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Atrial flutter: classification, causes, ECG criteria and management

…US and many other countries, a 2:1 block will be difficult to discern because the flutter wave may fuse with the preceding T wave…

Other ECG changes in ischemia and infarction

…ischemia. Inverted U waves are even more typical of ischemia (but the sensitivity is low). U wave changes always accompany other ischemic ST T changes…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…implantation should always be specified. Coronary arterial thrombi are predominantly platelet rich because they form under high shear conditions. Disruption of an atherosclerotic plaque or…

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

…evidence of acute myocardial ischaemia, electrocardiographic findings, cardiac biomarkers, imaging, angiography, and, occasionally, pathological examination. Pathologically, infarction represents myocardial cell death caused by prolonged ischaemia…

Acute Coronary Syndrome: Definitions and Initial Triage

…universal definition of MI. Type 1 MI is generally related to an atherothrombotic event, whereas Types 2–5 MI have other mechanisms of myocardial ischaemia…

Adenosine: Administration Technique, Dose Escalation and Precautions

…times or decremental conduction properties. Furthermore, adenosine binds to four types of receptors. Binding to A2A receptors induces coronary vasodilation, whereas binding to the A1…

Cardiovascular Risk in Women: Sex-Specific Factors

…Female specific or female predominant factors associated with later cardiovascular risk include: Premature menopause Premature ovarian insufficiency Hypertensive disorders of pregnancy Preeclampsia Preterm delivery Gestational…

Type 2 Diabetes and Cardiovascular Risk Management

…is mediated by the combined effects of hyperglycaemia, hypertension, dyslipidaemia, obesity, smoking and other conventional risk factors, together with diabetes specific vascular and metabolic abnormalities…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…chemistry & laboratory medicine Definition and Pathophysiology B type natriuretic peptide (BNP) and N terminal pro BNP (NT proBNP) are circulating markers of myocardial wall stress…

Familial and Genetic Screening in Premature Cardiovascular Disease

…Familial and genetic screening in cardiovascular medicine is the systematic assessment of relatives and other individuals who may carry an inherited predisposition to cardiovascular disease…

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