…Perceived exertion The patient's perceived exertion is a way of estimating the intensity of the physical activity. It is based on the subjective physical…

…index of microcirculatory resistance (IMR). This review synthesizes the physiological basis, diagnostic performance, and outcome evidence for each index, situates two recent noninferiority trials of…

Procedurer For many patients a gynaecological examination is associated with a sense of exposure, and technically correct performance is only half the task. The examination…

…energy shocks outperform low escalating energy protocols. Note that while cardioversion restores sinus rhythm in up to 95% of patients, long term maintenance (particularly in…

…Lip GY. Performance of the HEMORR₂HAGES, ATRIA, and HAS BLED bleeding risk prediction scores in patients with atrial fibrillation undergoing anticoagulation: the AMADEUS study. J…

…are elevated. The syndrome is therefore defined by symptoms and signs of congestion or impaired cardiac performance rather than by ejection fraction alone. Heart failure…

…Lip GY. Performance of the HEMORR2HAGES, ATRIA, and HAS BLED bleeding risk prediction scores in patients with atrial fibrillation undergoing anticoagulation: the AMADEUS study. J…

…having a considerable burden of non cardiac comorbidity. HFmrEF has clinical characteristics that, on average, resemble HFrEF more closely than HFpEF. Patients are more commonly…

…pressures are reduced. The central management principle is preservation of adequate right ventricular preload while supporting left ventricular performance and systemic circulation. Improvement in left…

…and its diagnostic performance is influenced by image quality and local expertise. Clinical Presentation and Indications Stress echocardiography is used in patients with suspected or…

…70% of maximal pulse instead of 85%). Many patients appreciate the exercise test because it offers them an opportunity to evaluate their performance and symptoms…

…Measure the size of the ptosis in millimetres, the time to diplopia on upward gaze, or the number of seconds the patient can hold the…

…threatening tachyarrhythmias. Evaluation and Physical Examination Physical examination of a patient on digoxin therapy should focus on identifying signs of heart failure decompensation, which may…

…because coronary computed tomography angiography (CCTA) and functional imaging have higher diagnostic performance. Its most consistent contemporary role is therefore the assessment of functional capacity…

…preparations The procedure must be explained carefully to the patient, who must also be informed that his/her performance will affect the validity of the…

…regardless of etiology, if the initial rhythm is asystole or PEA. Most current protocols for ECMO exclude patients presenting with asystole or PEA. Duration of…

…correct cuff size. A cuff that is too small overestimates the blood pressure. 6. Repeat the measurement after a few minutes' rest, if the patient…

…selected lower risk individuals with a family history of premature coronary artery disease. CAC findings incidentally identified on a chest CT performed for another indication…