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ECG localization of myocardial infarction / ischemia and coronary artery occlusion (culprit)

…artery occlusion is located. The term culprit – which means "the guilty one" – is used to denote the occluded coronary artery. In the majority of cases…

Interpretation of ECG after ROSC (Return of Spontaneous Circulation)

…waves) do not affect the management of cardiac arrest. Recurrent VT or VF after ROSC in a patient with a coronary risk profile should lead…

Cardiac thromboembolism: cardiac sources of embolism

…or lacunar infarct (occlusion of small penetrating arteries) : This is the most common type of ischaemic stroke, resulting from the occlusion of small penetrating arteries…

Regional Myocardial Contractile Function: Wall Motion Abnormalities

…of the stenosis/occlusion, microvascular function, myocardial oxygen extraction, presence of collateral circulation, etc –ischemia may also develop during resting conditions. Indeed, in patients with…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…Additional features associated with greater difficulty include a previously failed attempt, a blunt proximal stump, vessel bending, calcification and an occlusion length of at least…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…is particularly common in older people and in patients with diabetes. The haemodynamic consequences depend on lesion location, severity, length, the presence of multilevel disease…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…with tamponade, and less common causes such as severe pre existing valvular disease or excessive beta blocker or calcium channel blocker exposure. The incidence of…

Diagnostic Criteria for Acute Myocardial Infarction: Cardiac troponins, ECG & Symptoms

…requires elevated levels of cardiac troponins. In addition to elevated troponins, the patient must display either symptoms or ECG changes consistent with myocardial infarction/ischemia…

The T-wave: physiology, variants and ECG features

…setting of ischemia. Normal T wave inversion An isolated (single) T wave inversion in lead V1 is common and normal. It is generally concordant with…

Pulmonary Embolism (PE)

…are common risk factors (see Risk factors below). A significant proportion of cases with pulmonary embolism require thrombolysis to dissolve the occlusion. Administration of thrombolysis…

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