…in the context of suspected acute coronary syndrome and acute myocardial ischaemia. Patients may present with acute chest pain or chest pain equivalent symptoms. The…

…presentation and symptoms Clinically important RVI is characterized by manifestations of severe right ventricular failure. Typical findings include: Jugular venous distension Kussmaul’s sign Hepatomegaly…

…symptoms and ECG changes are manifest at rest because of the severe reduction of coronary flow caused by acute atherothrombosis. Table 1: Myocardial and ECG…

…be removed when it causes symptoms or obscures the tympanic membrane — not routinely . The wax has a protective function, and the commonest complication of ear…

…are elevated. The syndrome is therefore defined by symptoms and signs of congestion or impaired cardiac performance rather than by ejection fraction alone. Heart failure…

…symptoms or signs, with or without electrocardiographic changes, and with or without acute elevations in cardiac troponin concentrations. Based on the presenting electrocardiogram (ECG) and…

…50 beats per minute in the first 4 to 6 hours after an acute infarction—patients may develop hypotension and signs of end organ hypoperfusion…

…in isolation. The initial diagnosis and triage depend on integration of symptoms, vital signs, the ECG, and serial cardiac troponin measurements. Evaluation and physical examin

…to the broader spectrum of acute coronary syndromes, which may present with recent changes in symptoms or signs, with or without ECG abnormalities and with…

…if severe symptoms persist and the initial rise is insufficient [3,6]. European protocols have also used 150 mL per bolus, while American and several…