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STEMI: Primary PCI and System-of-Care Time Targets

…energy requirements and mitigation of reperfusion injury are complementary objectives of initial STEMI management. The principal acute complications fall into two broad categories: Electrical complications…

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

…ECG interpretation requires a comprehensive understanding of cardiovascular pathophysiology and electrocardiology. Unfortunately, numerous books and online resources fall into the trap of oversimplification. Physicians, nurses…

Causes of sudden cardiac arrest

…heart disease, other medical conditions (pulmonary embolism, bleeding, stroke, etc.) as well as cases where the cause does not fall into the other categories. Trauma…

Opioid therapy in severe pain

…an opioid can be given for the pain, but the effect on the bowel must be taken into account). Known allergy to the preparation — rare…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…resulting in myocyte necrosis. Plaque rupture may be further complicated by intraluminal thrombosis or haemorrhage into the plaque through the disrupted surface. Type 2 MI…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…sarcoidosis Other cardiac procedures Chemotherapeutic agents Catheter ablation Critical illness Defibrillator shocks Strenuous exercise Cardiac contusion The diagnosis should therefore distinguish isolated myocardial injury from…

Ventricular Tachycardia

…clinical presentation of VT, with a deep dive into the underlying etiologies ranging from benign idiopathic variants to complex scar related and genetic substrates. Furthermore…

Non-ST Elevation Acute Myocardial Infarction (NSTEMI) and Unstable Angina

…The transition from a quiescent plaque to a highly thrombogenic surface occurs via three primary mechanisms: Plaque Rupture: Accounting for 60 70% of ACS presentations…

Laryngeal mask and difficult airway

…single most important tool when intubation fails, since it restores oxygenation without requiring a view down into the larynx. The difficult airway rarely kills because…

Strain, strain rate and speckle tracking: Myocardial deformation

…as ejection fraction may provide easily obtained parameters, but fail to provide important insights into left ventricular mechanics. Regional differences in contractile function are of…

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