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Acute Limb Ischaemia: Recognition and Urgent Management

…colour and temperature Capillary refill and venous filling Pulses proximal and distal to the suspected obstruction Arterial and venous Doppler signals Evidence of systemic disease…

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

…of seizures, delirium tremens, infection, trauma and metabolic disturbance. 4. Monitoring at the appropriate level of care , with readiness for respiratory support. 5. Treatment of…

Diuretic Strategy and Decongestion in Heart Failure

…congestion may be important mechanisms. Diuretics relieve the hemodynamic consequences of congestion by producing a negative sodium and water balance. They can reduce jugular venous…

Preeclampsia and Hypertensive Pregnancy Disorders as Future Cardiovascular Risk

…laboratory abnormalities indicate end organ injury. Eclampsia is the occurrence of new onset seizures or coma in a pregnant woman with preeclampsia. HELLP syndrome—haemolysis…

Indications for pacemaker

…of AV block upon instigation of beta blockers suggests concealed conduction disturbance in the AV system. Thus, beta blockers can reveal people at risk of…

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