Acute coronary syndrome is an umbrella term for a group of clinical symptoms indicative of acute myocardial ischemia. These conditions include non-ST-segment elevation myocardial ischemia (NSTEMI), unstable angina, and ST-segment elevation myocardial infarction (STEMI). These conditions are high-risk manifestations of atherosclerosis in the coronary artery and significant causes of utilization of emergency services and hospitalization (Kumar and Cannon, 2009). STEMI causes 30% of all acute coronary syndromes in Australia (Harper and Lefkovits, 2010). This paper will describe the expected presentation, pathophysiology, ECG findings, pre-hospital management, and initial 24-hour management of STEMI in hospitals settings. These aspects will be described ...
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Placenta Accreta
Introduction During pregnancy, the placenta is normally supposed to attach on the surface of uterine wall. There are instances when the placenta attaches itself so deeply on the uterine. Placenta accreta is an abnormal attachment of the placental villi to the uterine in which the placenta is attached unusually deeply into the uterine wall. In placenta accreta, the placenta is attached directly on the myometrium unlike in other variant accounts when it gets attached into the myometrium (hence the name placenta increta) or goes through the myometrium (hence the name placenta percreta). Apparently placenta accreta is the most ...
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