https://www.myemnotes.com/ 2026-04-11T00:09:17+00:00 https://www.myemnotes.com/ https://www.myemnotes.com/lib/exe/fetch.php?media=logo.png text/html 2023-04-25T12:16:08+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.myemnotes.com/doku.php?id=wiki:cardiovascular:af&rev=1682424968&do=diff Atrial FIB Result of chaotic atrial depolarisation from multiple areas of re-entry within the atria > irregularly irregular rhythm without discreet P waves. * Ischaemic Heart disease - 50% * Valvular disease * Hypertension * electrolyte disturbance – hypokalaemia, hypomagnesaemia text/html 2023-04-25T12:16:08+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.myemnotes.com/doku.php?id=wiki:cardiovascular:arrhythmogenic_rv_dysplasia&rev=1682424968&do=diff Arrhythmogenic Right Ventricular Cardiomyopathy or ~Dysplasia * usually Autosomal Dominant inherited myocardial disease associated with paroxysmal ventricular arrhythmias and sudden cardiac death. * Characterized pathologically by fibro-fatty replacement of the RV myocardium. text/html 2023-04-25T12:16:08+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.myemnotes.com/doku.php?id=wiki:cardiovascular:cvscontents&rev=1682424968&do=diff CVS contents ECGs palpitations text/html 2023-08-04T08:50:02+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.myemnotes.com/doku.php?id=wiki:cardiovascular:ecgs&rev=1691139002&do=diff ECG analysis The ECG is one of the most common investigations in the ED and one of the most useful diagnostic tools. Recognising what appears 'different' or atypical or unusual is problematic as variations occur due to physical training and ethnic variations and some drugs cause changes which are consequential vs dangerous. text/html 2023-10-17T06:50:28+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.myemnotes.com/doku.php?id=wiki:cardiovascular:heart_failure&rev=1697525428&do=diff Heart Failure HFrEF Goal of Heart Failure Mx - to prescribe combination of all at low initial doses and titrate to target/max tolerated doses (with doubling of doses), one at a time : * an angiotensin-converting enzyme (ACE) inhibitor, or if not tolerated, angiotensin receptor blocker (ARB) text/html 2023-09-14T17:01:54+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.myemnotes.com/doku.php?id=wiki:cardiovascular:hypertension&rev=1694710914&do=diff Hypertension Hypertension in pregnancy here * pathophysiology of HT differs in black adults compared to South Asians and whites. eg, HT is commonly of the low renin type, sensitivity of BP to salt intake is often increased, and the ability to excrete ingested salt is impaired (60–70%) text/html 2023-07-13T07:12:08+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.myemnotes.com/doku.php?id=wiki:cardiovascular:myocardial_ischaemia&rev=1689232328&do=diff Cardiac Ischaemia [CUH ACS guidleine 2018] * Non-ischaemic ST elevation is seen in 15% population, especially young men * abnormal ST elevation: * Leads V2,3 >0.2mV in men >40y and >0.25mV in men <40y (>0.1mV in all other leads) * Leads V2,3 >0.15mV in women (>0.1mV in all other leads) * text/html 2023-04-25T12:16:08+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.myemnotes.com/doku.php?id=wiki:cardiovascular:palpitations&rev=1682424968&do=diff Palpitations 'Traffic light system' for risk stratification of palpitations • skipped beats • thumping beats • short fluttering • slow pounding AND • normal ECG AND • No FHx AND • no structural disease • Hx suggests recurrent tachyarrhythmia text/html 2023-04-25T12:16:08+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.myemnotes.com/doku.php?id=wiki:cardiovascular:pericarditis&rev=1682424968&do=diff Pericarditis * usually viral (esp Coxsackie) but may be other infections * idiopathic * uraemia * neoplastic, paraneoplastic and post Rx eg. radiotherapy * post MI (Dressler's syndrome) Pain * typically retrosternal but may radiate to trapezius M area text/html 2023-04-25T12:16:08+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.myemnotes.com/doku.php?id=wiki:cardiovascular:svt&rev=1682424968&do=diff SVT Supraventricular tachycardia ESC guidelines for SVT - 2019 ESC - Atrial tachycardias - 2019