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

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

Coronary Artery Calcium Scoring: Prognostic Use in Practice

…be integrated with clinical assessment and established risk estimation systems rather than used in isolation. Test Performance and Acquisition A contemporary CAC examination has several…

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

…routine in all Western countries. According to a Cochrane review, for every 10,000 apparently healthy newborn infants, around six will have critical CHD, and…

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

…book was at best poor. It is outdated, oversimplifies the concepts and basically lacks everything you need for clinical purposes. Regrettably, I cannot recommend this…

Lumbar puncture

…The Swedish clinical care programme for bacterial CNS infections states that CT must not be performed before lumbar puncture in suspected bacterial meningitis — not even…

Artifacts in ultrasound imaging

…Figures 5A and 5B). Ultrasound energy in side lobes is mostly dissipated in the tissue without generating significant reflections. However, when side lobes encounter strong…

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

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

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…health benefit is greater still when reductions in non cardiovascular morbidity and mortality are included. Clinical presentation and assessment Identifying tobacco exposure Every cardiovascular assessment…

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

…not have any clinical relevance and it may lead to misunderstanding. Use of the term PSVT is therefore not recommended. Synonyms for AVNRT Atrioventricular nodal…

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

Arrhythmias and arrhythmology ECG Mechanisms of cardiac arrhythmias: from automaticity to re entry This section introduces the most common arrhythmias encountered in clinical practice, beginning…

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