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Management of bradycardia (bradyarrhythmia)

…are dizziness (pre syncope), hypotension (chock), syncope, chest pain, heart failure and cardiac arrest. In cases with intermittent symptoms, it is important to establish a…

Acute exacerbation of COPD: quick reference

…raised pCO₂ Acute or acute on chronic hypercapnic respiratory failure Rapidly falling pH An urgent ventilatory problem Focal chest pain or unilaterally reduced breath sounds…

Clinical application of ECG in chest pain & acute myocardial infarction

…on all patients seeking medical attention due to chest discomfort or other symptoms that may be caused by myocardial ischemia. Other symptoms include dyspnea, pain…

Differential Diagnosis of Chest Pain: A Clinical Overview

…chest and can radiate to the neck, shoulders, and arms, sometimes following the trapezius ridge [2]. Distinguishing Features: Recognition may be aided by the pain…

Approach to patients with chest pain: differential diagnoses, management & ECG

…in patients with chest pain (chest discomfort) HISTORY PARAMETER QUESTIONS COMMENTS Risk factors for the 5 serious etiologies Family history (focus on ischemic heart disease…

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

…stroke volume cannot increase further, which means that a further increase in cardiac output depends on an increase in heart rate. As illustrated in Figure…

Exercise stress test on cycle ergometer

…continuously , with a printout every minute and on symptoms. 4. Blood pressure every second minute and on symptoms. 5. Ask actively about chest pain, breathlessness…

Pleural aspiration and chest drain

…where the neurovascular bundle lies, and the drainage is stopped for coughing, chest pain, or when the volume limit is reached. Indications Diagnostic aspiration: a…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…acute coronary syndrome and acute myocardial ischaemia. Patients may present with acute chest pain or chest pain equivalent symptoms. The ECG assessment remains necessary even…

Pre-test Probability and Selection of Non-invasive Testing in Stable Angina

…and infarction Definition and clinical rationale Stable angina, or chronic chest pain attributable to suspected chronic coronary syndrome, is evaluated by estimating the likelihood of…

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