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Other ECG changes in ischemia and infarction

…the sensitivity is low). U wave changes always accompany other ischemic ST T changes. They may occur in both NSTEMI and STEMI. QTc prolongation The…

Familial and Genetic Screening in Premature Cardiovascular Disease

Cardiology Genetic and miscellaneous conditions Definition and scope Familial and genetic screening in cardiovascular medicine is the systematic assessment of relatives and other individuals who…

ApoB and Non-HDL Cholesterol in Cardiovascular Risk Assessment

…disease (ASCVD). Atherosclerosis develops through the progressive deposition and retention of LDL C and other apoB containing lipoproteins within the arterial wall. This initiates inflammatory…

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

…cytokine signalling and recruitment of inflammatory cells to vascular lesions. The interleukin 1β pathway, with downstream effects involving interleukin 6 and C reactive protein…

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

…stent thrombosis and other ischemic events after coronary angiography, percutaneous coronary intervention (PCI), or medical management. The standard post ACS regimen is DAPT for 12…

Indications and contraindications for myocardial perfusion imaging

…severe hypotension, or high degree AV block. Caffeine and other methylxanthines, which antagonize adenosine receptors, should be avoided for at least 12 hours before testing…

Transcutaneous and transvenous pacing

…spike is followed by a wide QRS complex and a pulse that can be felt. The other predictable error is forgetting that pacing hurts a…

Alcohol and Cardiovascular Disease

…sex and genetic predisposition. Acute cardiovascular effects Acute ethanol exposure has a negative inotropic effect and promotes peripheral vasodilation through reduced systemic vascular resistance. The…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…impair autoregulation and cause ischemia Acute rapid reduction may cause harm without prognostic benefit Clinical Presentation and Symptoms Symptoms depend on the organ system involved…

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