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Dix–Hallpike test and Epley manoeuvre

…to a hanging head. Frenzel goggles or video Frenzel if available — small beats of nystagmus can otherwise be hard to see, particularly when the patient…

Cardiac Tamponade: Recognition and Pericardiocentesis

…occurs when intrapericardial pressure equals or exceeds right atrial pressure. The haemodynamic consequences are progressive impairment of right and left sided filling, reduced stroke volume…

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

…of known mutations defines the condition as idiopathic dilated cardiomyopathy . Echocardiography in dilated cardiomyopathy (DCM) In dilated cardiomyopathy (DCM), both ventricles are dilated and left…

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

…blood flow from the pulmonary vein to the left atrium is hampered. This reduces the filling of the left atrium and, accordingly, the left ventricle…

Resistant Hypertension: Evaluation and Treatment

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

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

Cardiology Introduction Since its initial description in 1992 as a syndrome of right bundle branch block, ST segment elevation, and sudden cardiac death (SCD), Brugada…

Blood transfusion and massive haemorrhage

…wrong patient — a mislabelled tube, or an identity check performed at the nurses' station instead of at the bedside. The check against the patient's…

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