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Early repolarization on ECG: when guidelines confuse ECG criteria

Continous medical discussion: the ECG blog ECG Early repolarization pattern: confused J points, notches and slurs I once had the privilige of attending a lecture…

Acute exacerbation of COPD: quick reference

…Akutsjukvård Lathundar Key messages Two things set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and the…

Primary Aldosteronism: Screening and Management

…and other familial forms associated with adrenal adenoma or bilateral adrenal hyperplasia. A family history is therefore important, particularly in patients with early onset hypertension…

Dilated Cardiomyopathy (DCM): Definition, Types, Diagnostics & Treatment

…Thus, a family history with early onset of heart failure is common among these individuals. The majority of the mutations are inherited in an autosomal…

Atropine: Dosing in Bradycardia and Its Limitations

…level, producing atrioventricular (AV) or intraventricular blocks. Isolated sinus bradycardia in the early hours following infarction may be associated with hemodynamic compromise. More broadly, bradyarrhythmic…

Familial Hypercholesterolaemia: Diagnosis, Cascade Screening and Treatment

…magnitude of untreated LDL C elevation. The presence and age of onset of premature CAD or other vascular disease. A history of myocardial infarction or…

Ventricular fibrillation, pulseless electrical activity and sudden cardiac arrest

…coronary artery disease) as the underlying cause. Other common causes are cardiomyopathy (hypertrophic or dilated), arrhythmogenic right ventricular cardiomyopathy, Brugada syndrome, early repolarization. Electrolyte disorders…

Acute stroke and thrombolysis: quick reference

…acute stroke to identify large vessel occlusion, dissection or other vascular pathology CT perfusion Used with an unclear time of onset, a late time window…

Immediate Management of Type A and Type B Aortic Dissection

…Type IIIb: extends below the diaphragm. The temporal classification is also clinically relevant: Hyperacute: less than 24 hours from symptom onset. Acute: 1–14 days…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…anticoagulation, and possible reperfusion. The principal pathophysiological determinant of early adverse outcome is acute RV failure. In acute PE, obstruction of pulmonary blood flow increases…

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