Continous medical discussion: the ECG blog ECG Early repolarization pattern: confused J points, notches and slurs I once had the privilige of attending a lecture…

Continous medical discussion: the ECG blog Myocardial ischemia and infarction Myocardial ischemia The definition of ischemia may appear trivial but it is actually a very…

…poisoning and severe withdrawal. 4. Establish whether the condition is new or clearly worse than baseline. Contact relatives, home care services, the residential care home…

…nutritional care, education, psychosocial support, vocational guidance, medical surveillance, and appropriate pharmacological treatment. After myocardial infarction, rehabilitation aims to: Restore and improve functional capacity Reduce…

…experienced chest pain at home may be asymptomatic during the assessment in the ER, only to develop severe chest pain and magnificent ST elevations a…

…the hypertension threshold but hypertensive home or ambulatory pressure. Office measurements provide only a limited representation of usual blood pressure and may be biased by…

…stroke require neurological consultation and, when appropriate, neurovascular and brain imaging. Evaluation and Physical Examination Clinical history and examination are the initial components of assessment…

Continous medical discussion: the ECG blog ECG A deep learning ECG biomarker for sudden cardiac death: what the new Nature study shows Low risk (blue…

Continous medical discussion: the ECG blog ECG The best ECG book is not the one making it simple In the thrilling and ever evolving field…

Arrhythmias and arrhythmology Continous medical discussion: the ECG blog Genetic and miscellaneous conditions A novel potentially life threatening cardiac arrhythmia syndrome identified with ECG The…

Cardiology Continous medical discussion: the ECG blog Infectious diseases Cardiovascular effects of COVID 19 Coronavirus disease 2019 (COVID 19) has caused a global public health…

Cardiology Continous medical discussion: the ECG blog Coronary artery disease: On LDL cholesterol, dietary fat & statins You are probably aware that ischemic heart disease, also…

Cardiology Continous medical discussion: the ECG blog Endocrinology & metabolism Cardiovascular medicine is currently witnessing a paradigm shift. For decades, the management of type 2 diabetes…

…the great medical inventions of the 20th century. Cardiac pacing has evolved from a hazardous experiment in the 1930s, to a routine, safe, and sophisticated…

…Optimal management of sudden cardiac arrest requires comprehensive efforts and resources, ranging from continuously training laymen in the community to establishing advanced post resuscitation care…

…for medical reasons: the cuff is in the wrong place, the electrodes come off, the patient has not kept a diary. The set up and…

…the more myocardium can be salvaged. Call the PCI service in parallel with drug treatment and transport planning [1,5]. Symptom duration Under 12 hours…

…BSA is utilized in various medical applications: Calculation of drug dosages, particularly in chemotherapy Determination of fluid administration Assessment of various hemodynamic and echocardiographic parameters.

…emergency medical dispatch to catheterization laboratory) in order to provide reperfusion therapy as early as possible. I B Designated PCI centres should provide angiography and…

…PCI), or medical management. The standard post ACS regimen is DAPT for 12 months, generally consisting of low dose aspirin and a potent P2Y12 inhibitor…

…Dr Rob Mac Sweeney's superb website which is a must for anyone interested in critical care medicine. Content is evidence based, comprehensive and qualitative…

…It is defined by symptoms lasting more than 3 months and attributable to established reversible myocardial ischaemia in either of two settings: Obstructive coronary artery…

…suspected AV blocks requires a thorough medical history (with emphasis on causes of AV blocks; please refer to theCauses of AV blocks) and physical examination…

…before starting and after about 1 hour — without a blood gas the treatment cannot be guided. A decision on the level of care and on…

…Indications Cardiac tamponade — the only absolute indication, and always urgent. A large pericardial effusion with symptoms despite medical treatment. Diagnostic drainage in suspected purulent pericarditis…

…each drug and we recommend the reader to use this link to assess the literature. Medical conditions Category Condition Congenital conditions Jervell and Lange Nielsen…

…Evaluation and physical examination ALI requires immediate clinical assessment by a vascular specialist or urgent transfer to a facility with vascular expertise. The initial evaluation…

…to exercise Detection of exercise induced arrhythmias Identification of exercise related ST segment changes Prognostic and risk stratification information Assessment of response to selected medical…

…benefit therefore depends on the integration of revascularisation with guideline directed medical therapy and secondary prevention. Clinical Presentation and Symptoms The clinical presentation is variable…

…manifestations that indicate particularly high risk and should influence the urgency of management: Recurrent or ongoing chest pain despite medical treatment Acute heart failure presumed…

…underlying coronary atherosclerotic process. Their clinical effects therefore occur within the broader framework of guideline directed medical therapy and secondary prevention. PCI treats focal stenotic…

…ECG acquisition and consideration of additional leads. Evaluation and Physical Examination At first medical contact, assessment should occur concurrently with acquisition of the initial ECG…

…or medical histories should undergo appropriate screening for secondary hypertension. The initial clinical assessment should establish: Whether hypertension is genuinely present Factors that may be…

…Early reperfusion, reduction of myocardial energy requirements and mitigation of reperfusion injury are complementary objectives of initial STEMI management. The principal acute complications fall into…

…nearly empty). In patients with an initial shockable rhythm, compressions and ventilation can extend the duration of the shockable rhythm by several minutes, allowing for…

…The discrepancy between traditional figures and recent studies is due to the dramatic decrease in the incidence of acute coronary syndromes over the past decades…

…includes surgery, catheter interventions, and medical therapies. Adults with congenital heart disease are mostly managed in GUCH clinics (Grown Up Congenital Heart disease). Prevalence of…

…40% under guideline directed medical therapy (GDMT). These patients must be managed as having HFrEF, as their underlying pathophysiology, trajectory, and risk of relapse upon…

…cardiovascular societies, defines HF as a clinical syndrome corroborated by elevated natriuretic peptide levels and/or objective evidence of pulmonary or systemic congestion [3] . Within…

…arrest remains poor at best. A key explanation for this is the stochastic nature of sudden cardiac arrest and death. The randomness of the event…

…nurses and physicians in the emergency medical system (EMS), as well as the hospital cardiac arrest team (CAT) and intensive care units and other units…

…severity. Tricuspid stenosis is visually characterized by thickened leaflets, with reduced motion and potentially fused commisures. Continuous Doppler is used to assess the stenosis. Doppler…

…stroke quick reference. Stopping the drug and forgetting to restart it after the procedure. Document the restart date in the medical record. Sources ESC Guidelines…

…absolute upper age limit. Suitability is determined organ by organ in consultation between the intensive care physician and the transplant service. Contraindications An expressed refusal…

Info Antiarrhythmic drugs and management of ventricular tachycardia, ventricular fibrillation This manual presents recommendations for the management of ventricular tachyarrhythmias (VT, VF). It is primarily…

…it may herald rupture and constitutes a medical emergency. Rupture may occur without preceding symptoms. Typical acute manifestations include severe pain, hypotension and abdominal tenderness…

…medical emergency. Evaluation and Physical Examination The evaluation of chronic cough in a patient taking an ACE inhibitor should begin with a comprehensive history and…

…safety and efficacy of an approach based on starting and titrating oral medical therapy for heart failure within 2 days before anticipated hospital discharge and…

…inadequately controlled, treatment should be reassessed and adapted. Escalation from monotherapy to combination therapy is reasonable, although the optimal initial combination strategy remains uncertain. A…

…In NSTE ACS, a strategy involving coronary angiography and subsequent revascularization may be undertaken early, delayed, or selectively after initial medical treatment. The presence of…

…compatible with HeFH. Evaluation and physical examination Assessment begins with systematic lipid screening and a careful clinical, medical, social and multigenerational family history. The evaluation…

…ECG, and normal initial troponin may be observed in a chest pain unit or another non intensive care setting while serial testing is completed. Diagnostic…

…PCI, coronary artery bypass grafting (CABG) and medical therapy should incorporate the clinical profile, coronary anatomy, left ventricular ejection fraction, procedural factors and anticipated outcomes…

…Whether electrosurgery or diathermy will be used. Whether monopolar or bipolar electrocautery is planned. The operative site in relation to the pulse generator and the

…its sensitivity and specificity but also on disease prevalence in the population being tested. A negative result is most useful when the initial probability is…

…Presentation and Symptoms In up to one half of STEMI cases, a precipitating factor such as vigorous physical exercise, emotional stress, or a medical or…

…precipitants include vigorous physical activity, emotional stress, and an intercurrent medical or surgical illness. Events may occur at any time, although clustering in the morning…

…A regional network should link emergency medical services, non PCI hospitals, PCI centres, intensive care facilities, and, where available, cardiothoracic and advanced haemodynamic support services…

…generally greater than 15% and less than 85% Baseline ECG abnormalities make exercise ECG interpretation unreliable The patient cannot perform an adequate treadmill test but…

Cardiology Antiarrhythmic drugs and management of ventricular tachycardia, ventricular fibrillation This manual presents recommendations for the management of ventricular tachyarrhythmias (VT, VF). It is primarily…