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Soft tissue corticosteroid injection

…Contraindications Absolute: Cellulitis, a skin wound or other infection over the injection site. Bacteraemia or suspected septic bursitis or arthritis. A joint prosthesis in the…

Cardiovascular Risk in Women: Sex-Specific Factors

…systemic lupus erythematosus and rheumatoid arthritis, are important risk enhancing conditions and are more prevalent in women. Chronic kidney disease and several other comorbidities also…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…thrombus can fragment, embolize to other coronary branches or vascular beds, propagate through gaps between stent struts, and compromise the treated lumen. Conventional angiography has…

Atrial flutter: classification, causes, ECG criteria and management

…of cases, the re entry circuit in atrial flutter is located in the right atrium and it typically loops around the tricuspid valve. Impulses spread…

Acute coronary syndrome: quick reference for loading doses and time targets

…STEMI and other ECG patterns suggesting acute coronary occlusion are time dependent conditions. The decision on immediate reperfusion is based on symptoms, the ECG and…

Other ECG changes in ischemia and infarction

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

Secondary Hypertension: When and How to Investigate

…present Factors that may be contributing to elevated blood pressure Other cardiovascular risk factors and relevant comorbidities Evidence of hypertension mediated organ damage Existing cardiac…

ECG Criteria for STEMI (ST Elevation Myocardial Infarction)

…two contiguous leads [8, 10]. The specific voltage thresholds vary based on patient age, sex, and lead location, as detailed below [8, 10]: Patient Demographic…

ACE Inhibitor Cough and Angioedema: Practical Management

…the sensitization of sensory nerve endings due to the accumulation of bradykinin. ACE is responsible for metabolizing bradykinin and other tachykinins, such as substance P…

Chest Pain in the Emergency Department: Diagnostic Pathways

…specific for myocardial infarction. Other conditions may produce cardiomyocyte injury and elevated troponin, so biomarker interpretation must be integrated with the clinical history, ECG, and…

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