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Preeclampsia and Hypertensive Pregnancy Disorders as Future Cardiovascular Risk

…risk of preeclampsia with severe features during the subsequent two weeks. Cerebral circulatory autoregulation is also disturbed. This helps explain the neurological manifestations of preeclampsia…

Hypertensive crisis: quick reference for acute blood pressure lowering

…rapidly with intravenous drugs. Restart or optimise oral treatment and ensure follow up. Rapid lowering can worsen cerebral, coronary and renal perfusion, particularly in patients…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…beds. Malignant hypertension represents an extreme form in which acute microvascular injury occurs, classically involving fibrinoid necrosis of small arteries in the kidneys, retina, and…

Assessment of Pacemaker Malfunction

…hypoxemia, antiarrhythmic drugs, or electromagnetic disturbance caused by other machines/devices. Below follows ECG tracings demonstrating each type of failure. Figure 1. Failure to pace…

Relaxation of the left ventricle

…pressure in the left ventricle. Disturbance in ventricular relaxation results in the disruption of pressure conditions in the left ventricle. Ventricular pressure should drop rapidly…

Exercise stress test on cycle ergometer

Procedurer The value of the exercise test lies not in ST depression alone but in the overall picture : exercise capacity, symptoms, blood pressure response, heart…

Aberrant ventricular conduction (aberrancy, aberration)

…ECG Aberrant ventricular conduction (aberrancy, aberration) Aberrant conduction is not a mechanism of arrhythmia; it is a ventricular conduction disturbance . It is discussed in this…

Intraventricular conduction delay: bundle branch blocks & fascicular blocks

…greater resistance and any disturbance in ventricular activation will reduce the efficiency of the pumping function. The primary ECG manifestations of conduction defects are prolonged…

Alcohol withdrawal and delirium tremens: quick reference

…90 percent of withdrawal seizures occur within 48 hours. Seizures later than this, focal seizures or status epilepticus should raise strong suspicion of another or…

Diuretic Strategy and Decongestion in Heart Failure

…with fatigue, depression, sleep disturbance or altered mental status rather than prominent breathlessness. Hemodynamic phenotypes Initial assessment should distinguish congestion from hypoperfusion. This distinction provides…

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