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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)

…oxymetry The majority of all congenital heart defects are detected early in infancy or childhood. For obvious reasons, more complex defects are typically diagnosed earlier…

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

…include all these aspects. Most books lacked clinical management, key aspects of pathophysiology and discussions on differential diagnoses for each condition. Moreover, most books included…

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

…as P mitrale , and right atrial enlargement is often referred to as P pulmonale . The reasons for this are explained below. The normal P wave…

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)

…arrhythmias. While a detailed understanding of these mechanisms is not essential for all clinicians, it is reasonable to acquire an understanding of the overarching concepts…

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