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Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…pauses. In an ICD patient, EMI may be interpreted as ventricular tachyarrhythmia and trigger inappropriate antitachycardia treatment unless detection and therapy are disabled. Conversely, asynchronous…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…transient atrioventricular (AV) block can also occur. The physiologic response to orthostatic stress is incompletely understood, but redistribution of blood volume and increased ventricular contractility…

Opioids in acute pain: quick reference for dosing and conversion

…approximate. When switching between opioids, cross tolerance is incomplete: reduce the calculated equianalgesic dose by 25–50 per cent and titrate. At a high dose…

Quiz: ECG in athletes

…B: Prolonged QT interval (QTc ≥ 480 ms for females) C: Incomplete Right Bundle Branch Block (rSR' pattern in lead V1 and qRS pattern in V6…

Pericardial Effusion & Cardiac tamponade

…are cysts and tumors of the pericardium, as well as congenital malformations leading to an incomplete or absent pericardium. In case of suspicion of pericardial…

Opioid therapy in severe pain

…started in an opioid naive patient, or when a conversion between drugs is made without reduction for incomplete cross tolerance. Indications Acute severe nociceptive pain…

Complete Versus Culprit-Only Revascularization in Acute Coronary Syndrome

…therapy. Anatomical and functional completeness are not synonymous. Anatomically incomplete revascularization may nevertheless be functionally complete if all lesions causing ischaemia have been treated. Conversely…

Familial and Genetic Screening in Premature Cardiovascular Disease

…de novo variants, incomplete penetrance and variable phenotypic expression complicate risk prediction. Familial clustering may also reflect shared environmental or behavioural factors rather than a…

Left Bundle Branch Block: ECG criteria and clinical implications

…7]. Etiology and Mechanisms LBBB may result from lesser degrees of conduction delay within the left bundle system in the case of incomplete LBBB [7]…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…or systemic, and treatment is inappropriate or incomplete if the mechanism is not established. Myocarditis and takotsubo syndrome can produce myocardial injury and troponin elevation…

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