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Immediate Management of Type A and Type B Aortic Dissection

…Stanford type B: does not involve the ascending aorta and includes dissections involving the arch or descending aorta. In the DeBakey system: Type I: originates…

Second-degree AV block: Mobitz type 1 (Wenckebach) & Mobitz type 2 block

…periods . Prognosis in second degree AV block Mobitz type 1 Mobitz type I block may occur in younger healthy individuals (particularly during sleep). It is…

First-degree AV block (AV block I, AV block 1)

…This chapter discusses first degree atrioventricular (AV) block, also referred to as 1st degree AV block, AV block I, or AV block 1. Before proceeding…

ACE Inhibitors: Initiation, Titration and Creatinine Monitoring

…the enzyme responsible for the conversion of angiotensin I to angiotensin II. By abrogating the effects of angiotensin II, ACE inhibitors stabilize left ventricular remodeling…

Atrial fibrillation: ECG, classification, causes, risk factors & management

…left ventricular hypertrophy, left ventricular dysfunction, valve disease, coronary artery disease, cardiomyopathy, congestive heart failure, congenital heart disease, diabetes mellitus (both type 1 and type…

Interpretation of Pacemaker ECG

…with LBBB morphology (i.e left bundle branch block appearance). This is explained by the fact that, as in LBBB, the left ventricle receives the…

Intraventricular conduction delay: bundle branch blocks & fascicular blocks

…Because the conduction system is crucial for rapid and synchronized activation of the ventricles, conduction defects will typically cause abnormal ventricular activation (i.e. contraction)…

Management of bradycardia (bradyarrhythmia)

…necessary to establish a transcutaneous pacemaker, which is the only treatment with class I recommendation according to European (ESC) and North American (AHA, ACC) guidelines…

Overview of atrioventricular (AV) blocks

…causes, diagnosis & management This article covers the fundamental principles of atrioventricular (AV) blocks, which are classified into three types: first degree, second degree, and third…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…ischaemic ECG changes. The distinction between myocardial injury and type 2 infarction is particularly important. Type 2 infarction requires clinical evidence of ischaemia; an elevated…

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