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ECG in left ventricular hypertrophy (LVH): criteria and implications

…reason, R wave peak time may also be prolonged. This prolongation may also be due to myocardial fibrosis which is typical in hypertrophy. Finally, the…

Ventricular Tachycardia

…fraction (LVEF). Sustained VT: Defined as VT lasting longer than 30 seconds or requiring termination earlier due to hemodynamic collapse [4] . Sustained VT is a…

Refractory Angina: Options When Standard Therapy Fails

…and effect on activities of daily living. Workload or exertion required to provoke symptoms. Response to current antianginal therapy. Adverse effects that restrict further drug…

Acute severe asthma in adults: quick reference

…A patient who has become calm, quiet in the chest and stopped struggling may be about to stop breathing. Diminishing wheeze means improvement only if…

Endotracheal intubation

…during airway management , and both are predictable. Indications Inability to protect the airway: reduced level of consciousness, loss of pharyngeal reflexes, vomiting with a risk…

Mitral regurgitation

…connected myocardium may also result in mitral prolapse. Extensive myocardial infarction may lead to papillary muscle rupture. The risk of rupture is greater for the…

Secondary Hypertension: When and How to Investigate

Cardiology Endocrinology & metabolism Definition and pathophysiology Secondary hypertension is elevated blood pressure attributable to a specific, identifiable underlying cause. It should be considered in every…

Constrictive pericarditis: definition, causes, diagnosis & echocardiography

…high income countries, idiopathic pericarditis, radiation to the pericardium and surgical interventions are the most common causes of constrictive pericarditis. Of these three, idiopathic pericarditis…

Sinoatrial block (SA block): ECG criteria, causes and clinical features

…there is a gradual exhausting of the conduction before it is completely blocked, is referred to as Wenckebach phenomenon (also referred to as Wenckebach periodicity…

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