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Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…routine practice. The treatment repertoire includes surgery, catheter interventions, and medical therapies. Adults with congenital heart disease are mostly managed in GUCH clinics (Grown Up…

The Best Clinical ECG Book: ECG Made Easy or Complete?

…an abundance of illustrations that appeared pedagogical, despite the fact that it had not been updated for decades. As I got more involved with cardiovascular…

Lumbar puncture

…The Swedish clinical care programme for bacterial CNS infections states that CT must not be performed before lumbar puncture in suspected bacterial meningitis — not even…

Artifacts in ultrasound imaging

…times between dense structures ( i.e structures with high echogenicity). For each reflection, a portion of the sound waves return to the transducer and produce…

Coronary Artery Calcium Scoring: Prognostic Use in Practice

…of the general population for cardiovascular risk factors has not been shown to improve cardiovascular outcomes, although opportunistic assessment during clinical encounters improves detection of…

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

…The reasons for this are explained below. The normal P wave contour on ECG The normal P wave (Figure 1, upper panel) is typically smooth…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…and may reduce cardiovascular risk within several years, although risk may remain higher than that of never smokers for a prolonged period. In heavy smokers…

Atrioventricular nodal reentry tachycardia (AVNRT): ECG features & management

…as long as it encounters excitable tissue. As it circulates within the node, it emits impulses both upwards to the atria and downwards (via His…

Mechanisms of cardiac arrhythmias: from automaticity to re-entry (reentry)

Arrhythmias and arrhythmology ECG Mechanisms of cardiac arrhythmias: from automaticity to re entry This section introduces the most common arrhythmias encountered in clinical practice, beginning…

🟠 Mean arterial pressure (MAP) calculator

…Pressure (CVP) This equation illustrates that MAP is determined by the volume of blood the heart pumps and the resistance encountered in the systemic circulation…

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