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Tag Archives: diagnosis

September 2010 Br J Cardiol 2010;17:215-16

Talking to patients: is it really an art or do we take the history for granted?

Michael Norell

Abstract

Two recent, but completely separate instances, prompted me to produce the paragraphs below. The first was National Institute for Health and Clinical Excellence (NICE) guidance covering the management of patients with recent onset chest pain. As a cardiologist with more years of experience than I would wish to count, this will, of course, prove to be most helpful in the interpretation of the symptom complex with which our patients present. The second, and probably more pertinent, was a tutorial I was delivering (sic) to a small group of medical students about the clerking of cardiac patients. It dawned on me that the ease with which we chat to

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The role of nucleic acid amplification techniques (NAATs) in the diagnosis of infective endocarditis

July 2010 Br J Cardiol 2010;17:195-200

The role of nucleic acid amplification techniques (NAATs) in the diagnosis of infective endocarditis

Gillian Rodger, Stephen Morris-Jones, Jim Huggett, John Yap, Clare Green, Alimuddin Zumla 

Abstract

Introduction Figure 1. A large vegetation on the aortic valve from a patient with infective endocarditis Untreated infective endocarditis (IE) is fatal; even with appropriate treatment, IE is associated with high rates of morbidity and mortality worldwide.1 The annual incidence of IE over the past two decades has remained relatively constant, ranging between 1.7 and 6.2 cases/100,000 population. Neither advances in healthcare nor revisions made to the current diagnostic criteria have substantially altered this.1-3 The current definition for IE now incorporates infections of prosthetic heart valves (both bioprosthetic and mechanical), implante

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March 2010 Br J Cardiol 2010;17:94–6

Brady/tachyarrhythmia preceding the diagnosis of cardiac sarcoid

Henry Oluwasefunmi Savage, Sheel Patel, Jonathan Lyne, Tom Wong

Abstract

Case report A 51-year-old Asian woman presented with intermittent presyncope and profound breathlessness. She had no significant past medical history of note and was not receiving any regular medication. A resting 12-lead electrocardiogram (ECG) revealed a second-degree atrioventricular block. She subsequently underwent insertion of a dual-chamber permanent pacemaker. Further investigations at that time revealed unobstructed coronary arteries on angiography and normal ventricular function on transthoracic echocardiography. Figure 1. 12-lead electrocardiogram (ECG) demonstrates ventricular tachycardia of varying morphology Her symptoms initial

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January 2009 Br J Cardiol 2009;16:36-41

Amyloid heart disease

Simon Dubrey

Abstract

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September 2008 Br J Cardiol 2008;15:269-70

Occlusion of left main coronary artery diagnosed by computed tomography of the chest

Scot Garg, Christos Bourantas, Simon Thackray, Farqad Alamgir

Abstract

Figure 1. Computed tomography (CT) scan of the chest showing normal contrast filling of the right coronary artery (panel A), and absence of contrast within the left main coronary artery (panels B and C) A computed tomography (CT) scan of the chest excluded a pulmonary embolism and aortic dissection, and, although not a dedicated cardiac CT, suggested an occlusion of the left main coronary artery (LMCA) (figure 1). Echocardiography showed impaired left ventricular function with an akinetic anterior, inferior and lateral wall. An intra-aortic balloon pump (IABP) was inserted and coronary angiography was performed, which confirmed an occlusion o

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July 2008 Br J Cardiol 2008;15:199-204–6

Cost-consequences analysis of natriuretic peptide assays to refute symptomatic heart failure in primary care

Michael A Scott, Christopher P Price, Martin R Cowie, Martin J Buxton

Abstract

Introduction Heart failure is a serious syndrome accounting for around 4% of UK general practitioner (GP) consultations in patients over 45 years.1 Diagnosis is complex with frequent co-existing symptoms; misdiagnosis may lead to inappropriate treatment and inefficient use of scarce healthcare resources.2 The National Institute for Health and Clinical Excellence (NICE) guidelines for chronic heart failure state that the 12-lead electrocardiogram (ECG) and/or natriuretic peptides tests (where available) may be used to help exclude heart failure.3 Abnormal ECGs are usually observed in heart failure cases, although in one study, around 20% of pa

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March 2008 Br J Cardiol 2008;15:79–81

Familial hypercholesterolaemia: recognising the unrecognised

Jonathan Morrell

Abstract

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November 2005 Br J Cardiol 2005;12:456-8

How would British stroke physicians diagnose and treat hypoxia in patients with acute stroke?

Christine Roffe, Amit Arora, Peter Crome, Richard Gray

Abstract

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May 2005 Br J Cardiol 2005;12:233-8

The diagnosis and management of heart failure across primary-secondary care: a qualitative study

Ahmet Fuat, Pali Hungin, Jeremy James Murphy

Abstract

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March 2003 Br J Cardiol (Heart Brain) 2003;10:HB 8–HB 14

Vascular dementia

Lawrence J Whalley, Alison D Murray

Abstract

No content available

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