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Junctional rhythm (escape rhythm) and junctional tachycardia

…by cells near the node. The following must be noted: There are cells with pure automaticity around the atrioventricular node. These cells are capable of…

Ivabradine: Indications, Dosing and Heart-Rate Targets

…by hyperpolarisation and contributes to spontaneous diastolic depolarisation. By inhibiting the intracellular portion of its transmembrane pore, ivabradine reduces the slope of diastolic depolarisation and…

Causes of sudden cardiac arrest

…chronic coronary artery disease, with the latter being the most common. The figure 80% occurs in most textbooks in the field. However, contemporary data suggest…

Electrical cardioversion

…Unstable monomorphic VT with a pulse. Pre excitation with atrial fibrillation and a very rapid ventricular rate. Elective or subacute: Symptomatic persistent atrial fibrillation where…

Inotropes and vasopressors: doses, indications, contraindications and effects

…of each drug according to its vasoconstrictor effect (vertical axis) and its positive inotropic effect (horizontal axis). Grey = pure vasopressors, orange = phosphodiesterase inhibitors…

Cardiac thromboembolism: cardiac sources of embolism

…suffered a stroke/TIA, to assess whether the embolic source is the most likely cause of the event. Echocardiographic assessment of cardiac embolic sources re

Acute kidney injury: quick reference for management

…markedly impaired renal function [3]. Urine output can change before creatinine but is not a pure marker of filtration. Oliguria may be due to hypovolaemia…

Urinary alkalinisation

…failure. Without urine production there is no urine to alkalinise, and the sodium and volume load becomes pure harm. Dialysis is then the way forward…

Pericardial Effusion & Cardiac tamponade

…The effusion itself may consist of serous fluid (transudate), protein rich fluid (exudate) to pure blood (exudate). Often pericardial effusion is detected randomly (for example…

Pre-test Probability and Selection of Non-invasive Testing in Stable Angina

…an ischaemic mechanism. Clinical assessment and estimation of pre test probability Symptoms and clinical context The assessment begins with the clinical presentation, including the character…

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