Cardiology

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Epicardial Fat Necrosis

Epicardial fat necrosis is a rare, benign, self limiting condition that can mimic more serious causes of chest...

Atrial Fibrillation in the Emergency Department

Here are two cases of patients with Atrial Fibrillation. Would you treat them in the same way? Patient...

Is it Thoracic Aortic Dissection?

The Case A 58 yo patient presents to the emergency department with central crushing chest pain that came...

The Reverse Vagal Manoeuvre for SVT

A NEW technique for reverting SVT was published in AJEM(1) this week. The Reverse Vagal manoeuvre for SVT,...

Canadian Syncope Risk Score

Those Canadians are clever. They've given us ankle rules and knee rules and subarachnoid rules. Now a Syncope...

A Patient with Wide Complex Tachycardia

Beware the Impersonators This week we see one of my favourite ECGs of the year. In fact I...

5 Things you Must do when Patients Present with Syncope

Patients who present to the emergency department following a syncopal episode can be a diagnostic challenge to us....

Cardioversion in Pregnancy: Is it Safe?

Is cardioversion safe in the pregnant patient? A CASE A 24 yo female patient presents with palpitations and...

Is SVT an ischaemic arrhythmia?

We often see patients presenting with SVT. They often have ST changes, so we have to ask; Is...