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Adenosine: Administration Technique, Dose Escalation and Precautions

…the initial dose should be reduced to 3 mg. Heart transplant patients: Due to denervation, which makes the sinus and AV nodes supersensitive to the…

Performing Echocardiographic Examinations

…In this position, the heart comes closer to the thoracic wall, with less lung tissue covering the heart. Some images in adult TTE are obtained…

Pulmonary Hypertension: Classification and Treatment Principles

…arterial hypertension (PAH). The threshold is not absolute: patient phenotype, risk factors for heart failure with preserved ejection fraction, echocardiographic findings, and left atrial size…

Cardiac arrest due to pneumothorax

…air is substantial enough to compress the superior and inferior vena cava, impeding or halting venous return to the heart. In instances of tension pneumothorax…

Pharmacologic agents in myocardial perfusion imaging

…to exercise, such as unstable angina, severe aortic stenosis, decompensated heart failure, or aortic aneurysm. Baseline ECG abnormalities rendering ST T interpretation difficult, including left…

Sinus tachycardia & Inappropriate sinus tachycardia

…disease and medications : A wide range of diseases and medications may cause sinus tachycardia; e.g congestive heart failure, lung disease (e.g COPD), fever…

Digoxin: Dosing, Therapeutic Range and Toxicity Management

…glycoside first described by William Withering in 1775, is the oldest pharmacologic agent in the heart failure armamentarium. Its use has declined over time due…

Stress Echocardiography: Protocols and Interpretation

…blood supply. Stress increases myocardial oxygen requirements, principally through increased heart rate and contractility. In the presence of a flow limiting coronary stenosis, supply cannot…

Artifacts in ultrasound imaging

…without generating significant reflections. However, when side lobes encounter strong reflectors (calcifications, pericardium, mechanical heart valves, wires, etc ), they may generate significant reflections which are…

Management of bradycardia (bradyarrhythmia)

…wall movements Chest percussion Lung auscultation Pulse oximetry ( 95%) C Circulation Skin color Sweating Capillary refill time (<2 s) Palpate pulse Heart auscultation Blood pressure…

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