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Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…or headache Syncope during exertion or while supine Sudden onset of palpitations followed by syncope Severe coronary artery or structural heart disease High risk features…

Differential Diagnosis of Chest Pain: A Clinical Overview

…consider both cardiac and non cardiac etiologies [1]. Cardiac Causes The primary differential diagnoses include conditions that directly affect the myocardium or major vessels. 1…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…annular dilatation, or both; progressive ventricular remodeling may also occur in primary valvular disease. Increasing severity of mitral regurgitation is associated with worse outcomes. Pulmonary…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…can improve coronary flow, exercise capacity and angina related health status, and both can reduce myocardial ischaemia during exertion or emotional stress. Neither procedure, however…

Long QT (QTc) interval, long QT syndrome (LQTS) & torsades de pointes

…decreases and vice versa. The physiological purpose of this phenomenon is to allow for faster cardiac cycles during tachycardia (e.g during physical exertion). Therefore…

Exercise Electrocardiographic Testing: Indications, Limitations and Interpretation

…those achieved during testing. Exercise ECG has become less prominent as a primary diagnostic test for obstructive coronary artery disease (CAD), because coronary computed tomography…

The Cardiac Electrical Axis: ECG Criteria, Definition, Clinical Implications

…In adults with clinical suspicion of pulmonary hypertension (PH), such as unexplained dyspnea on exertion, RAD demonstrates a high predictive value for the condition [9…

Primary Aldosteronism: Screening and Management

…balance. The principal sporadic subtypes are: Aldosterone producing adrenal adenoma Bilateral adrenal hyperplasia Primary or unilateral adrenal hyperplasia Rare aldosterone producing adrenal carcinoma Less commonly…

STEMI: Primary PCI and System-of-Care Time Targets

…previous angina. Patients should be advised to seek emergency medical assistance rather than self presenting to an emergency department or contacting primary care first. If…

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