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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…

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

…go unnoticed for many years. Occasionally, major defects may go unnoticed until adulthood. Echocardiography in CHD Echocardiography is performed in all patients with suspected CHD…

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

…approximately 20–50%. Their greater analytical sensitivity improves diagnostic accuracy and negative predictive value in patients with suspected acute coronary syndrome (ACS). Cardiac troponin is…

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

…I realized that this book was at best poor. It is outdated, oversimplifies the concepts and basically lacks everything you need for clinical purposes. Regrettably…

Artifacts in ultrasound imaging

…times between dense structures ( i.e structures with high echogenicity). For each reflection, a portion of the sound waves return to the transducer and produce…

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

…enlargement (P pulmonale) The atria may become dilated and/or hypertrophic during pathological circumstances. As for ventricular enlargement, the ECG cannot differentiate dilatation from hypertrophy…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…and may reduce cardiovascular risk within several years, although risk may remain higher than that of never smokers for a prolonged period. In heavy smokers…

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

…or in patients with underlying structural heart disease, the arrhythmia may result in symptoms indicative of reduced cardiac output, such as pre syncope or syncope…

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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