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Fascicular block (hemiblock): Left anterior & left posterior fascicular block

…impulses spreading from other parts of the ventricle (where the fascicle is intact). Figure 1. Left anterior fascicular block (anterior hemiblock) and left posterior fascicular…

Left Main Coronary Artery Disease: Revascularisation Strategy

…perforator of the left anterior descending artery was associated with lower five year survival than a more distal lesion. Revascularisation improves myocardial blood flow and…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…some patients present with severe LMCA stenosis exacerbated by other conditions, and these must also be recognized. Prompt identification of LMCA involvement is therefore critical…

Transcutaneous and transvenous pacing

…preferably anteroposteriorly : one anteriorly over the praecordium to the left of the sternum, the other on the back between the left scapula and the spine…

Coronary Anomalies and Myocardial Bridging

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

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…inflammation and other systemic influences. The severity of myocardial injury is determined not only by the epicardial obstruction but also by the vulnerability of the…

The Cabrera format of the 12-lead ECG and inverted lead aVR

…For example, if there is acute ischemia located in the anterior wall and there is ST segment elevation in lead V3, then there should also…

Bone marrow aspiration and biopsy

…marrow — choose the other side). A patient who cannot lie still — plan for sedation rather than abandoning the procedure. Choice of site The posterior superior…

ECG parameters

…120 ms with a delta wave and QRS 110 ms. Brugada pattern type 1: ST elevation ≥ 2 mm of coved type with a negative T…

Differential Diagnosis of Chest Pain: A Clinical Overview

…present [5]. Distinguishing Features: Pleuritic pain suggests pulmonary infarction, and a history of pain exacerbation with inspiration, along with a pleural friction rub, helps differentiate…

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