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Gabriel J. Ellul
Thursday, 02 October 2014 19:58

What is Epilepsy?

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Epilepsy is a neurological condition characterized by a continuing predisposition to generate epileptic seizures; it may be diagnosed after at least two unprovoked seizures (not caused by a known medical condition such as very low blood sugar) occurring more than 24 hours apart or after one unprovoked seizure if a person has a condition that places him/her at risk of having further seizures.
By Amy Chircop, Reviewer: Dr. Justine Farrugia Preca First described by Sato et al. in 1990 in Japan, Takotsubo Cardiomyopathy (TCM) is a cardiac phenomenon where the patient presents with features of acute coronary syndrome in the absence of obstructive coronary artery disease1.Although not frequently encountered, TCM may be responsible for up to1-2% of admission for acute coronary syndromes in industrialised countries2. Patients present mainly with abrupt onset of chest pain and dyspnoea, and are admitted to hospital where a workup for acute coronary syndrome is usually started. In the majority of patients with TCM, initial investigations point towards an ischemic event, with characteristic ECG changes such as ST segment elevation and T wave inversion, further supported with increased cardiac biomarkers: Troponin T and Troponin I3. However, on echocardiography, there is characteristic hypokinesia or akinesia of mid-segment and apex of the left ventricle extending beyond the distribution of any single coronary artery (See Fig 1). This is confirmed by a coronary angiography which shows intact coronary arteries and characteristic apical ballooning, and a left ventriculography which shows characteristic wall motion and reduced ejection fraction4. Guidelines have been developed by Kawai et al. which give 4 diagnostic criteria which the patient…
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  • AVAILABLE CLINICS

    Rational Pharmacy, Valley Road, B'Kara requires consultants & family doctors for early morning & afternoon sessions.

    Please contact 99891732 or This email address is being protected from spambots. You need JavaScript enabled to view it. for more information.

    Written on October 09, 2017
  • Free Clinic Rooms Available

    Pharmasal, a chain of 6 retail pharmacies has a number of free clinic rooms available within the pharmacies in Tarxien, St. Paul’s Bay, Zejtun, and Dingli. We are looking to increase our list of family doctors and specialists. Family doctors are given preference for the clinic at Zejtun.  For more information, please send an email to This email address is being protected from spambots. You need JavaScript enabled to view it. or call on 99425939.

    Written on October 18, 2017

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