How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

317 results for

Wellens Syndrome

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

241. Ventricular Tachycardia (Diagnosis)

with hemodynamically unstable VT Most patients with prior MI and hemodynamically stable sustained VT Most cardiomyopathy patients with unexplained syncope (an arrhythmia is presumed) Most patients with genetic sudden death syndromes when unexplained syncope is noted Ablation Radiofrequency ablation (RFA) via endocardial or epicardial catheter placement can be used to treat VT in patients who have the conditions noted in the following bulleted list. For patients with structural heart disease, it is currently (...) will frequently reveal disorders such as Brugada syndrome, long QT syndrome, or catecholaminergic polymorphic VT. In at least one case, however, these disorders were ruled out, and the patient was found to have a somatic mutation in the GNAI2 gene. [ ] Previous Next: Epidemiology Ventricular tachycardia (VT) and coronary artery disease (CAD) are common throughout most of the developed world. In developing countries, VT and other heart diseases are relatively less common. The incidence of VT in the United

2014 eMedicine.com

242. Review of Cardiac Tests (Treatment)

environment, emergency healthcare providers are ordering these tests and using the results for clinical decision making. The image below depicts , a preinfarction stage of CAD that often progresses to a devastating anterior wall MI. Classic Wellens syndrome T-wave changes. This ECG represents a patient after becoming pain free secondary to medications. Notice the deep T waves in V3-V5 and slight biphasic T wave in V6 in this chest pain free ECG. The patient had negative cardiac enzyme levels and later had (...) feasible, these agents may be held and the patient monitored until the test can be performed. However, abrupt withdrawal, especially of beta blockers, may be harmful. Acute myocardial infarction (MI) Sustained ventricular arrhythmias or high-grade heart block (see the image below) Classic Wellens syndrome T-wave changes. This ECG represents a patient after becoming pain free secondary to medications. Notice the deep T waves in V3-V5 and slight biphasic T wave in V6 in this chest pain free ECG

2014 eMedicine Emergency Medicine

243. Pediatrics, Intussusception (Treatment)

of overnight observation usually is warranted before discharge. Therapeutic enema is of no value in patients with small bowel–to–small bowel intussusception, which usually occurs in older children who have other associated diseases (eg, HSP, hemophilia, Peutz-Jeghers syndrome, malignancies). Intussusception in the first month of life is rare. Most of these patients are found to have a surgical lead point; therefore, enemas are rarely successful and are potentially dangerous. Previous Next: Surgical (...) material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Intussusception) and Intussusception What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Pediatricians Recommended 2002 930708-overview Diseases & Conditions Diseases & Conditions 2002 937730-overview Diseases & Conditions Diseases

2014 eMedicine Emergency Medicine

244. Heart Block, Second Degree (Treatment)

manifestations in patients with thyrotoxic periodic paralysis. Am J Med Sci . 2003 Sep. 326(3):128-32. . Vinsonneau U, Delluc A, Bergez C, Caumes D, Talarmin F. [Second degree atrioventricular block in mixed connective tissue disease]. Rev Med Interne . 2005 Aug. 26(8):656-60. . den Dulk K, Brugada P, Braat S, Heddle B, Wellens HJ. Myocardial bridging as a cause of paroxysmal atrioventricular block. J Am Coll Cardiol . 1983 Mar. 1(3):965-9. . Lin SM, Hwang HK, Chen MR. Amplatzer septal occluder-induced (...) WebMD Network Editions All material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Second-Degree Atrioventricular Block) and Second-Degree Atrioventricular Block What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Cardiologists Recommended 2001 /viewarticle/911329 News News 2002

2014 eMedicine Emergency Medicine

245. Heart Block, Second Degree (Follow-up)

manifestations in patients with thyrotoxic periodic paralysis. Am J Med Sci . 2003 Sep. 326(3):128-32. . Vinsonneau U, Delluc A, Bergez C, Caumes D, Talarmin F. [Second degree atrioventricular block in mixed connective tissue disease]. Rev Med Interne . 2005 Aug. 26(8):656-60. . den Dulk K, Brugada P, Braat S, Heddle B, Wellens HJ. Myocardial bridging as a cause of paroxysmal atrioventricular block. J Am Coll Cardiol . 1983 Mar. 1(3):965-9. . Lin SM, Hwang HK, Chen MR. Amplatzer septal occluder-induced (...) WebMD Network Editions All material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Second-Degree Atrioventricular Block) and Second-Degree Atrioventricular Block What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Cardiologists Recommended 2001 /viewarticle/911329 News News 2002

2014 eMedicine Emergency Medicine

246. Atrial Myxoma (Diagnosis)

. . Vroomen M, Houthuizen P, Khamooshian A, Soliman Hamad MA, van Straten AH. Long-term follow-up of 82 patients after surgical excision of atrial myxomas. Interact Cardiovasc Thorac Surg . 2015 Aug. 21(2):183-8. . Basson CT, MacRae CA, Korf B. Genetic heterogeneity of familial atrial myxoma syndromes (Carney complex). Am J Cardiol . 1997 Apr 1. 79(7):994-5. . Gennari M, Rubino M, Andreini D, Polvani G, Agrifoglio M. Huge left atrial myxoma and concomitant silent coronary artery disease in a young man (...) is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Atrial Myxoma) and Atrial Myxoma What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Cardiologists Recommended 2002 902765-overview Diseases & Conditions Diseases & Conditions 2001 /viewarticle/907060 News News 2001 /viewarticle/899538 2001 /viewarticle/904938

2014 eMedicine.com

247. Atrioventricular Dissociation (Diagnosis)

that is faster than the sinus node activation. After exertion, if AV dissociation is present from an escape pacemaker, it can be a normal phenomenon. Accelerated activation of the subsidiary pacemaker can occur during surgical and anesthesia interventions (including intubation), conditions that increase catecholamine levels (including vasoconstrictor infusions of inotropes), myocardial infarction, structural heart disease, hyperkalemia, ventricular tachycardia, or ventricular pacing. Previous Next: Etiology (...) Editions All material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Atrioventricular Dissociation) and Atrioventricular Dissociation What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Cardiologists Recommended 2002 151715-overview Diseases & Conditions Diseases & Conditions 2002

2014 eMedicine.com

248. Programmed Electrical Stimulation (Diagnosis)

both an initial and sustained risk of SCD due to inflammation and fibrosis of the myocardium. Less commonly, SCD happens in patients who may not have apparent structural heart disease. These conditions are usually inherited arrhythmia syndromes. Even though many patients have anatomic and functional cardiac substrates that predispose them to develop ventricular arrhythmias, only a small percentage develop SCD. Identifying the patients at risk for SCD remains a challenge. The strongest known (...) % Use of inotropic medications Hypertrophic cardiomyopathy Previous cardiac arrest Syncope Family history of SCD Symptoms of heart failure Drop in systolic blood pressure (SBP) or ventricular ectopy upon stress testing Palpitations Most persons are asymptomatic Valvular disease Valve replacement within past 6 months Syncope History of frequent ventricular ectopy Symptoms associated with severe, uncorrected aortic stenosis or mitral stenosis Long QT syndrome Family history of long QT and SCD

2014 eMedicine.com

249. Intussusception (Follow-up)

of overnight observation usually is warranted before discharge. Therapeutic enema is of no value in patients with small bowel–to–small bowel intussusception, which usually occurs in older children who have other associated diseases (eg, HSP, hemophilia, Peutz-Jeghers syndrome, malignancies). Intussusception in the first month of life is rare. Most of these patients are found to have a surgical lead point; therefore, enemas are rarely successful and are potentially dangerous. Previous Next: Surgical (...) material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Intussusception) and Intussusception What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Pediatricians Recommended 2002 930708-overview Diseases & Conditions Diseases & Conditions 2002 937730-overview Diseases & Conditions Diseases

2014 eMedicine Pediatrics

250. Bundle Branch Block, Right (Treatment)

, Anderson RH. Morphology of the human atrioventricular junctional area. Wellens JHH, Lie KI, Janse MJ, eds. In: The Conduction System of the Heart . Chicago: Lea & Febiger; 1976. 263-71. Brugada J, Brugada R, Brugada P. Right bundle-branch block and ST-segment elevation in leads V1 through V3: a marker for sudden death in patients without demonstrable structural heart disease. Circulation . 1998 Feb 10. 97(5):457-60. . Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation (...) ):737-44. . Pickhoff AS. Electrophysiology; development and function of the cardiac conduction system. Allen HD, Gutgesell HP, Clark EB, Driscoll DJ, eds. In: Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adult . 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2000. 414-24. Priori SG, Napolitano C, Gasparini M, et al. Clinical and genetic heterogeneity of right bundle branch block and ST- segment elevation syndrome: A prospective evaluation of 52

2014 eMedicine Pediatrics

251. Bundle Branch Block, Left (Treatment)

LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Pediatric Left Bundle Branch Block) and Pediatric Left Bundle Branch Block What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Cardiologists Recommended 2002 895064-overview Diseases & Conditions Diseases & Conditions 2002 894927-overview Diseases & Conditions Diseases & Conditions 2001 /viewarticle/897025 (...) cardiac disease more than the LBBB itself. Yearly evaluation, including electrocardiography (ECG), is recommended, with follow-up more frequent than this if indicated by underlying cardiac disease and changes in patient's clinical course and symptoms. Patients with LBBB, left axis deviation, and first-degree heart block or LBBB and near-syncope or complete syncope require close follow-up care. They should be referred for consultation with an electrophysiologist and possibly pacemaker insertion

2014 eMedicine Pediatrics

252. Intussusception (Overview)

to be precipitated by the thick, inspissated stool material that adheres to the mucosa and acts as a lead point. Often, the course is indolent and chronic. Differential diagnosis includes distal intestinal obstruction syndrome and appendicitis. The majority of these patients require operative reduction. Other causes Electrolyte derangements associated with various medical conditions can produce aberrant intestinal motility, leading to enteroenteral intussusception. Experimental studies in animals showed (...) On About Membership WebMD Network Editions All material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Intussusception) and Intussusception What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Pediatricians Recommended 2002 930708-overview Diseases & Conditions Diseases & Conditions 2002

2014 eMedicine Pediatrics

253. Intussusception (Treatment)

of overnight observation usually is warranted before discharge. Therapeutic enema is of no value in patients with small bowel–to–small bowel intussusception, which usually occurs in older children who have other associated diseases (eg, HSP, hemophilia, Peutz-Jeghers syndrome, malignancies). Intussusception in the first month of life is rare. Most of these patients are found to have a surgical lead point; therefore, enemas are rarely successful and are potentially dangerous. Previous Next: Surgical (...) material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Intussusception) and Intussusception What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Pediatricians Recommended 2002 930708-overview Diseases & Conditions Diseases & Conditions 2002 937730-overview Diseases & Conditions Diseases

2014 eMedicine Pediatrics

254. Bundle Branch Block, Right (Overview)

and sudden death. Previous Next: Prognosis The prognosis for patients with isolated right bundle branch block is excellent because the course of right bundle branch block is generally benign. In other patients with right bundle branch block, such as those who have undergone heart transplantation or repair of congenital heart disease and those with Brugada syndrome, Kearns-Sayre syndrome, myocarditis, or cardiomyopathy, the prognosis depends on the underlying condition causing the right bundle branch (...) or procainamide may reveal ECG findings consistent with Brugada syndrome. [ ] The presence of right bundle branch block influences is the diagnostic criterion for patients with arrhythmogenic right ventricular cardiomyopathy (ARVC), a condition associated with T-wave inversions in leads V1-V3. [ ] Patients may have isolated right bundle branch block or right bundle branch block with a left anterior fascicular block. Right bundle branch block has been associated with blunt chest trauma and polymyositis. Right

2014 eMedicine Pediatrics

255. Bundle Branch Block, Left (Overview)

on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Pediatric Left Bundle Branch Block) and Pediatric Left Bundle Branch Block What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Cardiologists Recommended 2002 895064-overview Diseases & Conditions Diseases & Conditions 2002 894927-overview Diseases (...) & Conditions Diseases & Conditions 2001 /viewarticle/897025 News News 2001 /viewarticle/879989 News News Need a Curbside Consult? Share cases and questions with Physicians on Medscape consult.

2014 eMedicine Pediatrics

256. Bundle Branch Block, Right (Follow-up)

, Anderson RH. Morphology of the human atrioventricular junctional area. Wellens JHH, Lie KI, Janse MJ, eds. In: The Conduction System of the Heart . Chicago: Lea & Febiger; 1976. 263-71. Brugada J, Brugada R, Brugada P. Right bundle-branch block and ST-segment elevation in leads V1 through V3: a marker for sudden death in patients without demonstrable structural heart disease. Circulation . 1998 Feb 10. 97(5):457-60. . Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation (...) ):737-44. . Pickhoff AS. Electrophysiology; development and function of the cardiac conduction system. Allen HD, Gutgesell HP, Clark EB, Driscoll DJ, eds. In: Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adult . 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2000. 414-24. Priori SG, Napolitano C, Gasparini M, et al. Clinical and genetic heterogeneity of right bundle branch block and ST- segment elevation syndrome: A prospective evaluation of 52

2014 eMedicine Pediatrics

257. Bundle Branch Block, Left (Follow-up)

LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Pediatric Left Bundle Branch Block) and Pediatric Left Bundle Branch Block What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Cardiologists Recommended 2002 895064-overview Diseases & Conditions Diseases & Conditions 2002 894927-overview Diseases & Conditions Diseases & Conditions 2001 /viewarticle/897025 (...) cardiac disease more than the LBBB itself. Yearly evaluation, including electrocardiography (ECG), is recommended, with follow-up more frequent than this if indicated by underlying cardiac disease and changes in patient's clinical course and symptoms. Patients with LBBB, left axis deviation, and first-degree heart block or LBBB and near-syncope or complete syncope require close follow-up care. They should be referred for consultation with an electrophysiologist and possibly pacemaker insertion

2014 eMedicine Pediatrics

258. Supraventricular Tachycardia, Atrioventricular Node Reentry (Treatment)

Node Reentry Supraventricular Tachycardia) and Atrioventricular Node Reentry Supraventricular Tachycardia What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Cardiologists Recommended 2001 /viewarticle/911329 News News 2002 2500081-overview Diseases & Conditions Diseases & Conditions 2010 /viewarticle/911083 Self Assessment Self Assessment 2001 /viewarticle/909022 News News Need a Curbside Consult (...) electrical cardioversion if patients have a deteriorating condition or if there is no response to the initial attempts of conversion (see below). As in any other mechanism of supraventricular tachycardia (SVT), the use of vagal maneuvers can be very helpful in the acute setting. In the infant, apply a plastic bag containing ice cubes and water to the face for 25-30 seconds to induce the diving reflex, a vagal stimulus. In older children, other vagal maneuvers can be attempted, such as breathholding

2014 eMedicine Pediatrics

259. Pediatrics, Intussusception (Follow-up)

of overnight observation usually is warranted before discharge. Therapeutic enema is of no value in patients with small bowel–to–small bowel intussusception, which usually occurs in older children who have other associated diseases (eg, HSP, hemophilia, Peutz-Jeghers syndrome, malignancies). Intussusception in the first month of life is rare. Most of these patients are found to have a surgical lead point; therefore, enemas are rarely successful and are potentially dangerous. Previous Next: Surgical (...) material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Intussusception) and Intussusception What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Pediatricians Recommended 2002 930708-overview Diseases & Conditions Diseases & Conditions 2002 937730-overview Diseases & Conditions Diseases

2014 eMedicine Emergency Medicine

260. Heart Block, Second Degree (Diagnosis)

, if there is an underlying structural heart disease as the cause of the AV block, a more advanced AV block may manifest in the later stages of the disease Infranodal blocks carry significant risk of progression to complete heart block Evaluating for stability of the sinus rate is important because conditions associated with increases in vagal tone may cause simultaneous sinus slowing and AV block and, therefore, mimic a Mobitz II block. In addition, diagnosing Mobitz II block in the presence of a shortened post-block PR (...) block most often results from conduction disturbances in the AVN (~70% of cases); however, in a minority of cases (~30%), it may be due to infranodal block. Mobitz I block is rarely secondary to AVN structural abnormalities when the QRS complex is narrow and no underlying cardiac disease is present. In this setting, Mobitz I block is likely vagally mediated and may be observed in conditions associated with relative activation of the parasympathetic nervous system, such as in well-trained athletes

2014 eMedicine Emergency Medicine

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>