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Assessment of the pupillary reflex in cardiac arrest

…PLR) The pupillary light reflex (PLR) – the constriction of the pupils in response to light – is a fundamental neurological examination finding that reflects brainstem (midbrain)…

Exercise Electrocardiographic Testing: Indications, Limitations and Interpretation

…segment depression, reflecting an abnormal repolarization response to exercise induced myocardial oxygen supply–demand imbalance. The exercise response is not confined to the ECG. Ischaemia…

Ectopic atrial rhythm (EAT), atrial tachycardia (AT) & multifocal atrial tachycardia (MAT)

…in clinical practice, and these arrhythmias are commonly referred to simply as atrial tachycardia or atrial rhythm, depending on the ventricular response. The ECG in…

Atrial Fibrillation in the Critically Ill Patient

…include cardiac memory after abnormal ventricular activation, transient rate related conduction abnormalities, pacing related repolarization changes, and inadequate coronary flow relative to myocardial oxygen demand…

Pulmonary Hypertension: Classification and Treatment Principles

…min from rest to exercise. This response is age dependent and may rarely occur in healthy people older than 60 years. The abnormal slope does…

Vasospastic (Prinzmetal) Angina: Provocation Testing and Treatment

…vascular smooth muscle to vasoconstrictor stimuli, including adrenergic agonists, leukotrienes, and serotonin. In patients with CAD, endothelial disruption may convert normal vasodilator responses to vasoconstriction…

Microvascular Angina and INOCA: Diagnosis with CFR and IMR

…to both microvascular and epicardial vasomotor disorders. Endothelial activation can promote the release of adhesion molecules, inflammatory cytokines, and vasoconstricting mediators, producing abnormal vascular responses…

Delirium in older adults: quick reference

…of cases Hypoactive Lethargy, slow responses, reduced speech, immobility, poor food intake, reduced eye contact Common and particularly easy to miss. May be misinterpreted as…

Basic Life Support (BLS) in cardiac arrest

…is to determine if a cardiac arrest has occurred. A cardiac arrest is confirmed by the following four examinations: Responsiveness : Does the victim respond to…

🟠 Left ventricular diastolic function

…adult Abnormal relaxation (grade 1 dysfunction) Pseudonormal (grade 2 dysfunction) Reversible restrictive filling (grade 3 dysfunction) Irreversible restrictive filling (grade 4 dysfunction) E/A ratio…

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