…or an intracranial aneurysm Contact the responsible specialist An aortic aneurysm 6 cm Relative — avoid forced manoeuvres An ongoing respiratory infection with a risk of…

…the criteria for activation of the massive transfusion protocol. Plasma and platelets: in ongoing bleeding with coagulopathy, or as part of balanced transfusion in massive…

…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…

…at the time of examination and that the examiner is experienced with the head impulse test; performed on the wrong patient or by an inexperienced…

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

…valvular disease or congenital heart disease. Cardiomyopathy leads to impaired cardiac function and heart failure. There are six main types of cardiomyopathy: Hypertrophic cardiomyopathy (HCM…

…or a reduced requirement for antihypertensives, should prompt clinical suspicion [1]. Cardiac Signs and Symptoms Patients often present with symptoms of predominant right heart failure…

…Conventional thoracic X ray sometimes reveals calcification of the pericardium. With MRI or CT, the thickness of the pericardium can be measured and in most…

…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…

…Genetic testing of patients with confirmed or likely dilated cardiomyopathy can be recommended. There are several commercially available gene panels, which enables testing of over…

…FEV₁/FVC below the lower limit of normal (traditionally < 0.70). A restrictive pattern: a reduced TLC — this cannot be established with spirometry alone…

…flaccida → signs of fluid (a level, bubbles, retraction or bulging). 6. Where needed, pneumatic otoscopy: a slight change of pressure with the bulb shows…

…restrictive filling (grade 3 dysfunction) Irreversible restrictive filling (grade 4 dysfunction) E/A ratio 1–2 1–2 <1 1–1.5 (not reversed with…