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Myocardial Ischemia & infarction: Cellular changes, ECG and symptoms

…exercise). The more severe the stenosis, the more pronounced the symptoms. Stable angina pectoris is diagnosed by means of exercise stress testing (exercise ECG). The…

Isoprenaline and Dopamine Infusions for Bradycardia

…block (BBB) or an intraventricular conduction defect. In severe cases, bradycardia may progress to hemodynamic instability, presenting as shock or cardiac arrest manifesting as bradyarrhythmic…

Stress Echocardiography: Protocols and Interpretation

…infarction Definition and Pathophysiology Stress echocardiography is a functional cardiac imaging technique used primarily to identify inducible myocardial ischaemia and to estimate prognosis in patients…

Pharmacologic agents in myocardial perfusion imaging

…Pharmacologic stress tests are indicated in the following scenarios: Inability to exercise due to physical limitations. Contraindications to exercise, such as unstable angina, severe aortic…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…requiring the most rapid BP response. The objective is to reduce aortic wall shear stress and rapidly lower systolic pressure. Renal and microvascular complications Renal…

Statin Intolerance and Statin-Associated Muscle Symptoms

…C reduction, including modulation of inflammation, oxidative stress, endothelial function, plaque stability, thrombogenic responses and immune activity. Statin intolerance refers to adverse effects attributed to…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…Most cardioinhibitory events are due to sinus bradycardia, though transient atrioventricular (AV) block can also occur. The physiologic response to orthostatic stress is incompletely understood…

Indications and contraindications for myocardial perfusion imaging

…to severe aortic stenosis with uncertain relation to symptoms Tachyarrhythmias with uncontrolled ventricular rates Acquired advanced or complete heart block Hypertrophic obstructive cardiomyopathy with severe…

Spontaneous Coronary Artery Dissection

…is generally similar to that in non pregnant patients, although symptoms may be atypical. Pregnant patients with SCAD may have a more severe presentation than…

Factors that modify the natural course in acute myocardial infarction (AMI)

…will alleviate the ischemia, improve myocardial function and increase resistance to episodes of more severe myocardial ischemia. Collateral circulation may be very effective in reducing…

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