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Myocardial Ischemia & infarction: Cellular changes, ECG and symptoms

ECG Myocardial ischemia and infarction Myocardial ischemia: cellular changes, ECG signs and development of infarction Like all other cells in the human body, cardiac myocytes…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…and infarction ECG Definition and Pathophysiology Acute coronary syndromes (ACS) encompass a spectrum of clinical conditions characterized by a recent change in symptoms or signs…

Acute Coronary Syndrome: Definitions and Initial Triage

…between myocardial oxygen demand and blood supply, generally during exertion, emotional stress, or another stressor. Manifestations include angina, other chest discomfort, dyspnoea, or no symptoms…

Unstable Angina: Definition and Contemporary Management

…syndromes, which may present with recent changes in symptoms or signs, with or without ECG abnormalities and with or without an elevation in cardiac troponin…

Hyponatraemia: quick reference for work-up and correction

…correction over 24 and 48 hours. 7. Start a fluid balance chart and hourly urine measurement. Sudden polyuria is a warning sign of impending overcorrection…

Secondary Hypertension: When and How to Investigate

…can be used to quantify sodium and potassium intake, preferably while the patient is receiving a stable diuretic dose. Other clinical contexts Secondary causes should…

Atropine: Dosing in Bradycardia and Its Limitations

…hypothermia, and hyperkalemia. Clinical Presentation and Symptoms The clinical manifestation of bradycardia depends on the adequacy of cardiac output. Isolated sinus bradycardia that is unaccompanied…

Digoxin: Dosing, Therapeutic Range and Toxicity Management

…despite optimal neurohormonal blockade and adequate volume control. It is also utilized for ventricular rate control in atrial fibrillation, particularly when other therapeutic options cannot…

Left Main Coronary Artery Disease: Revascularisation Strategy

…Symptom burden and functional limitation Evidence of heart failure Haemodynamic stability Diabetes status Renal dysfunction and other important comorbidities Frailty Liver cirrhosis Cognitive function and…

Atrial Fibrillation in the Critically Ill Patient

…itself. It may cause symptoms and impaired quality of life, contribute to heart failure, and increase the risk of stroke and other thromboembolic events. Subclinical…

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