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Other ECG changes in ischemia and infarction

…93%) for myocardial infarction. Moreover, fragmented QRS is associated with an increased risk of sudden cardiac death and ventricular arrhythmias. Figure 2. Fragmented QRS complex…

Familial and Genetic Screening in Premature Cardiovascular Disease

…phenotype later and require delayed or individualized assessment. Disease specific genetic architecture HCM is predominantly associated with variants affecting sarcomeric proteins, particularly MYH7 and MYBPC3…

ApoB and Non-HDL Cholesterol in Cardiovascular Risk Assessment

…used. Risk in these circumstances appears to track more closely with apoB. Discordantly high apoB is especially associated with metabolic syndrome and mildly elevated triglycerides…

Atrial flutter: classification, causes, ECG criteria and management

…in the US and many other countries, a 2:1 block will be difficult to discern because the flutter wave may fuse with the preceding…

Colchicine and Anti-inflammatory Therapy in Coronary Disease

…Consequently, the decision to prescribe colchicine requires attention to the balance between reduction in ischaemic events and possible infectious or other non cardiovascular adverse outcomes…

De-escalation and Shortened Dual Antiplatelet Therapy in Patients at High Bleeding Risk

…to reduce recurrent myocardial infarction, stent thrombosis and other ischemic events after coronary angiography, percutaneous coronary intervention (PCI), or medical management. The standard post ACS…

Indications and contraindications for myocardial perfusion imaging

…Caffeine and other methylxanthines, which antagonize adenosine receptors, should be avoided for at least 12 hours before testing. Dobutamine : Contraindicated in patients with severe hypertension…

Transcutaneous and transvenous pacing

…bundle branch block in acute anterior infarction, and before drugs or procedures with a known risk of bradycardia. Transvenous pacing is chosen when the need…

Alcohol and Cardiovascular Disease

…myocardial oxygen consumption associated with exercise. Chronic myocardial injury Long term heavy consumption can produce a cardiomyopathy, although the exact exposure threshold and duration required…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…The European definition uses BP ≥180/110 mmHg with acute HMOD, although other guidance emphasizes that no single BP threshold is diagnostically sufficient: the presence…

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