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Dix–Hallpike test and Epley manoeuvre

…rheumatoid arthritis of the neck. Symptomatic carotid stenosis, recent stroke or TIA in the vertebrobasilar territory. Retinal detachment. Relative: Marked cervical restriction of movement or…

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

…are less common than inherited mutations. Clearly, not all DCM genes have been discovered. Genetic testing for DCM Genetic testing of patients with confirmed or…

Cardiac amyloidosis

…of Cardiac Amyloidosis Demographic and Clinical Context Cardiac amyloidosis should be suspected in patients older than 65 years presenting with heart failure and increased left…

Constrictive pericarditis: definition, causes, diagnosis & echocardiography

…causes of pericarditis can result in constrictive pericarditis. In high income countries, idiopathic pericarditis, radiation to the pericardium and surgical interventions are the most common…

Cardiac Tamponade: Recognition and Pericardiocentesis

…the right atrium and right ventricle are compressed, with elevation of their diastolic pressures. Right sided filling becomes increasingly dependent on the fall in intrathoracic…

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…

Spirometry

…investigation that distinguishes obstructive from restrictive impairment of lung function, and COPD cannot be diagnosed without it . The quality of the test determines its entire…

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…

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…

Blood transfusion and massive haemorrhage

…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…

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