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Assessment of the pupillary reflex in cardiac arrest

…interneurons in the pretectal area activate the Edinger–Westphal nuclei. Parasympathetic fibers (carried by CN III) then prompt sphincter muscles in the iris to constrict…

Colchicine and Anti-inflammatory Therapy in Coronary Disease

…altering lipid concentrations, blood pressure or other conventional risk factors. Colchicine is an established anti inflammatory drug that may inhibit inflammasome activity, reduce interleukin 1…

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…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…Chronic coronary syndromes (CCS) comprise the clinical manifestations of chronic structural and/or functional disease involving the epicardial coronary arteries and/or the coronary microcirculation…

Ventricular fibrillation, pulseless electrical activity and sudden cardiac arrest

…of these have atherosclerotic heart disease (coronary artery disease) as the underlying cause. Other common causes are cardiomyopathy (hypertrophic or dilated), arrhythmogenic right ventricular cardiomyopathy…

Arrhythmias before and during cardiac arrest

…VF) and pulseless ventricular tachycardia (VT). The bradyarrhythmias include all bradyarrhythmias, pulse less electrical activity (PEA), and asystole. Bradyarrhythmias are discussed in the chapter Management…

Clinical application of ECG in chest pain & acute myocardial infarction

…when recording during chest pain is not consistent with myocardial ischemia. In other words, chest pain caused by ischemia will always result in ischemic ST…

Physics of myocardial perfusion imaging (SPECT, PET): Radiotracers, perfusion, blood flow and viability

…radiotracers emit positrons. When a positron collides with an electron, they annihilate each other, producing two gamma photons emitted in opposite directions. PET scanners detect…

The ECG leads: Electrodes, limb leads, chest (precordial) leads and the 12-Lead ECG

…An ECG lead is a graphical description of the electrical activity of the heart and it is created by analyzing several electrodes. In other words…

Third-degree AV block (3rd degree AV block, AV block 3, AV block III)

…from each other. This condition is referred to as atrioventricular (AV) dissociation. Importantly, for the ventricles to have any electrical (and thus pumping) activity at…

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