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Assessment of Pacemaker Malfunction

…the leads. External causes are less common and include electrolyte disorders, metabolic disorders, hypoxemia, antiarrhythmic drugs, or electromagnetic disturbance caused by other machines/devices. Below…

🟠 Aspirin (Acetylsalicylic acid)

…Use Aspirin with caution in the following cases: Concurrent anticoagulant therapy (e.g., coumarin derivatives or heparin—except low dose heparin). Patients with gastrointestinal disorders…

Invasive Coronary Angiography: Indications and Vascular Access

…selected stenoses using fractional flow reserve (FFR) and instantaneous wave free ratio (iFR). Other invasive techniques can quantify coronary flow reserve (CFR), assess microvascular resistance…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…sarcolemma. These changes may appear within 10–15 minutes of ischaemia. Mitochondrial abnormalities can occur even earlier after coronary occlusion and progress over time. Experimentally…

Ventricular rhythm and accelerated ventricular rhythm (idioventricular rhythm)

…be addressed in a separate chapter. The following arrhythmias are discussed in this chapter: Ventricular rhythm Accelerated ventricular rhythm , which is also called idioventricular rhythm…

Brugada syndrome: ECG, clinical features and management

…the age of 20 to 55 years. The disorder may manifest with any of the following symptoms: Syncope, pre syncope Ventricular tachycardia Ventricular fibrillation Cardiac…

The ST segment: physiology, normal appearance, ST depression & ST elevation

…measure ST segment deviation. The following must be noted regarding the ST segment: The normal ST segment is flat and isoelectric. The transition from ST…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…abnormal amount of fluid in the pericardial space. It can be caused by numerous local and systemic disorders. Accumulation of fluid in the pericardial space…

Hyponatraemia: quick reference for work-up and correction

…rise can cause osmotic demyelination syndrome [1,2]. Hyponatraemia is primarily a disorder of water balance. The plasma sodium reflects the ratio between the body…

Differential Diagnosis of Chest Pain: A Clinical Overview

…and herpes zoster pain are other considerations when assessing chest pain [2]. Autoimmune/Malignancy: A history suggesting an autoimmune disorder or known malignancy may suggest…

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