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Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…the value of echocardiographic examination depends on the pre test probability, which is the probability that the patient actually has endocarditis (this the probability should…

Post-Infarction Pericarditis and Dressler Syndrome

…AMI, although descriptions of the syndrome include a broader interval of approximately 1–8 weeks. The pathogenesis is presumed to be immune mediated. Pericardial injury…

Injection technique — intramuscular, subcutaneous and intradermal

…The patient lies on their side with the knee slightly flexed. Place the palm on the greater trochanter with the index finger towards the anterior…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…electronic equipment may also interfere with device function. The clinical consequences depend on the device, the patient's dependence on pacing, the presence of CRT…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…cells. The resulting voltage gradient between normal and ischaemic myocardium generates currents of injury that are expressed on the surface ECG as ST segment displacement…

Early repolarization pattern on ECG (early repolarization syndrome)

…ventricular fibrillation. The combination of early repolarization pattern on ECG and ventricular fibrillation or sudden cardiac arrest is referred to as early repolarization syndrome . Early…

Approach to patients with chest pain: differential diagnoses, management & ECG

…taking in patients with chest pain (chest discomfort) HISTORY PARAMETER QUESTIONS COMMENTS Risk factors for the 5 serious etiologies Family history (focus on ischemic heart…

ST elevation myocardial infarction (STEMI) without ST elevations on 12-lead ECG

…and infarction ST elevation myocardial infarction (STEMI) without ST segment elevations on 12 lead ECG This chapter covers situations in which the 12 lead ECG…

De-escalation and Shortened Dual Antiplatelet Therapy in Patients at High Bleeding Risk

…or severity; angina that awakens the patient from sleep. Patients receiving modified antiplatelet therapy require clinical surveillance for both recurrent ischemia and bleeding. The source…

Gynaecological examination and cervical smear

Procedurer For many patients a gynaecological examination is associated with a sense of exposure, and technically correct performance is only half the task. The examination…

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