ACS management
The ACS management page has had a few minor updates and wording improvements.
Cardiology
Thrombolytic therapy in ACS
The Thrombolytic therapy in ACS page has been revised and updated.
Thrombolytic agents
The Thrombolytic agents page has been updated and simplified with the removal of agents no longer available or rarely used.
MI ECG mimics
The Pseudo acute coronary syndrome patterns page has been updated with an expanded list of ACS mimics.
Long term management of heart failure
The Management of heart failure page has been updated with additional information about the long term management of heart failure.
HOCM murmur audio
A new audio clip of a HOCM murmur has been added to the Audio page.
Normal heart sounds audio
A new audio clip of normal heart sounds has been added to the Audio page.
Opening snap audio
A new audio clip of an opening snap has been added to the Audio page.
CT of secondary cardiac tumour
The Cardiac tumours page has been updated with a CT image of a secondary cardiac tumour.
Myocarditis
The Myocarditis page has been updated with some additional information.
HFpEF
The Cardiac failure page has been updated with additional information about heart failure with preserved ejection fraction.
Causes of cardiac failure
The Cardiac failure page has been updated with additional information about the causes of cardiac failure.
Endocarditis assessment
The Endocarditis page has had a few minor updates in the section on assessment of endocarditis.
CT of multiple infarcts from endocarditis
The Endocarditis page has been updated with a CT image demonstrating multiple renal and splenic infarcts due to infective endocarditis.
PE and heart rate
Various pages have been updated to re-emphasise that heart rate is only > 100 bpm in about 40% of patients, so it is not a good screening variable. Increasing heart rate, however, is a good indicator of poorer prognosis.Yamashita, Y., Morimoto, T., Takase, T., et al., (2023). Impact of Heart Rate at Diagnosis on Clinical … Read more
Nitrates are not contra-indicated in RV infarction
The Management of ACS page has been updated to more clearly emphasise that nitrates are not contra-indicated in RV infarction, but some caution may be required due to potential hypotension.Wilkinson-Stokes, M., Betson, J., & Sawyer, S. (2022). Adverse events from nitrate administration during right ventricular myocardial infarction: a systematic review and meta-analysis. Emerg Med J. … Read more
CXRs of PFO closure device
2 CXR images of a PFO closure device have been added to the Acyanotic lesions with left to right shunt page.
HOCM
The HOCM page has had a number of minor updates.
Patent ductus arteriosus audio
An audio clip of a patent ductus arteriosus has been added to the Acyanotic lesions with left to right shunt page.
ASD audio
An audio clip of an ASD has been added to the Acyanotic lesions with left to right shunt page.