1st Department of Cardiology , East Slovak Institute of Cardiovascular Diseases

Problem-based teaching with a differential diagnostic approach to individual diseases within the sub-disciplines and mastering the issue of acute conditions in individual sub-disciplines. Differential diagnosis of jaundice. Alcoholic liver disease. Acid – base balance disorders. Immunodeficiency. Immunomodulatory, immunosupressive and immunorestaurant treatment. Syncope. Shock.Paraneoplastic syndrome. Differential diagnosis of chest pain. Medical genetics in clinical practice. Focal infection and sepsis. Fever – differential diagnosis in internal medicine. Differential diagnosis of oedema in internal medicine.

Isolated posterior myocardial infarction is occurring in 3-11% of all infarctions. ST - segment depression in leads V1-V3 suggests myocardial ischaemia, especially when the terminal T - wave is positive (ST - segment elevation equivalent), and confirmation by concomitant ST-segment elevation ≥ 0,5mm recorded in leads V7-V9 should be considered as a mean to identify posterior myocardial infarction. Emergent coronary angiography and percutaneous coronary intervention of the infarct - related artery is indicated.

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