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Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…During encounters with smokers, “very brief advice” can initiate discussion and promote referral to formal cessation support. More intensive, individualized counselling is more effective than…

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

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

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

…common tachyarrhythmia observed across all age groups, from children to the elderly, and frequently occurs in otherwise healthy individuals. The arrhythmia is characterized by its…

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

…from injured cardiomyocytes at substantially lower concentrations than earlier generation assays. They can identify troponin concentrations in approximately 50–95% of healthy individuals, whereas sensitive…

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…

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…

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…

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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