Clinical assessment of ACS
The Clinical assessment of ACS page has had a number of minor improvements, including a better description of the role of clinical assessment.
Cardiology
Aortic dissection prognosis
The Thoracic aortic dissection page has been updated, including additional information about the prognosis of aortic dissection.
4th universal definition of MI
The Definition of AMI page has been updated with the 2018 definition of MI – importantly including new ECG criteria for STEMI that differ according to the leads used, age and gender of the patient.
hsTn and risk scores for ACS
The Risk stratification in ACS page has been updated, including a short segment outlining the issues with using risk scores in association with hsTn.
Disposition in pericarditis
The Pericarditis page has been updated, including with a segment on disposition. Thanks to Farzad for the suggestion.
HOCM
The Cardiomyopathy page has been updated with a few additions to the segment on HOCM.
Differential BP in aortic dissection
The Thoracic aortic dissection page has been modified, including some additional information about differential BP and pulse deficits.
ECG changes of RV infarction
The ECG in ACS page has been updated with some additional information about ECG changes in RV infarction, as well as some improved formatting.
PET image of Takayasu aortitis
A PET scan image has been added to the Takayasu arteritis page.
Electrical alternans
The Pericardial tamponade page has been updated with a new ECG demonstrating electrical alternans.
de Winter pattern ECG
The ECG in ACS page has been updated with an ECG of de Winter pattern changes of a proximal LAD occlusion.
Takayasu arteritis
The Takayasu arteritis has had a few minor updates. Recently saw a case where the diagnosis had been elusive for the last 2 years and the patient labelled as a drug seeker. Weird stuff happens.
Inferolateral MI ECG
A new ECG demonstrating a subacute inferolateral MI due to a circumflex artery lesion has been added to the ECG in acute coronary syndromes page.
Early repolarisation phenomenon ECG
Another ECG of ERP has been added to the ECGs in acute coronary syndromes page.
CXR in aortic dissection
The Thoracic aortic dissection page has been revised, including the addition of information about the use of measuring the left mediastinal width on a PA CXR.
Aortic dissection LRs
The Thoracic aortic dissection page has been revised, including the addition of some LRs for a variety of clinical features.
MRI of cerebral fat embolism
An MRI image of cerebral fat embolism has been added to the Non thrombotic embolism page.
ECG of inferior MI
An additional ECG image of an inferior MI has been added to the ECG in acute coronary syndromes page.
ECG of pericarditis
An additional ECG of pericarditis has been added to the Pericarditis page.
Gram -ve endocarditis
The Endocarditis page has been revised, including the correction that gram -ve organisms are responsible in only approximately 10% of cases, not 85% as previously stated. Thanks to Pete for picking this up.