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Exercise Electrocardiographic Testing: Indications, Limitations and Interpretation

…the blood pressure response Refining risk stratification and prognosis For patients with low or moderate pre test likelihood of obstructive CAD, CCTA or functional imaging…

Invasive Coronary Angiography: Indications and Vascular Access

…particularly for intermediate non left main coronary stenoses. Myocardial ischaemia may occur despite the absence of significant epicardial obstruction. In patients with anginal symptoms and…

Coronary CT Angiography and CAD-RADS Reporting

…initial test for diagnosing CAD in stable patients with: Low clinical likelihood or no previous diagnosis of CAD Characteristics suggesting that good quality imaging is…

Acute stroke and thrombolysis: quick reference

…according to the local protocol MRI of the brain DWI FLAIR mismatch can be used for selection with an unknown time of onset when MRI…

Lumbar puncture

…than the scan contributes. Only clinical signs of herniation halt the puncture, and antibiotics and a corticosteroid are then given immediately after blood cultures. For…

Abdominal Aortic Aneurysm: Screening and Surveillance

…thresholds. Clinical Presentation and Symptoms Most AAAs are asymptomatic and are identified either during routine abdominal examination or incidentally on imaging performed for another indication…

ACE Inhibitors: Initiation, Titration and Creatinine Monitoring

…benefit for patients with symptomatic LV dysfunction, and all placebo controlled chronic HFrEF trials using neurohormonal antagonists have demonstrated a reduction in mortality. The absolute…

Introduction to exercise stress testing (treadmill test, exercise ECG)

…risk for future adverse events in virtually all patient populations, including apparently healthy individuals. Exercise stress testing in the age of non invasive cardiovascular imaging…

Coronary Artery Calcium Scoring: Prognostic Use in Practice

…establish the presence or haemodynamic significance of a specific stenosis. Clinical Role and Indications CAC scoring is principally a risk stratification tool for individuals without…

Ventricular Tachycardia

…The necrotic myocardium is replaced by dense collagenous scar, interspersed with surviving bundles of myocytes that form the slow conducting isthmuses critical for re entry…

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