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Atrial flutter: classification, causes, ECG criteria and management

…However, most cardiac conditions may be associated with atrial flutter. As compared with several other supraventricular tachyarrhythmias, atrial flutter does not occur among otherwise healthy…

Mechanisms of cardiac arrhythmias: from automaticity to re-entry (reentry)

…On the other hand, sinus bradycardia developing during physical exercise is considered abnormal, because heart rate must increase during exercise. Mechanisms of cardiac arrhythmias The…

Other ECG changes in ischemia and infarction

…93%) for myocardial infarction. Moreover, fragmented QRS is associated with an increased risk of sudden cardiac death and ventricular arrhythmias. Figure 2. Fragmented QRS complex…

A new ECG biomarker for sudden cardiac death

…sudden cardiac arrest. The constraint does not lie in therapy: implantable cardioverter defibrillators (ICDs) are highly effective, terminating well over 99% of the ventricular arrhythmias…

Brugada syndrome: ECG, clinical features and management

…separate from those in Brugada syndrome and the risk of ventricular arrhythmias and sudden cardiac death is considerably lower than the risk among patients with…

Adenosine: Administration Technique, Dose Escalation and Precautions

Arrhythmias and arrhythmology Pharmacology & dosing Definition and Pathophysiology Adenosine is an endogenous nucleoside present throughout the body that interacts with G protein coupled A1 receptors…

Atropine: Dosing in Bradycardia and Its Limitations

…slow rate. Acute treatment is generally unnecessary unless the cardiac output is inadequate, hypotension is present, or secondary arrhythmias result from the slow rate. In…

Digoxin: Dosing, Therapeutic Range and Toxicity Management

…when other therapeutic options cannot be pursued. Patients receiving digoxin may present with symptoms of digitalis toxicity, which manifests across multiple organ systems. Non cardiac…

Acute Coronary Syndrome: Definitions and Initial Triage

…and subsequent fall in cardiac specific troponin attributable to myocardial ischaemia. UA presents with compatible ischaemic symptoms but without cardiac specific troponin elevation above the…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…Atrial arrhythmias Pericardial disease, including constriction Right ventricular dysfunction caused by pulmonary embolism Infiltrative cardiomyopathies, particularly cardiac amyloidosis Sepsis and other hyperdynamic states In cardiac…

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