By David Kerr, Annie Young, Richard Hobbs
(BMJ Books) Univ. of Birmingham, united kingdom. Covers key parts of sufferer care and gives debate round the quite a few uncertanties in regards to the illness. colour illustrations. Softcover.
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Additional resources for ABC of Clinical Electrocardiography
Thus it does not generally interfere with the diagnosis of acute myocardial infarction, though it may mask a posterior myocardial infarction. The Brugada syndrome, which is familial, occurs particularly in young men and is characterised by right bundle branch block and ST segment elevation in the right precordial leads. There is a high instance of death as a result of ventricular tachyarrhythmias Differential diagnosis of ST segment elevation ST segment elevation has numerous possible causes. It may be a variant of normal or be due to cardiac or non-cardiac disease.
Changes in the ST segment and T waves are not specific for ischaemia; they also occur in association with several other disease processes, such as left ventricular hypertrophy, hypokalaemia, and digoxin therapy. Electrocardiography is not sufficiently specific or sensitive to be used without a patient’s clinical history Normal Tall T wave Biphasic T wave Inverted T wave Flat T wave T wave changes associated with ischaemia T wave changes Myocardial ischaemia can affect T wave morphology in a variety of ways: T waves may become tall, flattened, inverted, or biphasic.
In a high risk population, such as those aged over 50 with typical angina symptoms, a negative result cannot rule out ischaemic heart disease, though the results may be of some prognostic value. Exercise testing is therefore of greatest diagnostic value in patients with an intermediate risk of coronary artery disease. Patient exercising on treadmill The test Protocol The Bruce protocol is the most widely adopted protocol and has been extensively validated. The protocol has seven stages, each lasting three minutes, resulting in 21 minutes’ exercise for a complete test.