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Awareness of this unusual ECG presentation of a relatively common electrolyte abnormality may help expedite recognition and treatment of a potentially life-threatening disorder.
At ECG presentation, ST elevation was more frequent (56%) compared with non ST elevation (18%) and T-wave inversion (26%).
6 42 Thus, the need for differentiation between myocarditis and AMI includes all patients with suspected AMI regardless of ECG presentation.
In many systems an audio recording is made allowing a listener to review the course of resuscitation to supplement the ECG presentation and written reports.
Modified Goldman score ≤1 Non-ischaECGc ECG Presentation high-sensitivity troponin T <14 ng/L Modified Goldman score >1 Ischaemic ECG Presentation high-sensitivity troponin T ≥14 ng/L Secondary index tests were the detection limits for hs-cTnT (5 ng/L and 3 ng/L) and non-ischaemic ECG at presentation.
In the ECG presentation at the time of recurrence, the proportions of atrial tachycardia were 33.3% in CPVI, 54.5% in CPVI+RL and 70.0% in CPVI+PostBox (p=0.359).
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We considered patients with age > 60 years, prior history of coronary heart disease, hypertension, diabetes mellitus and abnormal ECG at presentation to have high risk factors.
Patients with age above 40, prior history of coronary artery disease, associated shortness of breath and abnormal ECG at presentation were more prone to have the cardiogenic type.
We also found that patients with cardiogenic syncope had a significantly higher frequency of coronary artery disease (72%, p < 0.001), abnormal ECG at presentation (92%, p < 0.001) and age above 40 (98%, p < 0.001).
Similarly half of the patients with neurogenic (vasovagal) syncope were admitted to specialized units and 75% of these had no history of coronary artery disease or abnormal ECG at presentation and many were aged below 60 but still underwent extensive evaluation.
We found that 64% (n = 41) of patients with "syncope of unknown origin" had been admitted to beds with cardiac monitoring and 50% of them had no risk factors, i.e. age below 60, no history of coronary artery disease and normal ECG at presentation.
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