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| http://dx.doi.org/10.1136/hrt.10.3.158 | DOI Listing |
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Pulmonary thromboembolism in adults: Experience from a tertiary care center.
Med J Armed Forces India
December 2024
Resident (Pulmonary, Critical Care & Sleep Medicine), Army Institute of Cardio Thoracic Sciences (AICTS), Pune, India.
Background: Venous thromboembolism (VTE) includes deep vein thrombosis (DVT) and pulmonary embolism (PE). We aimed to analyze the risk factors, clinical presentations, evaluation and management strategies as well as outcomes of adult pulmonary thromboembolism cases at a tertiary care center.
Methods: In a retrospective observational study, all consecutive adult pulmonary thromboembolism cases admitted from January 2019 to September 2020 at our center were enrolled in this study.
High altitude pulmonary oedema: Mimicker of acute coronary syndrome.
Med J Armed Forces India
December 2024
Clinical Tutor, Department of Internal Medicine, Armed Forces Medical College, C/o 56 APO, India.
High altitude pulmonary oedema (HAPO) is a common emergency seen at high altitude. It can be associated with electrocardiogram (ECG) changes due to pulmonary arterial hypertension in the form of ST elevation and T wave inversion in the right precordial leads, which mimic acute coronary syndrome. These changes can lead to confusion in diagnosis and management.
View Article and Find Full Text PDFCase presentation of acute ischemia induced ST-depression masking Brugada syndrome ECG pattern in a relatively young patient.
J Electrocardiol
January 2025
Department of Cardiology, Clinical Sciences, Lund University, Lund, Sweden.
ECG in Brugada syndrome (BrS) is characterized by a ST-segment elevation in the right precordial leads. Overlap between ST-segment changes in BrS and ischemia may lead to diagnostic challenges. We report a case of a male patient presented with recurrent chest pain episodes and ST elevation in the right precordial leads consistent with Brugada ECG pattern type 1 and was clinically diagnosed with BrS at the age of 30 years.
View Article and Find Full Text PDFTime to first nadir of the QRS complex in aVR/time to first nadir of the QRS complex in aVL: A novel method for distinguishing left from right outflow tract premature ventricular complexes (PVCs) with precordial transition in V3.
J Electrocardiol
January 2025
Prof. Marmara University School of Medicine, Department of Cardiology, Istanbul, Turkey.
Article Synopsis
- The study aimed to evaluate a specific ECG measurement—the 'time to first nadir of the QRS complex in aVR compared to aVL'—to differentiate between left and right outflow tract premature ventricular complexes (PVCs) in patients.
- Data was collected from 88 patients who underwent ablation for outflow tract PVCs, finding that 57.9% had PVCs originating from the left ventricular outflow tract (LVOT) and 42.1% from the right ventricular outflow tract (RVOT).
- The findings suggest that while this new measurement isn't as precise as existing ECG criteria, it can still assist in determining the origin of PVCs, with certain ratios indicating a higher likelihood of RVOT
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