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Central venous catheter

…low risk of pneumothorax Uncomfortable for an awake patient, harder to keep the dressing clean with a tracheostomy or copious secretions Subclavian vein Most comfortable…

Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC, ARVD)

…other ECG changes (see below) should lead to a suspicion of ARVC. The gradual loss of myocardium leads to ventricular dilation and right heart failure…

Tricuspid regurgitation (TR/TI)

…venous system, resulting in dilation of vena cava inferior ( 2.1 cm). Severe tricuspid regurgitation may lead to systolic reversal in the hepatic veins. This…

Pulmonary regurgitation

…of catheterization) Congenital dysplasia/aplasia of the pulmonary valve Idiopathic pulmonary artery dilation Pulmonary regurgitation results in right ventricular volume overload, which gradually causes right…

Pulmonary Embolism (PE)

…in increased intramural pressure in the right ventricle, which is counteracted by dilatation of the ventricle. Dilatation of the right ventricle results in reduced intraventricular…

Mitral valve stenosis

…the right ventricle and right atrium, leading to right heart hypertrophy, dilation and ultimately right heart failure. Echocardiography in mitral stenosis Echocardiographic assessment of mitral…

Tricuspid stenosis

…stenosis results in increased right atrial pressure, which subsequently causes right atrial dilation. Vena cava inferior may also dilate secondarily. Principles of management Medical therapies…

Opioid therapy in severe pain

…titration. Half of all opioid dosing errors arise at the dilution step, and an undiluted syringe of 10 mg/mL makes small adjustments impossible. Procedure…

The QRS complex: ECG features of the Q-wave, R-wave, S-wave & duration

…7 ). The explanation for this is as follows: The vector resulting from activation of the right ventricle does not come to expression , because it is…

Left atrial enlargement (P mitrale) & right atrial enlargement (P pulmonale) on ECG

…pulmonale: right atrial enlargement (hypertrophy, dilatation) Enlargement of the right atrium is commonly a consequence of increased resistance to empty blood into the right ventricle…

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