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10 Key Points from the 2013 ESC Guidelines on the Management of Stable Coronary Artery Disease

10 Key Points from the 2013 ESC   Guidelines on the Management of Stable Coronary Artery Disease   These guidelines should be applied to patients with stable known or suspected coronary artery disease (SCAD). This condition encompasses several groups of patients: (i) those having stable angina pectoris or other symptoms felt to be related to […]

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Are ICDs Useful in Preventing SCD in Children and Adolescents with HCM?

Hypertrophic cardiomyopathy (HCM) is the most common cause of sudden cardiac death (SCD) in the young. The availability of  implantable cardioverter-defibrillators (ICDs) over the past decade for HCM has demonstrated the potential for sudden death prevention, predominantly in adult patients. In children and adolescents with hypertrophic cardiomyopathy , ICDs terminated life-threatening ventricular tachyarrhythmias, but frequently led […]

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Noncompaction Cardiomyopathy (NCCM)

 Isolated non-compaction cardiomyopathy (INCCM) and its typical echocardiographic appearance were first described in 1984 by Engberding and Bender.  INCCM is a heart-muscle disorder that is still little known among physicians.  In a study of children with primary cardiomyopathy of all types, NCCM was present in 9.2%. It was thus the third most common type of […]

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European Society of Cardiology (ESC) Guidelines on the management of valvular heart disease (version 2012)

   A great number of guidelines have been issued in recent years by the European Society of Cardiology (ESC) as well as by other societies and organizations. Because of their impact on clinical practice, quality criteria for the development of guidelines have been established, in order to make all decisions transparent to the user. The […]

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Valve Prosthesis–Patient Mismatch

The concept/phenomenon of valve prosthesis/patient mismatch (VP–PM) was first described in 1978.  All prosthetic heart valves have some degree of VP–PM. The original paper (in 1978) that described valve prosthesis–patient mismatch (VP–PM) stated that “Mismatch can be considered to be present when the effective prosthetic heart valve area, after insertion into the patient, is less […]

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What is new about premature atrial contractions?

  Premature atrial contractions (PACs) occur in the majority of people aged over 50, and their frequency is independently associated with a number of risk factors.   PACs are very common and we normally say they are benign and tell the patient not to worry about them. This message should not change.  It has been known that […]

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Wolff-Parkinson-White Syndrome

The heart has 4 chambers that pump blood. The 2 upper chambers are the right and left atria, and the 2 lower chambers are the right and left ventricles. The heart also has an electric system that directs the coordinated beating of these 4 chambers. A schematic drawing of the normal heart structure and electric […]

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Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT)

What is Catecholaminergic Polymorphic Ventricular Tachycardia? CPVT is a rare condition that affects the heart of otherwise fit and healthy people. It causes the heart to beat abnormally quickly, usually at times of exercise (particularly swimming) or times of high emotion, and can result in dizziness, sudden loss of consciousness or even death. It most […]

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Palpitations

Palpitations Palpitations are a common problem that is often referred to a cardiologist for further investigation. Patients typically describe a sense that the heart is skipping or racing. This may be accompanied by shortness of breath, chest pain, and/or lightheadedness – or rarely, loss of consciousness. The sensation of palpitations can be caused by a […]

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Metabolic Syndrome

WHAT IS IT? Metabolic syndrome is the name for a group of risk factors linked to overweight and obesity that increase your chance for heart disease and other health problems such as diabetes and stroke. The term “metabolic” refers to the biochemical processes involved in the body’s normal functioning. Also Known As: Insulin Resistance Syndrome, […]

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