…complicated by constriction, symptoms and signs of right sided heart failure may predominate. Pericardial effusions associated with post infarction pericarditis are commonly mild. A rapidly…

…of the atria and the ventricles (particularly the former). Even small pressure elevations on the right side can compromise venous return to the right ventricle…

Echocardiography Myocardial ischemia and infarction Definition and pathophysiology Post infarction mechanical complications are structural disruptions of acutely infarcted myocardium occurring most often during the first…

…survival. It includes diagnosis of post cardiac arrest syndrome (PCAS), optimization of ventilation, oxygenation, hemodynamics, antiischemic treatment, temperature treatment, treatment of seizures, and infections. However…

Myocardial ischemia and infarction ECG Definition and Pathophysiology The conceptual understanding of myocardial infarction (MI) has evolved significantly over the past century. Initial post mortem…

…Non surgery patients: atrial fibrillation ≤7 days duration. Post cardiac surgery: atrial fibrillation ≤3 days duration. Vernakalant does not convert atrial flutter to sinus rhythm…

…with reduced ejection fraction (HFrEF), and post myocardial infarction (MI) care. Despite their proven morbidity and mortality benefits, their use is limited by specific adverse…

…medical management. The standard post ACS regimen is DAPT for 12 months, generally consisting of low dose aspirin and a potent P2Y12 inhibitor, preferentially prasugrel…

…cerebral anoxia or brain death and constitute an adverse prognostic sign. Notably, the presence of dilated, nonreactive pupils 48 hours post cardiac arrest is a…

…compression The ankle brachial index measured with Doppler determines whether compression may be applied at all, and if so at what pressure. Palpable foot pulses…

…evolved from early post infarction physical activity programmes into a structured centre of secondary cardiovascular prevention in which exercise, lifestyle intervention, education, and guideline directed…

…obstructive coronary arteries (ANOCA/INOCA), post ACS or post revascularization states, and heart failure of ischaemic or cardiometabolic origin. Major clinical presentations The principal outpatient…

…In this post I would like to discuss hot topics related to coronary artery disease and I will emphasize on issues that are typically raised…

…of other forms of acute tubular necrosis, although the complication remains associated with post procedural morbidity and mortality. Pathophysiology The precise mechanism of contrast induced…

…reference vessel diameter A small post procedural lumen Substantial residual stenosis Long lesions Diabetes mellitus Untreated edge dissection Components and mechanisms of DES A conventional…

…ACS), the early post event period is particularly vulnerable, and delayed intensification of lipid lowering therapy may leave patients exposed to avoidable risk. Contemporary guidance…

…or extensive MI with necrosis and scar formation Diffuse myocardial fibrosis Reversible ischemic dysfunction Chronic hypoperfusion with hibernating myocardium Post ischemic stunning Adverse left ventricular…

…etomidate), routine blood pressure and oximetry monitoring, availability of atropine, isoproterenol, or transcutaneous pacing for post shock bradycardia, and use of biphasic defibrillators , which are…

…when discerning between hypothermic unresponsiveness and cardiac arrest. Frequently, overt signs of life are absent, and the patient's coldness can mimic post mortem conditions…

…note that the right ventricular free wall is being compressed by the fluid. Video source.gif). ECG changes caused by pericardial effusion and cardiac tamponade…

…injection has gone to the right place — immediate pain relief is a diagnostic finding — and appears to reduce the risk of a post injection flare…

…due to sinus pause or post VPC pause) results in augmentation of early afterdpolarization amplitude (typically seen with large T wave amplitude), and QT prolongation…

…shunt] Calculating Shunt Fraction (Qp/Qs) Using Echocardiography: A Guide to Methods and Clinical Relevance The shunt fraction (Qp/Qs) is a critical hemodynamic parameter…

…clinical deterioration and should be avoided in the absence of life threatening complications (e.g., angioedema, hyperkalemia). Acute Heart Failure and Early Post Discharge Management…

…in the source material are clopidogrel, prasugrel, and ticagrelor. Combining aspirin with a P2Y12 inhibitor produces dual antiplatelet therapy (DAPT), while treatment with one antiplatelet…

…in a craniocaudal direction down the right atrial free wall, traverses the cavotricuspid isthmus (CTI) at the inferior boundary, and ascends in a caudocranial direction…

…and insulin resistance Thyroid disease Kidney disease Excessive alcohol consumption Diets high in carbohydrate or fat Glucocorticoids Beta blockers Oestrogen therapy Some antiretroviral therapies Post…

…post procedural luminal diameter A high degree of residual stenosis Long lesion length Diabetes Untreated edge dissection DES have reduced restenosis compared with BMS, and…

…Pericardial disease, including constriction Right ventricular dysfunction caused by pulmonary embolism Infiltrative cardiomyopathies, particularly cardiac amyloidosis Sepsis and other hyperdynamic states In cardiac amyloidosis, BNP…

…telemetry devices, are generally preferred over devices that require post completion processing. If symptoms remain elusive and extended monitoring exceeding 3 weeks is necessary, an…

…and symptoms LV thrombus may be clinically silent and discovered during post infarction imaging. When embolization occurs, presentation depends on the vascular territory involved and…

…upper reference limit (URL). It is considered acute when there is a rise and/or fall in cTn values. An elevated cTn alone does not…

…to as post ischemic T waves . Such T waves are seen after periods of ischemia, after infarction and after successful reperfusion (PCI). Post ischemic T…

…due to sinus pause or post VPC pause) results in augmentation of early afterdpolarization amplitude (typically seen with large T wave amplitude), and QT prolongation…

…the end of expiration. It provides an integrated view of ventilation , metabolism , and perfusion . Carbon dioxide, a byproduct of aerobic metabolism, is transported from the…

…risks and inconclusive evidence. However, in cases of iron, lithium, or potassium intoxication where lavage might prove beneficial, the procedure should be conducted post intubation…

…Optimal management of sudden cardiac arrest requires comprehensive efforts and resources, ranging from continuously training laymen in the community to establishing advanced post resuscitation care…

…increases cardiac output, and lowers pulmonary artery pressure without increasing myocardial oxygen consumption. The inotropic effect of levosimendan is not affected by the concurrent use…

…the heart Trauma Tuberculousis Neoplasms (cancer) Post cardiac surgery (hemorrhagic pericarditis). Symptoms of acute pericarditis/myocarditis There are two forms of pericarditis: acute and chronic…

…Over the past three decades, invasive physiological indices, led by fractional flow reserve (FFR), have been validated against outcomes and shown to outperform visual angiographic…

…T waves are called post ischemic T waves and they indicate that the infarction process is more or less completed. Post ischemic T wave inversions…

…has increased dramatically during the past few decades. Advances in echocardiography have been propelled by breakthroughs in engineering, software development, and progress in our understanding…

…diastolic function have evolved considerably in the past two decades. Currently recommended methods evaluate left atrial and left ventricular function, geometry, and various Doppler parameters…

Echocardiography Standardized myocardial segmentation for echocardiography and cardiac imaging Cardiovascular imaging modalities have developed rapidly in the past few decades. The repertoire of available methods…

…Congenital Heart Disease (CHD) and Grown Up Congenital Heart (GUCH) disease Survival in congenital heart disease (CHD) has increased dramatically over the past few decades…

…problem worldwide. While the incidence of coronary heart disease and acute myocardial infarction has been reduced by approximately 50% during the past few decades, the…

…problem worldwide. While the incidence of coronary heart disease and acute myocardial infarction has been reduced by approximately 50% during the past few decades, the…

…hypertrophic cardiomyopathy (HCM), and arrhythmogenic right ventricular cardiomyopathy (ARVC) also fall under this umbrella, each presenting unique fibrotic patterns and arrhythmogenic mechanisms [2] . Structurally Nor

Cardiology Introduction Since its initial description in 1992 as a syndrome of right bundle branch block, ST segment elevation, and sudden cardiac death (SCD), Brugada…

…The discrepancy between traditional figures and recent studies is due to the dramatic decrease in the incidence of acute coronary syndromes over the past decades…

…valves and valve prostheses. As always, foreign materials pose a high risk of infection. Approximately 20% of all endocarditis affect people with valve prostheses and…

ECG Myocardial ischemia and infarction Coronary artery disease (ischemic heart disease) Coronary artery disease, which is synonymous with ischemic heart disease, is the most common…

…at a comfortable temperature — a cold foot gives falsely low pressures. No smoking or coffee in the preceding hour. Remove socks and any compression stockings…

…neutropenic fever is limited, but delayed antibiotics are associated with a worse outcome in sepsis and in several studies of neutropenic patients. In septic shock…

…and backwards along the superior wall of the ear canal , past the plug — not straight at it. The water should get behind the wax and…

…within the past 24 hours — the fluid leaks out through the old hole. Infection or burns over the puncture site. Osteogenesis imperfecta and severe osteoporosis…

…0 for the trunk and limbs. Haemostasis: aluminium chloride solution 20–35 %, ferric subsulfate, electrocoagulation. A pot of 4 % formalin, and for immunofluorescence Michel's…

…there has been a 20% increase in NSTEMI and a corresponding decrease in unstable angina in the past two decades (many of those who would…

…Heart Failure (GWTG HF) and the SWEDEHEART registries, demonstrate that while the incidence of HFrEF has stabilized or slightly declined over the past two decades…

…elevations pose a diagnostic challenge (Figure 1 B). Such ST segment elevations are extremely common in all populations. They occur in young, old, healthy and…