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Spirometry

…normal FEV₁/FVC. Set aside time, coach actively, and do not accept a trace you would not be prepared to show a colleague. Indications Investigation…

Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…lesions are: Ventricular septal rupture (VSR), producing an acute left to right shunt. Ventricular free wall rupture, producing haemopericardium and cardiac tamponade. Papillary muscle rupture…

Cardiac arrest due to pneumothorax

CPR Pneumothorax Pneumothorax is characterized by the presence of free air in the thoracic cavity. While this can occasionally be benign and manifest even in…

Atrial Flutter: Mechanisms, ECG Recognition and Management

…and travels in a counterclockwise direction. The activation wavefront propagates in a craniocaudal direction down the right atrial free wall, traverses the cavotricuspid isthmus (CTI…

Cardiac tamponade causing cardiac arrest

…result in hemorrhage within the pericardium. Ventricular rupture : A transmural infarction can cause a rupture in the left ventricular free wall. Mediastinal trauma : Penetrating injuries…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…heart failure. Mechanical disruption must be considered whenever abrupt circulatory collapse occurs after STEMI. Rupture may involve the ventricular free wall, interventricular septum, or mitral…

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

…by the electrical vectors. Note that the first vector in Figure 7 is not discussed here as it belongs to atrial activity. The second vector…

Targeted temperature management after cardiac arrest

…after cardiac arrest is harmful, it often arises spontaneously, and it must be actively prevented. The treatment has therefore not been abandoned, only redefined: continuous…

Metabolic Syndrome: Definition and Clinical Significance

…mediators. Increased free fatty acid flux and impaired insulin action promote hepatic triglyceride rich lipoprotein synthesis and reduce triglyceride rich lipoprotein and remnant clearance. The…

Physical Activity Prescription for Cardiovascular Prevention

Cardiology Clinical medicine Definition and Clinical Rationale Physical activity comprises bodily movement that increases energy expenditure, including walking, household tasks, active commuting and recreational activities…

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