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Coronary Artery Calcium Scoring: Prognostic Use in Practice

…a specific stenosis. Clinical Role and Indications CAC scoring is principally a risk stratification tool for individuals without known clinical coronary artery disease, especially when…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…with NSTE ACS should be admitted for management of acute ischaemia. Those with possible ACS, a non diagnostic ECG, and normal initial troponin may be…

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

…According to the European Society for Cardiology, 2800 adults per 1 million individuals have congenital heart defects, and half of them have moderate or complicated…

The Best Clinical ECG Book: ECG Made Easy or Complete?

…following aspects: Physiology (particularly cardiac electrophysiology) Pathophysiology (causes and mechanisms underlying various conditions diagnosed using ECG) Epidemiology Clinical aspects ECG criteria/characteristics Electrophysiological explanations for…

Lumbar puncture

…For questions other than acute meningitis — an insidious onset, known malignancy, immunosuppression, papilloedema or new focal neurological signs — CT is performed first. Preparation and equipment…

Artifacts in ultrasound imaging

…echogenicity). For each reflection, a portion of the sound waves return to the transducer and produce a copy of the reflector on the image. Hence…

Left atrial enlargement (P mitrale) & right atrial enlargement (P pulmonale) on ECG

…for this are explained below. The normal P wave contour on ECG The normal P wave (Figure 1, upper panel) is typically smooth, symmetric and…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…improves vascular health and may reduce cardiovascular risk within several years, although risk may remain higher than that of never smokers for a prolonged period…

Atrioventricular nodal reentry tachycardia (AVNRT): ECG features & management

…as long as it encounters excitable tissue. As it circulates within the node, it emits impulses both upwards to the atria and downwards (via His…

Mechanisms of cardiac arrhythmias: from automaticity to re-entry (reentry)

…activity. This is partly due to the rise of cardiac imaging and invasive electrophysiological methods which allow for detailed in vivo studies of arrhythmias. However…

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