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Skin biopsy — punch, shave and excision

…10 mg/mL with adrenaline 5 µg/mL (adrenaline gives a bloodless field and a longer duration; it is safe even on the fingers, toes…

Adenosine: Administration Technique, Dose Escalation and Precautions

…of 1 to 6 seconds. Most of the drug's pharmacological effects are produced during its first passage through the circulation. Due to this rapid…

Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…pre excited atrial fibrillation (i.e. atrial fibrillation with impulses conducted via an accessory pathway [see Wolff Parkinson White Syndrome]); blocking AV node conduction may…

Atrioventricular nodal reentry tachycardia (AVNRT): ECG features & management

…AVNRT should not be confused with AVRT, which is the result of pre excitation (accessory pathway). AVNRT is caused by reentry in the atrioventricular (AV…

Pre-excitation, Atrioventricular Reentrant (Reentry) Tachycardia (AVRT), Wolff-Parkinson-White (WPW) syndrome

…pathways are termed accessory pathways (or bundle of Kent ). They are remnants of the embryological development of the heart. Accessory pathways (Kent's bundle) may…

Acute exacerbation of COPD: quick reference

…subacute worsening of dyspnoea, cough and sputum in particular that exceeds the patient's normal variation and requires a change of treatment. Common precipitants are…

Acute severe asthma in adults: quick reference

…or reduced air entry Silent or nearly silent chest pCO₂ Low Usually low Normal or raised Other Moderate work of breathing Accessory muscle use Cyanosis…

Atrial Fibrillation in the Critically Ill Patient

…Whether heart failure is present and whether left ventricular systolic function is depressed or preserved Whether hypotension is present Whether an accessory pathway is suspected…

ECG changes caused by antiarrhythmic drugs, beta blockers & calcium channel blockers

…structural heart disease). AVNRT, AVRT (WPW syndrome) and other conditions involving an accessory pathway. Paroxysmal atrial fibrillation in patients with severe symptoms, provided that first…

The PR Interval & PR segment

…0.22 s) is consistent with first degree AV block. A shortened PR interval (<0,12 s) indicates pre excitation (presence of an accessory pathway…

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