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Differential Diagnosis of Chest Pain: A Clinical Overview

…Associated Findings: Exertional dyspnea, dizziness, and syncope may also occur [5]. Non Cardiac Causes Several non cardiac conditions can present with chest pain that requires…

Brugada syndrome: ECG, clinical features and management

…than 12 genetic mutations have been associated with the Brugada syndrome. These mutations are located in genes encoding potassium and calcium channels of the outer…

Chest Pain in the Emergency Department: Diagnostic Pathways

…presenting with acute chest pain ultimately have ACS; reported rates are generally 5–10%, although some series report 10–20%. Other life threatening cardiopulmonary conditions…

Acute Coronary Syndrome: Definitions and Initial Triage

…arrhythmias, and heart failure are among the conditions associated with myocardial injury. Relationship to chronic coronary syndromes Chronic coronary syndromes (CCS) describe stable period clinical…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…form under high shear conditions. Disruption of an atherosclerotic plaque or injury associated with PCI exposes thrombogenic material, promoting platelet activation, aggregation, and fibrin formation…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…In addition, some patients present with severe LMCA stenosis exacerbated by other conditions, and these must also be recognized. Prompt identification of LMCA involvement is…

Exercise stress testing in special patient populations

…performance and symptoms under the supervision of their clinician. Indeed, kinesiophobia (fear of exercising) is common after myocardial infarction and it is associated with poorer…

Neutropenic fever: quick reference for emergency management

…abdominal pain or a rapid deterioration in general condition may be the only signs of infection. Corticosteroids and other immunosuppressive treatments can blunt the febrile…

Anaphylaxis: quick reference for emergency management

…and nebulised adrenaline never replace intramuscular adrenaline [1,2]. Delayed administration of adrenaline is associated with more severe and more protracted reactions, biphasic courses and…

Clinical application of ECG in chest pain & acute myocardial infarction

…with factors striving to lysate the thrombus (pro thrombolytic factors). The balance between pro thrombogenic and pro thrombolytic factors varies from one minute to another…

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