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Spirometry

…48 hours Smoking 1 hour Vigorous physical exertion 30 minutes A large meal 2 hours Withholding applies only to diagnostic spirometry with a reversibility test…

Blood transfusion and massive haemorrhage

…RhD negative blood (always RhD negative to women of childbearing age) while awaiting the result. Equipment A large bore peripheral cannula — at least 1.3…

Cardiac Tamponade: Recognition and Pericardiocentesis

…a much larger size before producing haemodynamic compromise. As intrapericardial pressure rises, the right atrium and right ventricle are compressed, with elevation of their diastolic…

Dix–Hallpike test and Epley manoeuvre

…a change of position — turning over in bed, lying down, standing up, tilting the head backwards. A symptom free interval between attacks, with possible residual…

Resistant Hypertension: Evaluation and Treatment

…restriction may therefore mimic pharmacological resistance or contribute directly to persistent hypertension. Resistant hypertension is associated with a higher likelihood of secondary hypertension and with…

Echocardiography in cardiomyopathies: an overview

…lead to obstruction of the LVOT (Hypertrophic Obstructive Cardiomyopathy, HOCM). Dilated cardiomyopathy (Dilated Cardiomyopathy, DCM) . Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC/ARVD) Restrictive Cardiomyopathy (RCM…

Cardiac amyloidosis

…antihypertensives, should prompt clinical suspicion [1]. Cardiac Signs and Symptoms Patients often present with symptoms of predominant right heart failure, including lower extremity edema, ascites…

Constrictive pericarditis: definition, causes, diagnosis & echocardiography

…thickness of the pericardium can be measured and in most cases, a thickening is noted. Table 1 presents the similarities and differences between restrictive cardiomyopathy…

Brugada Syndrome: Diagnosis & SCD Prevention

…fraught with controversies, particularly regarding the risk stratification of asymptomatic patients, the prognostic utility of electrophysiological studies (EPS), and the transition from a purely device…

Dilated Cardiomyopathy (DCM): Definition, Types, Diagnostics & Treatment

…dominant manner with variable penetrance and expressivity. Autosomal recessive, X linked recessive, and mitochondrial forms occur, albeit less frequently (McNally et al). Screening of family…

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