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Atrial Flutter: Mechanisms, ECG Recognition and Management

…a distinct ECG pattern designated as typical reverse flutter. Typical atr flutter exhibits strong reproducible anatomical dependence, which explains the high morphological reproducibility of its…

Evaluation of exercise stress test: ECG, symptoms, blood pressure, heart rate, performance

…detail. Symptom during exercise stress testing Perceived exertion The patient's perceived exertion is a way of estimating the intensity of the physical activity. It…

Cardiovascular Risk in Inflammatory and Autoimmune Disease

…prevalence of asymptomatic atherosclerotic cardiovascular disease (ASCVD) than the general population. The evidence for premature atherosclerosis is particularly strong in RA and SLE. Ankylosing spondylitis…

Sinus node dysfunction (SND) and sick sinus syndrome (SSS)

…means that the automaticity is diminished). Chronotropic incompetence (inability of the sinoatrial node to adequately increase its automaticity during physical activity). Sinus arrest & sinus pause…

Alcohol withdrawal and delirium tremens: quick reference

…Seizures later than this, focal seizures or status epilepticus should raise strong suspicion of another or an additional cause [1]. Delirium tremens most often begins…

Epidemiological aspects of cardiac arrest

…initial rhythm In cardiac arrest, the initial rhythm (on the first recorded ECG) is a very strong predictor of survival. This is because cardiac arrest…

Upper gastrointestinal bleeding: quick reference

… 2. Is there cirrhosis, or another strong suspicion of portal hypertension? Variceal and ulcer bleeding are managed differently from the first minute. Peptic ulcer remains…

Massive haemorrhage and transfusion: quick reference

…where needed, coagulation expertise at the same time [1]. Activate the local major haemorrhage protocol early. Protocols improve above all the logistics, the communication and…

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…

Ventricular fibrillation, pulseless electrical activity and sudden cardiac arrest

…ECG Ventricular fibrillation, pulseless electrical activity (PEA) and sudden cardiac arrest This chapter will focus on ventricular fibrillation and pulseless electrical activity (PEA). These are…

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