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Pericardial Effusion & Cardiac tamponade

Echocardiography Pericardial diseases: effusion and tamponade A long series of conditions can affect the pericardium (pericardium). The most common of these are acute pericarditis (perimyocarditis…

Familial and Genetic Screening in Premature Cardiovascular Disease

…counselling and, where appropriate, molecular testing. The approach is particularly relevant to cardiomyopathies, channelopathies, heritable aortopathies, selected congenital heart diseases, pulmonary arterial hypertension and thromboembolic…

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

…with a paper speed of 25 mm/s, which is standard in the US and many other countries, a 2:1 block will be difficult…

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…

Soft tissue corticosteroid injection

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

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…

Cardiovascular Risk in Women: Sex-Specific Factors

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

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…

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