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    349 results match your criteria Acute Cardiac Care [Journal]

    1 OF 7

    Early left ventricular ejection fraction as a predictor of survival after cardiac arrest.
    Acute Card Care 2016 Jun 22;18(2):35-39. Epub 2017 Mar 22.
    c Division of Cardiology , Jewish General Hospital, McGill University , Montreal , Quebec , Canada.
    Background: Cardiopulmonary resuscitation and early defibrillation have been shown to improve outcomes of cardiac arrest. The significance of the post-arrest echocardiogram, specifically the left ventricular ejection fraction (LVEF) is unknown.

    Methods: We performed a retrospective cohort study of patients who suffered from cardiac arrest between 1 January 2009 and 31 December 2013. Read More

    Intrapulmonary artery balloon pulsation improves circulatory function after acute myocardial infarction in pigs.
    Acute Card Care 2016 Jun 22;18(2):42-44. Epub 2017 Mar 22.
    a Department of Clinical Physiology - Functional Investigations, Assistance Publique Hôpitaux de Paris , Université Paris Sorbonne Paris Cité , INSERM U965, Lariboisière Hospital, Paris , France.
    Aim: To examine whether pulmonary artery balloon pulsation (PABP) could improve circulatory function in acute myocardial infarction (AMI) in pigs.

    Methods/results: Ten downsize pigs were sedated and ventilated. AMI was induced by inserting a plug into the left anterior descending artery. Read More

    Successful drug-coated balloon angioplasty and single anti-platelet therapy to treat an ischaemic stroke patient with haemorrhage and acute coronary syndrome.
    Acute Card Care 2016 Mar 21;18(1):28-30. Epub 2016 Nov 21.
    a Department of Cardiology , Tan Tock Seng Hospital , Singapore.
    A 55-year-old male presented with two challenging problems, i.e. acute coronary syndrome (ACS) and a major bleeding episode. Read More

    Syncope, seizure or both?
    Acute Card Care 2016 Mar 21;18(1):31-34. Epub 2016 Nov 21.
    a Department of Medicine , Division of Cardiovascular Medicine, Stony Brook University , Stony Brook , NY , USA.
    Ictal asystole (IA) is a rare phenomenon in patients with seizures with an incidence of 0.27-0.4% and has been proposed as a possible mechanism of sudden unexpected death in epilepsy patients (SUDEP). Read More

    Assessment of safety of performing percutaneous coronary intervention after a recent episode of gastrointestinal bleeding.
    Acute Card Care 2016 Mar 27;18(1):1-6. Epub 2016 Oct 27.
    d Cleveland Clinic Lerner College of Medicine of Case Western Reserve University , Cleveland , OH , USA.
    Background: Little literature exists on the risk of performing coronary intervention (PCI) on patients who have had recent gastrointestinal bleeding (GIB), although bleeding after PCI has been identified as a risk factor for long-term mortality.

    Methods: Patients within the Cleveland Clinic PCI database who had acute GIB within 30 days preceding PCI during the same hospitalization (n = 79) were retrospectively compared to those who had PCI without recent GIB (n = 10 979) for mortality and need for revascularization. Baseline characteristics, laboratory values, procedures, morbidities, and mortality were compared using chi-square test for categorical variables and using Wilcoxon rank sum test for continuous variables. Read More

    Emergency physician accuracy in interpreting electrocardiograms with potential ST-segment elevation myocardial infarction: Is it enough?
    Acute Card Care 2016 Mar 19;18(1):7-10. Epub 2016 Oct 19.
    g Department of Emergency Medicine , Ospedale Morgagni-Pierantoni , Forlì , Italy.
    Background: Electrocardiogram (ECG) interpretation is widely performed by emergency physicians. We aimed to determine the accuracy of interpretation of potential ST-segment elevation myocardial infarction (STEMI) ECGs by emergency physicians.

    Methods: Thirty-six ECGs resulted in putative STEMI diagnoses were selected. Read More

    Coronary artery spasm: Is ST-elevation key for diagnosis?
    Acute Card Care 2016 Mar 18;18(1):11-12. Epub 2016 Oct 18.
    a Montefiore Medical Center, Albert Einstein College of Medicine , New York , USA.
    Coronary vasospasm is uncommon during pregnancy and the postpartum period. We present a very rare case of an acute coronary vasospasm in a 36-year-old woman who was two weeks postpartum. The coronary arteriograms showed a coronary vasospasm in the distal left anterior descending and circumflex coronary arteries. Read More

    Extrinsic compression of left main coronary artery due to dilated pulmonary trunk resulting in ischaemic symptoms.
    Acute Card Care 2016 Mar 18;18(1):23-24. Epub 2016 Oct 18.
    a Department of Radiology , IGMC Shimla (HP) , India.
    Left coronary artery compression syndrome is an uncommon entity and characterized by compression of the LMCA in-between the aorta and an enlarged main pulmonary arterial trunk. It is usually associated with a congenital cardiac defect. Cardiac 64-slice MDCT provides a non-invasive and an accurate method for assessing the degree of dynamic LMCA compression throughout the cardiac cycle, its angulation relative to the left sinus of Valsalva and depiction of pulmonary pathology, making it a valuable tool in the workup of patients suspected of left coronary artery compression. Read More

    Left ventricular non-compaction cardiomyopathy: Incidental diagnosis after ST-elevation myocardial infarction.
    Acute Card Care 2016 Mar 18;18(1):25-27. Epub 2016 Oct 18.
    b Divison of Cardiovascular Diseases, Mayo Clinic , Rochester, Minnesota , USA.
    Left ventricular non-compaction cardiomyopathy is a rare congenital cardiomyopathy, which usually presents early in life but may also manifest into adulthood. We present the case of an elderly woman with left ventricular non-compaction cardiomyopathy, which was discovered incidentally following an ST-elevation myocardial infarction. Read More

    Spinal cord infarction post cardiac arrest in STEMI: A potential complication of intra-aortic balloon pump use.
    Acute Card Care 2016 Mar 13;18(1):18-21. Epub 2016 Oct 13.
    a Department of Cardiology , The Essex Cardiothoracic Centre , Nethermayne, Essex , UK.
    Intra-aortic balloon pump (IABP) is commonly used as a cardiac assist device in various clinical situations: cardiogenic shock, mechanical complications of acute myocardial infarction, high risk percutaneous coronary interventions, coronary artery bypass graft surgery and refractory unstable angina and ventricular arrhythmias as bridge to therapy. Although current data support its safety, there is limited or no support for its efficacy. We present the case of spinal cord infarction after IABP use in a patient who presented with ST elevation myocardial infarction and cardiac arrest and we discuss the potential mechanism of such a devastating complication. Read More

    Mayo registry for telemetry efficacy in arrest (MR TEA) study: An assessment of the effect of admission diagnosis on outcomes from in-hospital cardiopulmonary arrest.
    Acute Card Care 2015 Dec;17(4):67-71
    c Department of Medicine , Division of Hospital Medicine, Mayo Clinic , Jacksonville , FL , USA.
    Introduction: Little data exists evaluating how different risk factors influence outcomes following in-hospital arrests.

    Methods: A retrospective review of patients that suffered a cardiopulmonary arrest between 1 May 2008 and 30 June 2014 was performed. Patients were stratified into subsets based on cardiac versus non-cardiac reasons for admission. Read More

    Chronic obstructive airway disease among patients hospitalized with acute heart failure; clinical characteristics, precipitating factors, management and outcome: Observational report from the Middle East.
    Acute Card Care 2015 Dec;17(4):55-66
    c Cardiovascular Research, Heart Hospital, Hamad Medical Corporation , Doha , Qatar.
    Background: The purpose of this study was to report the prevalence, clinical characteristics, contributing factors, management and outcome of patients with chronic obstructive pulmonary disease (COPD) among patients hospitalized with heart failure (HF).

    Methods: Data were derived from Gulf Care (Gulf acute heart failure registry), a prospective multicenter study of 5005 consecutive patients hospitalized with acute heart failure during February to November 2012 in seven Middle Eastern countries. Data were described and compared for demographics, management and outcomes. Read More

    Intrathecal baclofen withdrawal: A rare cause of reversible cardiomyopathy.
    Acute Card Care 2016 Mar 28;18(1):13-17. Epub 2016 Sep 28.
    d Lehigh Valley Physician Group - Cardiology , Allentown , PA , USA.
    Baclofen is commonly used to treat spasticity of central etiology. Unfortunately, a potentially lethal withdrawal syndrome can complicate its use. This is especially true when the drug is administered intrathecally. Read More

    The potential of cystatin-C to evaluate the prognosis of acute heart failure: A comparative study.
    Acute Card Care 2015 Dec 5;17(4):72-76. Epub 2016 Aug 5.
    a Division of Cardiology, Department of Internal Medicine , Keimyung University Dongsan Medical Center , Daegu , Republic of Korea.
    Background: The prognosis of acute heart failure (HF) can be determined by cardio-renal function which is assessed by cystatin-C (Cys-C). We evaluated whether Cys-C could be a more useful prognostic indicator in acute HF, compared with uric acid (UA) and N-terminal pro-B-type natriuretic peptide (NT-proBNP).

    Methods: Two hundred thirty-two HF patients in the emergency room were studied using measurements of Cys-C, UA, and NT-proBNP. Read More

    A shift in coronary care unit patient population: Ten year experience from an urban tertiary care center.
    Acute Card Care 2015 Dec 5;17(4):83-84. Epub 2016 Aug 5.
    a MedStar Heart and Vascular Institute, MedStar Washington Hospital Center , Washington , DC , USA.
    The need for cardiovascular expertise in the treatment of advanced heart failure (AHF), malignant arrhythmias, and structural heart disease has shifted the role of the CCU to a more diverse and medically complex patient population. This study's purpose was to analyze the temporal trends in the principal diagnosis leading to admission to the CCU in a tertiary referral hospital. Over the last 15 years, the CCU has evolved from a medical unit strictly focusing on the care of patients with ACS to an advanced cardiac intensive care unit. Read More

    A local network for extracorporeal membrane oxygenation in refractory cardiogenic shock.
    Acute Card Care 2015 Dec 9;17(4):49-54. Epub 2016 Jun 9.
    a Intensive Cardiac Care Unit, Azienda Ospedaliero-Universitaria Careggi , Florence , Italy.
    Background: Veno-arterial extracorporeal membrane oxygenation (VA ECMO) represents a therapeutic option in patients with refractory cardiogenic shock (RCS). This strategy is limited to a restricted number of centres with capabilities for implanting VA ECMO and management patients on this support. We report on the initial experience of our ECMO referral centre for patients with RCS. Read More

    Pulmonary artery rupture with pseudoaneurysm formation secondary to Swan-Ganz catheter balloon inflation.
    Acute Card Care 2015 Dec 9;17(4):77-79. Epub 2016 Jun 9.
    a Division of Cardiology, Baystate Medical Center/Tufts University School of Medicine , Springfield , MA , USA.
    Pulmonary artery catheters have been extensively used for hemodynamic assessment over the past several decades. We present a case that highlights the management of a known, but rare and catastrophic complication of pulmonary artery catheter based therapy. An elderly lady with acute decompensated heart failure, severe pulmonary hypertension, and atrial fibrillation on anticoagulation had a pulmonary artery catheter inserted for hemodynamic monitoring. Read More

    Iatrogenic left main coronary artery dissection due to pin-hole balloon rupture: Not to be panicked….
    Acute Card Care 2015 Dec 9;17(4):80-82. Epub 2016 Jun 9.
    a Department of Cardiology , PGIMER Dr RML Hospital , New Delhi , India.
    Iatrogenic left main coronary artery (LMCA) dissection is a rare complication and may have devastating consequences if not immediately intervened. The management includes urgent revascularization mostly with percutaneous coronary intervention (PCI) with bail-out stenting and rarely requires coronary artery bypass graft (CABG) surgery. In clinically and hemodynamically stable patients, a conservative approach may be preferred. Read More

    Practical implications of novel serum ELISA-assay for matrix metalloproteinase-8 in acute cardiac diagnostics.
    Acute Card Care 2015 16;17(3):46-7. Epub 2016 Mar 16.
    a Department of Oral and Maxillofacial Diseases , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.
    Matrix metalloproteinases (MMPs) play a major role in inflammatory processes as they degrade extracellular proteins and modify immune responses. Inflammation is the driving factor in atherogenesis and MMPs, particularly MMP-8, has been linked to atherosclerotic plaque progression. MMP-8 is shown to be strongly associated with cardiovascular diseases (CVDs) and its complications thus providing a potential marker to identify patients at risk. Read More

    Mechanistic insights into transient severe mitral regurgitation.
    Acute Card Care 2015 16;17(3):41-4. Epub 2016 Mar 16.
    c Divison of Cardiovascular Diseases, Mayo Clinic , Rochester , MN , USA.
    Acute mitral regurgitation (AMR), a known complication of acute coronary syndromes, is usually associated with posterior papillary muscle dysfunction/rupture. In severe cases, management of AMR requires surgical intervention. Reversible severe AMR in patients in the absence of left ventricular systolic dysfunction and coronary artery stenosis may result from processes which cause transient subendocardial ischemia, such as intermittent episodes of hypotension or coronary artery vasospasm. Read More

    Transposition of great arteries with natural partial Senning: A rare case report.
    Acute Card Care 2015 16;17(3):39-40. Epub 2016 Mar 16.
    a Department of Cardiology , Sri Jayadeva Institute of Cardiovascular Sciences and Research , Bengaluru, Karnataka , India.
    The association of transposition of the great arteries (TGA) and anomalous pulmonary venous connection is extremely rare. Children with transposition of the great arteries improved dramatically with the advent of the atrial repair. In this report, we describe a 40-day old male infant with TGA and associated anomalous pulmonary venous connection who presented with the history of cyanosis and hurried breathing. Read More

    Differences in undergoing cardiac procedures within three months after first myocardial infarction by country of birth in women and men: a Swedish national cohort study.
    Acute Card Care 2015 Mar 25;17(1):5-13. Epub 2015 Mar 25.
    Institute of Environmental Medicine, Division of Epidemiology, Karolinska Institutet , Stockholm , Sweden.
    Objective: To examine the relationship between country of birth and the utilization of coronary angiography, percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) after a first-time myocardial infarction (MI).

    Design, Setting And Patients: 117,494 MI patients of all ages who were admitted to coronary care units between 2001 and 2009 in Sweden were followed-up for three months after admission.

    Main Outcome Measures: Undergoing coronary angiography, PCI or CABG after first-time MI. Read More

    Effects of levosimendan on heart failure in normotensive patients: does loading dose matter?
    Acute Card Care 2015 Mar 25;17(1):14-9. Epub 2015 Mar 25.
    Department of Cardiovascular Diseases, Siena University Hospital , Siena , Italy.
    Background: Levosimendan is a calcium sensitizer and K(+)-ATP channel opener with inotropic and vasodilatatory effects irrespective of myocardial oxygen consumption, used for treatment of heart failure (HF). A loading dose is usually given by infusion for 12 h; however, profound lowering of blood pressure often disrupts or prolongs the infusion. The aim of this study was to assess clinical, biochemical and myocardial differences between different regimes of levosimendan therapy, with or without loading dose, and compared to standard therapy in heart failure. Read More

    Spontaneous pneumomediastinum, pneumopericardium and epidural pneumatosis: insights on clinical management.
    Acute Card Care 2015 Mar 4;17(1):20-3. Epub 2015 Mar 4.
    Dewitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Ryder Trauma Center . Miami, Florida , USA.
    Spontaneous pneumomediastinum is a benign condition that has been reported, however the association with epidural pneumatosis is much less common. A 27-year-old male presented with concomitant air in the epidural space, mediastinum and pericardium after illicit drug use and engagement in sexual activity. The patient was hemodynamically stable. Read More

    Balloon-assisted tracking during primary percutaneous coronary intervention.
    Acute Card Care 2015 Mar 30;17(1):26-8. Epub 2015 Jan 30.
    Department of Cardiology, Barts Health NHS Trust , UK.
    Radial artery spasm is one of the most commonly encountered problems during transradial interventions with a reported incidence in the range of 6-10%. Balloon-assisted tracking (BAT) of guide catheter has recently been described as a novel technique to overcome difficult radial artery anatomies including tortuosity, loops and spasm. In this report, we describe the successful use of BAT in a patient with radial artery spasm during primary angioplasty. Read More

    Patients' views of consent for research enrollment during acute myocardial infarction.
    Acute Card Care 2015 Mar 2;17(1):1-4. Epub 2015 Jan 2.
    Department of Medicine, Division of Cardiology, Emory University School of Medicine , Atlanta, GA , USA.
    Objective: The goal of this study was to improve understanding of patients' perspectives of informed consent for clinical trial enrollment during ST-elevation myocardial infarction (STEMI).

    Background: STEMI research poses challenges regarding informed consent due to time constraints, symptom severity, and potential cognitive impairment.

    Methods: An interview study was embedded within a clinical trial of an ischemic post-conditioning procedure for STEMI. Read More

    Acute cardiac sympathetic disruption and left ventricular wall motion abnormality in takotsubo syndrome.
    Acute Card Care 2015 Mar 23;17(1):24-5. Epub 2014 Dec 23.
    Department of Cardiology, Karolinska University Hospital-Huddinge , Stockholm , Sweden.
    Takotsubo syndrome (TS) is characterized by a unique pattern of transient circumferential left ventricular wall motion abnormality (LVWMA). The LVWMA in TS may be localized to the apical, mid-apical, mid-ventricular, mid-basal or basal regions of the left ventricle. Focal and generialized (global) LVWMA have also been reported. Read More

    Resistant hypertension and renal sympathetic denervation--what does the future hold?
    Acute Card Care 2014 Dec 25;16(4):132-3. Epub 2014 Aug 25.
    Mayo Clinic, Hospital Medicine.
    Hypertension is a major public health problem and despite adequate pharmacological treatment, blood pressure remains uncontrolled in a subset of patients with hypertension. Renal sympathetic denervation is a percutaneous catheter-based treatment for select patients with resistant hypertension. In this article, we discuss the development of this intervention, its role in patients with resistant hypertension and the need for guarded optimism in the future of device-directed renal sympathetic denervation. Read More

    Characteristics and survival to discharge of patients with STEMI between a PPCI-capable hospital and a non-PPCI hospital: a prospective observational study.
    Acute Card Care 2014 Dec 18;16(4):118-22. Epub 2014 Aug 18.
    National and Kapodistrian University of Athens, Medical School, MSc 'Cardiopulmonary Resuscitation' , Athens , Greece.
    Introduction: Primary percutaneous coronary intervention (PPCI) is a key therapeutic method in the treatment of ST-elevation myocardial infarction (STEMI). We studied the characteristics and survival to discharge in STEMI patients who presented in a PPCI-capable hospital and a non-PPCI hospital.

    Patients And Methods: This prospective observational study included 240 consecutive patients. Read More

    Successful embolization of iatrogenic ruptured coronary artery using Onyx: a new technique.
    Acute Card Care 2014 Dec 11;16(4):123-6. Epub 2014 Aug 11.
    Department of Cardiothoracic Anesthesiology 'G.Papanikolaou' General Hospital , Thessaloniki , Greece.
    Iatrogenic perforation of coronary artery is rare during percutaneous coronary intervention (PCI); however the complications are life-threatening. Patients in this clinical setting may be treated either by stent placement, closure of the perforation with fibrin glue or coils, or with emergency bypass surgery. Onyx, a new material that has been used successfully in cerebral arteries, represents a new and safe alternative. Read More

    Bivalirudin use in patients undergoing percutaneous coronary intervention for acute myocardial infarction. Insights from the prospective, multi-centre EUROVISION registry.
    Acute Card Care 2014 Dec 7;16(4):127-31. Epub 2014 Aug 7.
    Misericordia Hospital , ASL 9 Grosseto , Italy.
    Background: The effectiveness of bivalirudin in patients undergoing percutaneous coronary intervention for acute myocardial infarction has been tested in clinical trials, but its use in a real-world scenario has never been reported.

    Methods: From the total number of patients enrolled in the EUROVISION registry, 678 subjects affected by ST-elevation myocardial infarction were selected and included in the analysis. Posology and usage patterns of bivalirudin, as evaluated by dose and time of drug bolus and infusion administered, were evaluated. Read More

    Recurrent takotsubo syndrome in a patient with myotonic dystrophy 1.
    Acute Card Care 2014 Dec 7;16(4):115-7. Epub 2014 Aug 7.
    Krankenanstalt Rudolfstiftung , Vienna , Austria.
    Objectives: Stress-induced cardiomyopathy (takotsubo-syndrome, TTS) and its recurrence have not been described in myotonic dystrophy-1.

    Case Report: The patient was a 47-year-old female who was suspected to suffer from myotonic dystrophy-1 at 20 years of age, upon the typical clinical presentation and the electrophysiological findings. During weaning from general anesthesia for resectioning of a pelvic tumour she developed ventricular fibrillation, but was successfully resuscitated. Read More

    Sepsis-induced myocardial depression and takotsubo syndrome.
    Acute Card Care 2014 Sep 23;16(3):102-9. Epub 2014 Jun 23.
    Karolinska Institute at Karolinska University Hospital, Department of Cardiology , Stockholm , Sweden.
    Unlabelled: Abstract Background and objectives: Myocardial depression in the setting of sepsis and septic shock is common and has been recognized for a long time. The aim of this study is to find out an association and causal link between sepsis and takotsubo syndrome (TS).

    Methods: Fifteen cases of TS were studied. Read More

    Successful retrieval of broken coiled guidewire from left atrium during balloon mitral valvotomy: a rare complication.
    Acute Card Care 2014 Sep 6;16(3):110-1. Epub 2014 Jun 6.
    Department of Cardiovascular Sciences, Sheth V.S. General Hospital, Smt. N.H.L. Municipal Medical College, Gujarat University , Ahmedabad, Gujarat , India.
    Abstract Balloon mitral valvotomy (BMV) is the procedure of choice for rheumatic mitral stenosis with favorable valve morphology. Fracture of 0.025 inch coiled guidewire during BMV is a very rare complication. Read More

    Admission plasma neutrophil gelatinase associated lipocalin (NGAL) predicts worsening renal function during hospitalization and post discharge outcome in patients with acute heart failure.
    Acute Card Care 2014 Sep 16;16(3):93-101. Epub 2014 May 16.
    Department of Internal Medicine, UOS Cardiology, Le Scotte Hospital, University of Siena , Italy.
    Unlabelled: Abstract Background: The role of neutrophil gelatinase-associated lipocalin (NGAL) has been described in chronic heart failure (HF), however less data are available in patients admitted for acute HF.

    Methods: We evaluated the role of NGAL in predicting in-hospital worsening renal function (WRF) and post-discharge follow-up during six months period in patients with acute HF. All patients were submitted to creatinine, estimated glomerular filtration rate (eGFR), blood urea nitrogen (BUN) and B-type natriuretic peptide (BNP) measurement during hospitalization and before discharge. Read More

    A fatal case of peripartum cardiomyopathy.
    Acute Card Care 2014 Jun 22;16(2):78-82. Epub 2014 Apr 22.
    Division of Cardiology, Woodhull Medical Center , Brooklyn, NY . USA.
    Peripartum cardiomyopathy is a life-threatening cardiac condition affecting pregnant women either late in pregnancy or early in the post-partum period. The latest studies show a dramatic improvement in the mortality rates of women affected with this disorder, which has been correlated with advances in medical therapy for heart failure. However, patients continue to die of this condition. Read More

    Thrombolytic-related complication in a case of misdiagnosed myocardial infarction.
    Acute Card Care 2014 Jun 21;16(2):83-7. Epub 2014 Apr 21.
    Division of Cardiology, Woodhull Medical Center , Brooklyn, New York , USA.
    The importance of early thrombolysis in acute myocardial infarction has been highlighted in several large trials. The clinical decision is often taken by physicians who need to take a rapid action with the risk of misdiagnosing non-coronary events that mimic myocardial infarction. Here we describe a case of acute pericarditis in a 37-year-old man whom received thrombolysis and developed a sudden hemorrhagic pericardial effusion that evolved rapidly into a cardiac tamponade. Read More

    Initial heart rate and cardiovascular outcomes in patients presenting with acute coronary syndrome.
    Acute Card Care 2014 Jun 4;16(2):49-56. Epub 2014 Apr 4.
    Department of Cardiology, Heart Hospital, Hamad Medical Corporation , Qatar.
    Objectives: To assess the impact of on-admission heart rate (HR) in patients presenting with acute coronary syndrome (ACS).

    Methods: Data were collected retrospectively from the second Gulf Registry of Acute Coronary Events. Patients were divided according to their initial HR into: (I: < 60, II: 60-69, III: 70-79, IV: 80-89 and V: ≥ 90 bpm). Read More

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