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Coronary Anatomy and Segmental Classification for the Clinician

…an adjacent reference segment presumed to be relatively normal. This assumption may be incorrect when atherosclerosis is diffuse, leading to underestimation of the overall disease…

Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…arterial connection and the relationship of the great arteries (segmental analysis). Ventricular function is evaluated using ejection fraction, fractional shortening, stroke volume, and myocardial thickness…

ST segment elevation in acute myocardial ischemia and differential diagnoses

…Such ST segment elevations are extremely common in all populations. They occur in young, old, healthy and diseased individuals. For example, roughly 90% of males…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…only by the epicardial obstruction but also by the vulnerability of the myocardium and coronary microcirculation. Endothelial dysfunction promotes leukocyte and platelet activation and interaction…

ST segment depression in myocardial ischemia and differential diagnoses

…<1 mm and it resolves rapidly once the exercise is stopped. Some experts believe that these ST segment depressions represent a benign form of subendocardial…

Left Ventricular Segments for Echocardiography and Cardiac Imaging

…view (A2C) Horizontal long axis Apical four chamber view (A4C) Segments of the left ventricle Based on anatomical landmarks and autopsy studies (Edwards et al)…

STEMI: Fibrinolysis, Indications, Contraindications and Rescue PCI

…is generally accompanied by relief of ischaemic symptoms, at least 50% resolution of ST segment elevation, and haemodynamic stability. Selection of the reperfusion strategy Primary…

NSTEMI: Risk Stratification and Timing of the Invasive Strategy

…probability of unstable angina (UA), and patients whose initial findings are less definitive. The defining electrocardiographic feature is the absence of persistent ST segment elevation…

ECG in myocardial ischemia: ischemic changes in the ST segment & T-wave

…The transition from the ST segment to the T wave is smooth, as is the transition between phases 2 and 3 of the action potential …

P-wave, PR interval, PR segment: physiology, criteria & ECG findings

…interval and PR segment The P wave ECG interpretation usually starts with assessment of the P wave. The P wave is a small, positive and…

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