate Management of Type A and Type B Aortic Dissection

…regurgitation, coronary malperfusion, myocardial ischaemia, heart failure, shock and cerebral or visceral malperfusion. Type B disease may produce rupture, renal, mesenteric or limb malperfusion, spinal…

Early repolarization on ECG: when guidelines confuse ECG criteria

Continous medical discussion: the ECG blog ECG Early repolarization pattern: confused J points, notches and slurs I once had the privilige of attending a lecture…

Early repolarization pattern on ECG (early repolarization syndrome)

…the definition of early repolarization differs slightly in these two papers and the authors of this article decided to adopt the criteria from MacFarlane et…

ECG J wave syndromes: hypothermia, early repolarization, hypercalcemia & Brugada syndrome

ECG Genetic and miscellaneous conditions J wave syndromes: early repolarization pattern, Brugada syndrome, hypercalcemia and hypothermia The J wave – also referred to as Osborn's…

Post-Infarction Pericarditis and Dressler Syndrome

…ischemia and infarction Definition and pathophysiology Post infarction pericarditis encompasses two temporally and clinically distinct complications of acute myocardial infarction (AMI): Early infarct associated pericarditis …

Alcohol withdrawal and delirium tremens: quick reference

…and repeated dose , titrated against clinical effect. 2. Parenteral thiamine early , preferably before or at the same time as carbohydrate administration. 3. Rapid identification of…

Anaphylaxis: quick reference for emergency management

…be serious [1]. Intramuscular adrenaline (epinephrine) is the first line treatment and must be given early when anaphylaxis is suspected. Do not wait for a…

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