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

…levels of cardiac troponins. In addition to elevated troponins, the patient must display either symptoms or ECG changes consistent with myocardial infarction/ischemia. Most patients…

Clinical application of ECG in chest pain & acute myocardial infarction

…V9). Criteria for ischemia/infarction have been established for these leads (please refer to ECG leads or Additional leads in acute myocardial infarction). Importance of…

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

…hip or thigh symptoms suggest aortoiliac disease. Calf symptoms are typical of femoropopliteal disease. More distal disease may cause foot symptoms, although lower extremity symptoms…

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

…HbA1c) reduction, blood pressure, lipids and smoking cessation. Weight loss was considered extremely difficult across patient categories. However, the emergence of incretin based therapies, starting…

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

…cTnI and cTnT are specific to cardiac muscle cells. Cardiac troponin levels are extremely low in healthy subjects; the 99 th percentile is less than…

Upper gastrointestinal bleeding: quick reference

…2]. Upper gastrointestinal bleeding can present as haematemesis, coffee ground vomiting or melaena. Haematochezia can occur in massive upper bleeding with rapid intestinal transit. Coffee…

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

…female Normal <440 ms <430 ms <450 ms Upper limit 440–460 ms 430–450 ms 450–470 ms Prolonged 460 ms 450 ms 470…

Acute Limb Ischaemia: Recognition and Urgent Management

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

🟠 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

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

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