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Introduction to exercise stress testing (treadmill test, exercise ECG)

…of exercise capacity. These parameters offer diagnostic and prognostic information which can only be obtained during physical exercise. Independent of other traditional risk factors, exercise…

Regional Myocardial Contractile Function: Wall Motion Abnormalities

…physical activity, but an atherosclerotic plaque may prevent oxygen supply from increasing in parallel with oxygen demands. Depending on several factors– including the severity of…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…This evaluation should include a detailed history, thorough questioning of eyewitnesses, and a complete physical and neurologic examination. Blood pressure and heart rate should be…

Sotalol: Initiation, QT Monitoring and Renal Dosing

…the l isomer is responsible for virtually all of the beta blocking activity. Sotalol does not block alpha adrenoceptors and lacks sodium channel blocking activity…

The Best Clinical ECG Book: ECG Made Easy or Complete?

…comprehensive understanding of cardiovascular pathophysiology and electrocardiology. Unfortunately, numerous books and online resources fall into the trap of oversimplification. Physicians, nurses, paramedics and physician assistants…

Myocardial ischemia and infarction: lack of oxygen or imbalance between supply/demand

…review on this topic [1]. References [1] G Heusch. Myocardial Ischemia: Lack of Coronary Blood Flow or Myocardial Oxygen Supply/Demand Imbalance? Circ Res. 2016…

Assessment of the pupillary reflex in cardiac arrest

…observed to lack a pupillary reflex upon their initial presentation. An absent pupillary reflex upon presentation was associated with a threefold increased risk of an…

Management of bradycardia (bradyarrhythmia)

…of adverse outcomes. Non acute or asymptomatic bradycardia Non acute bradycardia is a common finding in both healthy and diseased individuals. Asymptomatic bradycardia may lack…

Cardiac arrest due to pneumothorax

…specifically with an absence of sounds on the affected side. Ultrasonography can reveal pneumothorax (highlighted by a lack of lung tissue) and its impact on…

Warfarin therapy

…Warfarin has a narrow therapeutic index, a half life of several days and more than a hundred clinically relevant interactions. What determines whether the treatment…

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