…fundamental pathophysiological substrate for acute coronary syndromes (ACS), including ST Elevation Myocardial Infarction (STEMI) [1] . Historically viewed as a simple plumbing problem characterized by the…

…UA) Non ST elevation myocardial infarction (NSTEMI) ST elevation myocardial infarction (STEMI) This applies to patients undergoing either primary or delayed percutaneous coronary intervention (PCI)…

…In patients with severe mental illness (SMI) receiving antipsychotic therapy, sinus tachycardia is common, and symptoms may reflect underlying arrhythmia or sudden cardiac death (SCD)…

…from selected populations, frequently with low or intermediate ischemic risk and under representation of patients with STEMI or other very high risk features. Noninferiority studies…

…Revascularization Strategy in Complex Coronary Artery Disease The SYNTAX Score is a semi quantitative scoring system designed to assess the complexity of coronary artery disease…

…leaflet . The anterior leaflet has a semi circular shape and is firmly attached to two fifths of the circumference of the mitral annulus. The aorto…

…Indications Decompression in ileus, subacute obstruction or gastric retention — the commonest indication on a surgical ward. Decompression in severe vomiting where the stomach does not…

…despite medical treatment. Diagnostic drainage in suspected purulent pericarditis, tuberculosis or malignancy. Tamponade is a clinical diagnosis supported by echocardiography: Finding Comment : : Hypotension, distended neck…

…cardiothoracic and advanced haemodynamic support services. When fibrinolysis is indicated Fibrinolysis is indicated when: STEMI is diagnosed or strongly suspected; symptoms of ischaemia began within…

…The initial evaluation should be structured to establish a working diagnosis of STEMI rapidly, identify haemodynamic or electrical instability and determine the appropriate reperfusion pathway…