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Diuretic Strategy and Decongestion in Heart Failure

Cardiology Pharmacology & dosing Definition and pathophysiology Congestion is a central expression of the heart failure syndrome and reflects excessive retention of sodium and water, with…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…therefore defined by symptoms and signs of congestion or impaired cardiac performance rather than by ejection fraction alone. Heart failure with preserved ejection fraction (HFpEF…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…predominantly by atrial tissue; its midregional pro ANP assay may provide information comparable to BNP and NT proBNP in heart failure (HF). The biologically active…

Cardiac Tamponade: Recognition and Pericardiocentesis

…medicine Procedurer Definition and Pathophysiology Cardiac tamponade is a life threatening clinical syndrome in which increased intrapericardial pressure compresses the heart and impairs ventricular filling…

Stress Echocardiography: Protocols and Interpretation

…Valve function and stress related haemodynamic changes Diastolic function Pulmonary hypertension Coronary flow velocity reserve (CFVR) Pulmonary congestion detected by B lines on lung ultrasound…

Mitral regurgitation

…Rheumatic heart disease typically results in thickening of the leaflets and may coexist with mitral stenosis. Idiopathic degeneration (Barlow's disease), degeneration associated with connective…

Myocardial Mechanics: Structure and Function of Myocardial Fibers

…underlying basement membrane and a small layer of loose connective tissue. The endocardium joins the endothelium that lines the greater vessels connected to the heart…

Tissue Doppler (Tissue Velocity Imaging)

…Figure 2). It is important to note that the apex of the heart is fixed to the diaphragm via pericardium and connective tissue. Therefore the…

Right Ventricular Infarction: Recognition and Haemodynamic Management

…right ventricle is rare. The clinical spectrum extends from limited right ventricular dysfunction to severe right sided failure and cardiogenic shock. The haemodynamic disturbance results…

🟠 Left ventricular diastolic function

Diastolic function Criteria Normal, young Normal, adult Abnormal relaxation (grade 1 dysfunction) Pseudonormal (grade 2 dysfunction) Reversible restrictive filling (grade 3 dysfunction) Irreversible restrictive filling…

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