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A New Approach to Acute Coronary Syndromes: Occlusion MI (OMI) vs. Non-Occlusion MI (NOMI)

…decades but carries several limitations, most notably its reliance on ST segment elevation as the key trigger for emergent reperfusion therapy. This approach fails to…

Acute exacerbation of COPD: quick reference

…viral infection, bacterial infection and air pollution, but often no definite trigger can be identified [1,2]. Ask specifically about: Onset and time course. Increased…

Acute vertigo: quick reference for HINTS and differential diagnosis

…how long an attack lasts, and whether anything actually triggers it [1,2]. The single most important practical rule is: Continuous acute dizziness with spontaneous…

Soft tissue corticosteroid injection

…to surgery De Quervain's tenosynovitis The first dorsal compartment A good effect Trigger finger The tendon sheath at the A1 pulley A good effect…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…MINOCA is not a definitive disease diagnosis. It is a descriptive and provisional classification that should trigger further investigation. The underlying mechanism may be coronary…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…pauses. In an ICD patient, EMI may be interpreted as ventricular tachyarrhythmia and trigger inappropriate antitachycardia treatment unless detection and therapy are disabled. Conversely, asynchronous…

Vasospastic (Prinzmetal) Angina: Provocation Testing and Treatment

…spasm produces a reversible functional occlusion and usually causes transmural ischaemia. The resulting abnormalities in left ventricular function may lead to myocardial infarction, ventricular tachycardia…

Premature atrial contraction (premature atrial beat / complex): ECG and clinical implications

…irregular heart rhythm (despite the underlying sinus rhythm). Although atrial premature beats are harmless, they can trigger sustained supraventricular tachyarrhythmias (e.g. atrial fibrillation, AVNRT…

Premature ventricular contractions (premature ventricular complex, premature ventricular beats)

…with exceptions discussed below). Although premature ventricular contractions are mostly harmless, they may trigger sustained ventricular tachyarrhythmias. This will also be discussed later. Figure 1…

Acquired QT Prolongation and Drug-Induced Arrhythmia

…and its reversibility is often difficult. Physical examination and clinical evaluation should focus on identifying factors that trigger ventricular arrhythmias (VA), such as electrolyte imbalances …

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