All Posts

A heart murmur is an extra sound heard during a heart examination. In adults, a new heart murmur may be an early sign of heart valve disease, even in the absence of clear symptoms. This article explains what a heart murmur means, when it should be taken seriously, how it is evaluated with echocardiography, and which treatment options may be considered. What Is a Heart Murmur? When a doctor listens to your heart with a stethoscope, they hear the familiar heart sounds often des

This article explains life after a heart attack  and provides a clear, evidence based overview of what patients should know after experiencing a myocardial infarction. You will find practical guidance on lifestyle changes after a heart attack , including physical activity, exercise, heart healthy diet, smoking cessation, mental health, and follow up with your primary care physician . The goal is to reduce the risk of another heart attack, support heart recovery, and improve l

After a myocardial infarction, appropriate medical therapy is essential to reduce the risk of recurrent heart attack, stroke, heart failure and premature death. For most patients, medications are just as important as the acute hospital treatment. They protect the heart and blood vessels and improve long term prognosis. This article explains which medications are commonly used after a myocardial infarction, why they are prescribed, how long they are usually continued, and what

Introduction Electrical storm and incessant ventricular tachycardia are life-threatening ventricular arrhythmias that require rapid, structured, and mechanism-based management. This practical clinical guide outlines a step-by-step approach to the assessment and treatment of electrical storm and incessant VT, based on current ESC, EHRA and AHA/ACC/HRS recommendations and real-world critical care experience. The article is written in collaboration with Dr Njord Nordstrand, Cons

What Is a Pacemaker? A pacemaker is a small electronic medical device implanted under the skin, usually just below the collarbone. Its primary purpose is to help the heart maintain an adequate and regular heart rate when the heart’s own electrical system is too slow or unreliable. Pacemakers are used in patients with bradycardia (slow heart rate) or impaired electrical conduction between the atria (upper chambers) and the ventricles (lower chambers). They are among the most c

Introduction Electrical storm and incessant ventricular tachycardia are among the most challenging conditions in acute cardiology, particularly in patients with structural heart disease and implanted cardiac devices. Rhythm diagnosis and selection of the correct treatment strategy can be difficult, and misclassification of arrhythmia may have serious clinical consequences. This case report describes the clinical course of a patient with ischemic cardiomyopathy and CRT-D, in w

Are you wondering whether your smartwatch can detect atrial fibrillation (AF) or rythm disorders? Or whether you might actually need an ILR (implantable loop recorder)? This guide gives you a clear, updated overview of what smartwatches can  and cannot  do when it comes to heart rhythm - and when a Holter monitor, patch monitor or ILR is the right choice. The article is written for patients, but is also relevant for GPs and healthcare professionals. Are ILR useful in assessin

Chest pain and ST-segment abnormalities on ECG are among the most alarming findings in the emergency department. However, this case underscores an important principle: neither ST elevation nor widespread ST depression is synonymous with acute coronary occlusion. A thorough assessment of underlying physiology is essential to avoid misdiagnosis and inappropriate management. Case Presentation A man in his 70s presented with chest discomfort, dyspnea, and several weeks of deteri