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Ankle-brachial index (ABI)

Procedurer The ankle brachial index is the cheapest and most accessible method of objectively demonstrating peripheral arterial disease, and it is needed more often than…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…themselves sufficiently to provoke symptoms. Intermittent claudication Intermittent claudication is exertional discomfort in a limb muscle that improves with rest. The symptom may be described…

Indications for pacemaker

…and intermittent bradycardia. The pathophysiology and prognosis differ for these entities. Note that the terms bradyarrhythmia and bradycardia are used interchangeably throughout this chapter. Intermittent…

Second-degree AV block: Mobitz type 1 (Wenckebach) & Mobitz type 2 block

…to AV Blocks). Second degree AV block is defined by the intermittent failure of atrial impulses to conduct to the ventricles, resulting in some P…

Urinary catheterisation

…healing. Voiding problems in neurogenic bladder dysfunction, in the first instance with clean intermittent self catheterisation rather than an indwelling catheter. A catheter is not…

Isoprenaline and Dopamine Infusions for Bradycardia

…risk of ventricular arrhythmias. Clinical Presentation and Symptoms Patients with bradycardia or intermittent conduction disorders frequently present with presyncope or syncope. Diagnosing transient or paroxysmal…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…hours. The extent and tempo of injury are influenced by collateral flow, myocardial oxygen consumption, and intermittent occlusion with reperfusion. Prompt reperfusion, when appropriate, reduces…

Assessment of Pacemaker Malfunction

…not visible, suggesting that the atria are not depolarized. Figure 4. Intermittent failure to capture. Figure 5. Failure to capture during the refractory period. Figure…

Management of bradycardia (bradyarrhythmia)

…guides the management of non acute or asymptomatic bradyarrhythmia. In patients presenting with intermittent symptoms of bradycardia, it is fundamental to establish a temporal correlation…

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

…to adequately increase its automaticity during physical activity). Sinus arrest & sinus pause (intermittent failures to discharge impulses). Sinoatrial block (delayed or blocked impulse conduction between…

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