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Interpretation of neonatal and pediatric electrocardiograms (ECG)

…other chapters, to which links are provided throughout the text. Heart rate During the first week of life, the heart rate is approximately 120 beats…

NSTEMI: Risk Stratification and Timing of the Invasive Strategy

…does not imply low risk: patients with NSTE ACS may have substantial myocardial ischaemia, dynamic ECG abnormalities, myocardial necrosis, haemodynamic deterioration, heart failure, malignant arrhythmias…

Chronic Kidney Disease as a Cardiovascular Risk Factor

…cerebrovascular disease, valvular heart disease, heart failure, atrial fibrillation, and other arrhythmias or conduction abnormalities. CKD also worsens the prognosis of established CVD. Mechanisms linking…

Coronary Anomalies and Myocardial Bridging

…fistulae represent abnormal communications between a coronary artery and a cardiac chamber or vessel. Other congenital anomalies include anomalous origin of a coronary artery from…

The ECG leads: Electrodes, limb leads, chest (precordial) leads and the 12-Lead ECG

…An ECG lead is a graphical description of the electrical activity of the heart and it is created by analyzing several electrodes. In other words…

Acute Coronary Syndrome: Definitions and Initial Triage

…from structural or functional abnormalities of the coronary arteries or coronary microcirculation. These abnormalities can produce a transient and reversible mismatch between myocardial oxygen demand…

Atrial Fibrillation in the Critically Ill Patient

…Palpitations and awareness of an irregular or rapid heartbeat Dyspnoea and worsening pulmonary congestion Reduced exercise capacity Symptoms or signs of heart failure Haemodynamic instability…

Alcohol and Cardiovascular Disease

…heart failure and alcohol related cardiomyopathy. The cardiovascular implications of lower alcohol intake remain controversial. Epidemiological studies have often described a J shaped association between…

Type 2 Myocardial Infarction: Mechanisms and Management

…formal diagnosis of Type 2 MI. However, clinical presentations can be heterogeneous. In the context of acutely decompensated heart failure, shortness of breath is the…

Stress Echocardiography: Protocols and Interpretation

…imbalance between myocardial oxygen demand and coronary blood supply. Stress increases myocardial oxygen requirements, principally through increased heart rate and contractility. In the presence of…

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