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

…over the past few decades. This has resulted in an increased prevalence of congenital heart disease in the general population, such that most clinicians will…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…with asymptomatic disease depends substantially on stenosis severity and plaque characteristics. In the general population, the prevalence of asymptomatic carotid stenosis of at least 70…

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

…Atrial fibrillation with onset during hyperthyroidism (thyrotoxicosis), alcohol overdose, thoracic surgery, acute myocardial infarction, pericarditis/myocarditis or pulmonary embolism is often a reversible arrhythmia with…

Gynaecological examination and cervical smear

…smaller speculum, possibly a local anaesthetic gel, or examination under general anaesthesia. Placenta praevia or ruptured membranes in pregnancy — a speculum may be used, but…

Indications for pacemaker

…Rheumatic fever. Endocarditis. Heart surgery (can cause permanent bradycardia). Hypothyroidism. Medullar lesion. Increased intracranial pressure. General hypoxia. Autonomic nervous system Neurocardiogenic syncope. Carotid Sinus Hypersensitivity…

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

…Age related degenerative disease (fibrosis) Myocardial ischemia/infarction Lesions due to heart surgery Myocarditis Collagen disease Amyloidosis Risk of supraventricular tachyarrhythmia (tachycardia) Sinus node dysfunction…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

Procedurer Three of the commonest minor procedures in general practice concern the nails, and all three rest on the same foundation: an effective digital block…

Foreign body in the ear and nose

…majority of cases, and the great majority of objects can be removed in general practice or in the emergency department with simple equipment. Two principles…

🟠 Antiarrhythmic drugs in acute ventricular arrhythmias (ventricular tachycardia, ventricular fibrillation)

…an emergency setting. The manual includes the following sections (click to navigate to the section): Classification of antiarrhythmic drugs. Classification of ventricular tachyarrhythmias. General principles…

Antiarrhythmic drugs in ventricular tachyarrhythmias

…an emergency setting. The manual includes the following sections (click to navigate to the section): Classification of antiarrhythmic drugs. Classification of ventricular tachyarrhythmias. General principles…

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