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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…

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 …

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…

A Novel Familial Cardiac Arrhythmia Syndrome Identified Using ECG

…family history and clinical presentation. Patients present with syncope, early onset of atrial fibrillation, ventricular arrhythmias and sudden cardiac arrest. Given the prevalence of atrial…

Primary Aldosteronism: Screening and Management

…hyperplasia. A family history is therefore important, particularly in patients with early onset hypertension or premature cerebrovascular disease. PA is associated with cardiac hypertrophy, myocardial…

Atropine: Dosing in Bradycardia and Its Limitations

…level, producing atrioventricular (AV) or intraventricular blocks. Isolated sinus bradycardia in the early hours following infarction may be associated with hemodynamic compromise. More broadly, bradyarrhythmic…

Familial Hypercholesterolaemia: Diagnosis, Cascade Screening and Treatment

…characterized by persistently elevated plasma low density lipoprotein cholesterol (LDL C) from early life and a consequent excess risk of premature atherosclerotic cardiovascular disease (ASCVD…

STEMI: Fibrinolysis, Indications, Contraindications and Rescue PCI

…reperfusion is strongly time dependent. The interval from symptom onset to reperfusion is determined by patient recognition and help seeking, pre hospital assessment and transport…

STEMI: Primary PCI and System-of-Care Time Targets

…myocardial injury is strongly influenced by total ischaemic time. This interval includes: The time from symptom onset to recognition and seeking medical assistance. Prehospital assessment…

Interpretation of ECG after ROSC (Return of Spontaneous Circulation)

…STEMI), pathological Q waves can develop already within 2 hours after the onset of infarction. The presence of such Q waves should raise suspicion of…

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