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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

…which a patient performs progressively increasing external work, usually on a treadmill, while symptoms, a 12 lead ECG, heart rate and blood pressure are monitored…

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

…after balloon angioplasty differs mechanistically from ISR. Balloon angioplasty may result in negative remodelling and reparative arterial constriction. A stent provides a rigid scaffold that…

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

…VF) and pulseless ventricular tachycardia (VT). The bradyarrhythmias include all bradyarrhythmias, pulse less electrical activity (PEA), and asystole. Bradyarrhythmias are discussed in the chapter Management…

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…

Basic Life Support (BLS) in cardiac arrest

…may be sufficient to resuscitate the individual, especially if an automatic external defibrillator (AED) is available and used appropriately. According to the Swedish Cardiopulmonary Resuscitation…

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