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Spontaneous Coronary Artery Dissection

…tissue disorders, including Marfan syndrome and Ehlers–Danlos syndrome. FMD may be clinically occult and can affect multiple vascular territories, including the renal, carotid, vertebral…

Cardiovascular Risk in Inflammatory and Autoimmune Disease

…although the cardiovascular phenotype varies substantially between diseases. Cardiovascular involvement extends beyond conventional atherosclerotic coronary artery disease. It may include: Accelerated atherosclerosis and premature myocardial…

Cardiac thromboembolism: cardiac sources of embolism

…and proximal aorta can cause stroke, TIA (transient ischemic attack), coronary artery occlusion, and peripheral embolization. Stroke is the third leading cause of death in…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…carotid endarterectomy (CEA), coronary artery bypass grafting (CABG), or major non cardiac surgery. The vascular examination should include: palpation of peripheral pulses; auscultation for carotid…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…exertion or while supine Sudden onset of palpitations followed by syncope Severe coronary artery or structural heart disease High risk features on examination include: Unexplained…

Basic Life Support (BLS) in cardiac arrest

…the person breathe? Look for respiratory signs for 10 seconds. Palpation of pulses : carotid, femoral or radial artery. According to current guidelines, laypeople do not…

Dix–Hallpike test and Epley manoeuvre

…cervical spine surgery, atlantoaxial instability, severe rheumatoid arthritis of the neck. Symptomatic carotid stenosis, recent stroke or TIA in the vertebrobasilar territory. Retinal detachment. Relative:…

Digoxin: Dosing, Therapeutic Range and Toxicity Management

…via the autonomic nervous system. It attenuates carotid sinus baroreceptor activity and acts centrally and peripherally to enhance vagal tone. These sympatho inhibitory effects decrease…

Indications for pacemaker

…tachy brady syndrome . Neurocardiogenic syndrome (which includes vasovagal syncope), as well as carotid sinus hypersensitivity, can also result in bradycardia with syncope. Carotid sinus hypersensitivity…

Sinus bradycardia: definitions, ECG, causes and management

…g during intense emotional stress) During vagal maneuvers (Valsalva maneuver, carotid sinus [baroreceptor] stimulation). It is common to discover SB in healthy young individuals who…

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