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Cardiac thromboembolism: cardiac sources of embolism

…Echocardiography for the investigation of cardiac embolic sources The aim of echocardiography is to investigate if there are sources of emboli in the heart and…

Acute exacerbation of COPD: quick reference

…embolism, pneumothorax and acute coronary syndrome must be actively considered [1]. Do the following early: 1. Assess airway, work of breathing, level of consciousness and…

The electrical axis of the heart (heart axis): ECG & physiology

…pulmonale (pulmonary embolism). Chronic cor pulmonale (COPD, pulmonary hypertension, pulmonary valve stenosis). Lateral ventricular infarction. Pre excitation. Switched arm electrodes (negative P and QRS T…

Unstable Angina: Definition and Contemporary Management

…necrosis and cardiac troponin release meeting the criteria of the universal definition of MI. Clinically, UA is defined by one or more of the following…

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

…etiologies Family history (focus on ischemic heart disease, aortic dissection, pulmonary embolism, pneumothorax). Hypertension. Smoking. Dyslipidemia (hyperlipidemia). Obesity and/or diabetes. Psychosocial stress. Alcohol abuse…

Differential Diagnosis of Chest Pain: A Clinical Overview

…Pulmonary Embolism (PE) Pain Characteristics: While dyspnea is the cardinal symptom, chest pain can be present [5]. Distinguishing Features: Pleuritic pain suggests pulmonary infarction, and…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

… and Clinical evidence of acute myocardial ischaemia. At least one of the following provides the required evidence of ischaemia: Symptoms compatible with myocardial ischaemia New…

Stroke Prevention in Atrial Fibrillation: Choosing Anticoagulation

…vascular disease and renal dysfunction. The commonly used CHA2DS2 VASc score incorporates the following variables: Risk factor Points Congestive heart failure 1 Hypertension 1 Age…

The electrical axis of the heart (ECG axis)

…pulmonale (pulmonary embolism). Chronic cor pulmonale (COPD, pulmonary hypertension, pulmonary valve stenosis). Lateral ventricular infarction. Pre excitation. Switched arm electrodes (negative P and QRS T…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…cardiac and systemic disorders, including: Cardiac causes Systemic causes Heart failure Sepsis Myocarditis Chronic kidney disease Cardiomyopathy Stroke or subarachnoid haemorrhage Takotsubo syndrome Pulmonary embolism…

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