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Diagnostic Criteria for Acute Myocardial Infarction: Cardiac troponins, ECG & Symptoms

…in thrombus formation (Figure 1). Disruption of an atherosclerotic plaque may also release atherosclerotic debris downstream, causing microvascular embolization (i.e occluding smaller vessels downstream…

Clinical application of ECG in chest pain & acute myocardial infarction

…12 lead ECGs (e.g EASI, Frank's leads etc). Note that in some situations it is appropriate to connect additional electrodes in order to…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…of femoropopliteal disease. More distal disease may cause foot symptoms, although lower extremity symptoms are much more common than upper extremity symptoms. The severity of…

Incretins in Cardiometabolic Medicine: Leveraging GLP-1, GIP, and Glucagon Receptor Agonism for Cardiovascular Risk Reduction

…shift. For decades, the management of type 2 diabetes mellitus (T2DM) and obesity was siloed, with clinicians focusing primarily on hemoglobin A1c (HbA1c) reduction, blood…

Cardiac troponin I (TnI) and T (TnT): Interpretation and evaluation in acute coronary syndromes

…Cardiac troponin levels are extremely low in healthy subjects; the 99 th percentile is less than a few nanograms per liter of blood (typically <5…

Upper gastrointestinal bleeding: quick reference

…strong suspicion of portal hypertension? Variceal and ulcer bleeding are managed differently from the first minute. Peptic ulcer remains the commonest cause of upper gastrointestinal…

🟠 QTc Interval Calculator (Bazett’s, Fridericia’s, Hodge's and Framingham Formulas)

…blocks, the corresponding figure is 500 ms. The QT interval represents the time between the onset of ventricular depolarization and the end of ventricular repolarization…

Acute Limb Ischaemia: Recognition and Urgent Management

…limb ischaemia (ALI) is an abrupt reduction in arterial perfusion of an upper or lower limb that causes tissue metabolic requirements to exceed available blood…

🟠 Reference values for pediatric and neonatal ECG

…presented in the parenthesis). Values without confidence interval are simply the 98 th percentile (i.e the upper reference limit). Age <1 day 1–3…

Chest Pain in the Emergency Department: Diagnostic Pathways

…heaviness, burning, or discomfort in the chest and may extend to the arms, shoulders, neck, jaw, upper back, abdomen, or epigastrium. Dyspnoea, nausea, vomiting, diaphoresis…

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