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Massive haemorrhage and transfusion: quick reference

…Do not wait for hypotension in young, pregnant or previously athletic patients. Beta blockade, a pacemaker and autonomic neuropathy can at the same time mask…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…Silent or minimally symptomatic disease may occur in patients with diabetes and autonomic neuropathy, as well as in older adults with markedly limited physical activity…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…venous pooling, or external stimuli. The underlying pathophysiology is rooted in autonomic dysregulation within a structurally normal heart. During an episode, decreased cardiac output and…

Ambulatory blood pressure monitoring and Holter ECG

…autonomic dysfunction, adverse drug effects. Wide variability between measurements. Hypertension in pregnancy. Contraindications There are no absolute contraindications. Refrain or adapt in atrial fibrillation with…

Blood Pressure Targets in Older and Frail Adults

…or impaired autonomic compensation limits tolerability. Evidence Base and Its Limitations Few adults aged 85 years or older have been included in randomized controlled trials…

Digoxin: Dosing, Therapeutic Range and Toxicity Management

…Beyond its direct cellular actions, digoxin exerts significant systemic effects via the autonomic nervous system. It attenuates carotid sinus baroreceptor activity and acts centrally and…

Exercise physiology: from normal response to myocardial ischemia & chest pain

…increases in parallel with the intensity of the exercise. The physiological changes (adaptations) become more pronounced as the intensity of exercise increases. The autonomic nervous…

Interpretation of neonatal and pediatric electrocardiograms (ECG)

…as in adults. These age variations in heart rate are due to variations in the activity of the autonomic nervous system and changes in the…

Sinus tachycardia & Inappropriate sinus tachycardia

…tone in the autonomic nervous system, with increased sympathetic input (leading to stimulation of beta adrenergic receptors) and parasympathetic withdrawal. Sinus tachycardia secondary to disease…

Alcohol withdrawal and delirium tremens: quick reference

…2]. In delirium tremens the aim should be a calm, mildly somnolent but rousable patient, while ventilation, circulation and underlying disease are monitored [3]. The…

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