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Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…the term perimyocarditis . Hemodynamic effects of pericardial effusion and cardiac tamponade Intrapericardial pressure increases as fluid accumulates in the pericardial space. Intrapericardial pressure may reach…

Sinus bradycardia: definitions, ECG, causes and management

…This is also a normal finding. Abnormal (pathological) causes of sinus bradycardia In all other situations, sinus bradycardia should be regarded as a pathological finding…

Atrial fibrillation: ECG, classification, causes, risk factors & management

…arrhythmic effect as well), which is why clinicians mostly choose rate control. Both rate and rhythm control reduce morbidity, and mortality and improve quality of…

Digoxin - ECG changes, arrhythmias, conduction defects & treatment

…satisfactory effects using first line therapies. Digoxin is also used frequently in the emergency setting to control ventricular rate during supraventricular tachycardias (e.g.atrial…

Ambulatory blood pressure monitoring and Holter ECG

…the investigation will be usable. Ambulatory blood pressure monitoring (ABPM) Indications Confirmation of newly detected hypertension — recommended before treatment is started . Suspected white coat hypertension…

The ST segment: physiology, normal appearance, ST depression & ST elevation

…ST T changes are caused by abnormal repolarization . This is seen in ischemia, electrolyte disorders (calcium, potassium), tachycardia, increased sympathetic tone, drug side effects etc…

Sinoatrial arrest & sinoatrial pause (sinus pause / arrest)

…situations, sinus arrest/pause should be considered abnormal, and the following differential diagnoses are at hand: Sinus node dysfunction. Side effects of drugs (diltiazem, verapamil…

Coronary Anomalies and Myocardial Bridging

…myocardial contractility and heart rate. Coronary compression and a Venturi or “suction” effect have been proposed as mechanisms of inducible ischaemia. The functional impact depends…

Ectopic atrial rhythm (EAT), atrial tachycardia (AT) & multifocal atrial tachycardia (MAT)

…at a rate exceeding that of the sinoatrial (SA) node. This enhanced atrial activity is most commonly attributable to abnormal automaticity or re entry mechanisms…

Ventricular rhythm and accelerated ventricular rhythm (idioventricular rhythm)

…ventricular rhythm; idioventricular rhythm is primarily seen after reperfusion in an occluded coronary artery. It also occurs as side effect of drugs, hypoxia, myocarditis and…

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