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Assessment of the pupillary reflex in cardiac arrest

…an abnormal pupillary reflex upon initial examination. Notably, 31.2% of patients discharged with intact neurological function were observed to lack a pupillary reflex upon…

Liver parameters

…The tests that reflect the synthetic function of the liver are the prothrombin time (INR) , the albumin and the bilirubin — and they become abnormal late…

The QRS complex: ECG features of the Q-wave, R-wave, S-wave & duration

ECG Introduction to ECG interpretation The QRS complex (ventricular complex): normal and abnormal configurations and intervals A complete QRS complex consists of a Q , R…

Acquired QT Prolongation and Drug-Induced Arrhythmia

…imbalance ECG Definition and Pathophysiology Acquired long QT syndrome (LQTS) is characterised by an abnormal prolongation of the QT interval on the surface electrocardiogram (ECG)…

Exercise Electrocardiographic Testing: Indications, Limitations and Interpretation

…horizontal or downsloping ST segment depression, reflecting an abnormal repolarization response to exercise induced myocardial oxygen supply–demand imbalance. The exercise response is not confined…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…either RV dysfunction or elevated biomarkers, or neither of these abnormalities in the presence of abnormal clinical risk assessment. Low risk PE is characterized by…

Coronary Anomalies and Myocardial Bridging

…The wide range reflects differences in ascertainment and imaging technique. Coronary fistulae represent abnormal communications between a coronary artery and a cardiac chamber or vessel…

Microvascular Angina and INOCA: Diagnosis with CFR and IMR

…coronary flow reserve (CFR), reduce microcirculatory conductance, or cause abnormal vasoconstriction of coronary arterioles. Structural and functional mechanisms may coexist. The formal diagnostic construct for…

ECG interpretation: Characteristics of the normal ECG (P-wave, QRS complex, ST segment, T-wave)

…this chapter, you will learn the physiological basis of all ECG waves and how to determine whether the ECG is normal or abnormal. Although heart…

Left atrial enlargement (P mitrale) & right atrial enlargement (P pulmonale) on ECG

…P mitrale (left atrial enlargement) and P pulmonale (right atrial enlargement) Abnormal P waves: atrial enlargement If an atrium becomes enlarged (typically as a compensatory…

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