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Coronary Artery Calcium Scoring: Prognostic Use in Practice

…of the general population for cardiovascular risk factors has not been shown to improve cardiovascular outcomes, although opportunistic assessment during clinical encounters improves detection of…

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

…detailed list of physical examination findings or a specific examination sequence. It does, however, emphasize that symptoms and vital signs contribute to initial triage and…

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

…their first year of life ( Triedman et al ). According to the European Society for Cardiology, 2800 adults per 1 million individuals have congenital heart defects…

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

…differential diagnoses for each condition. Moreover, most books included very few real world examples of the conditions, or provided too few tests to result in…

Lumbar puncture

…or cannot be advanced. An introducer for the atraumatic needle — it is too soft to pass through the skin on its own. Local anaesthesia: lidocaine…

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

…atrium encounters increased resistance (due to mitral valve stenosis, mitral valve regurgitation, hypertension, hypertrophic cardiomyopathy) it becomes enlarged (hypertrophy) which enhances its contribution to the…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…be used whenever smoking is identified. During encounters with smokers, “very brief advice” can initiate discussion and promote referral to formal cessation support. More intensive…

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

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

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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