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In-Stent Restenosis: Mechanisms and Treatment

…Proliferation and accumulation of tissue within the stent progressively reduce the lumen. The stent scaffold prevents the external constriction that characterizes restenosis after balloon angioplasty…

Terminology of sudden cardiac arrest and resuscitation

…Ventricular contraction has ceased or unable to generate perfusion. SCD (sudden cardiac death) : Death resulting from sudden cardiac arrest (SCA). Cardiovascular collapse : Sudden cessation of…

Components and construction of a pacemaker

ECG Principles of myocardial excitability Myocardium is excitable not only by action potentials originating in the sinus node, but also by external electrical stimuli that…

Cardiac arrest in hyperthermia and malignant hyperthermia

…a genetic mutation in the RYR1 receptor, resulting in persistent muscle contraction upon administration of halogenated anesthetic agents. As an idiosyncratic response to substances such…

Basic cardiac pacing, pacemaker functions and settings

…myocardium may be excited by external electrical stimuli that drive the cells to threshold. Stimulation threshold is the minimum amount of energy required to reach…

Exercise Electrocardiographic Testing: Indications, Limitations and Interpretation

ECG Exercise stress test Definition and clinical role Exercise electrocardiographic testing is a standardized assessment in which a patient performs progressively increasing external work, usually…

Casting and immobilisation

…and stabilisation for transfer in a suspected fracture. Clinical suspicion of a scaphoid fracture despite a normal radiograph. Contraindications An open fracture or a wound…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…lumen and visualization of the external elastic membrane (EEM). IVUS is consequently useful for determining vessel size, plaque burden, and the dimensions of lesions that…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…include: New onset of chest discomfort, abdominal pain, shortness of breath, or headache Syncope during exertion or while supine Sudden onset of palpitations followed by…

Arrhythmias before and during cardiac arrest

…instantaneous identification of the initial rhythm ( Thorén et al ). The initial rhythm has immense significance for survival in cardiac arrest, regardless of all other circumstances…

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