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cardiology clinical cardiology heart failure ecg heart attack ecg localisation diabetes rheumatic heart disease medicine arryhtmia supraventricular tachycardia cardiothorasic radiology nuclear medicine angina circullatory collapse hypotension shock coronary artery disease aortic regurgitation mitral regurgitation aortic stenosis valvular heart disease history mitral stenosis sglt2 inhibitors acute rheumatic fever svt svt vs vt myocardial infarction spiranolactone abpm refractory resistant hypertension prosthetic valve valve surgery mechanical valve guideline acc 2015 surgery fontan cyanotic hear disease hemodynamics clinical approach bedside classification malpositions congenital heart disease timing cycle harwares troubleshoot pacemaker vit d deficiency and cardiovascular risks