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Sinus node dysfunction (SND) and sick sinus syndrome (SSS)

…irreversible conditions, a progressive disease that necessitates treatment. Implementation of an external artificial pacemaker is an effective treatment. In cthe ase of concomitant tachyarrhythmia, the…

Basic cardiac pacing, pacemaker functions and settings

ECG Stimulation threshold As previously discussed, myocardium may be excited by external electrical stimuli that drive the cells to threshold. Stimulation threshold is the minimum…

Exercise Electrocardiographic Testing: Indications, Limitations and Interpretation

ECG Exercise stress test Definition and clinical role Exercise electrocardiographic testing is a standardized assessment in which a patient performs progressively increasing external work, usually…

Components and construction of a pacemaker

…action potentials originating in the sinus node, but also by external electrical stimuli that drive the cells to threshold. Any stimulus driving the membrane potential…

Casting and immobilisation

…a normal radiograph. Contraindications An open fracture or a wound that needs to be inspected — use a windowed splint or external fixation. Established or impending…

In-Stent Restenosis: Mechanisms and Treatment

…the stent progressively reduce the lumen. The stent scaffold prevents the external constriction that characterizes restenosis after balloon angioplasty. The biological response therefore occurs primarily…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…principal advantage is tissue penetration, generally allowing assessment several millimetres beyond the lumen and visualization of the external elastic membrane (EEM). IVUS is consequently useful…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…reflex response to posture, venous pooling, or external stimuli. The underlying pathophysiology is rooted in autonomic dysregulation within a structurally normal heart. During an episode…

Arrhythmias before and during cardiac arrest

…medical service) team upon their arrival at the scene. If an AED (automatic external defibrillator) has been connected, it should be interrogated (if possible) to…

Assessment of Pacemaker Malfunction

…with the electronics in the pulse generator or dislodgement or fracture of the leads. External causes are less common and include electrolyte disorders, metabolic disorders…

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