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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…

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

…idiopathic or genetic dilation of the left ventricle . Patients with DCM typically develop heart failure early in life and a family history of heart failure…

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

…normally, there is more room for the right ventricle, the filling of which increases and the septum bulges into the left ventricle. During exhalation, the…

Cardiac Tamponade: Recognition and Pericardiocentesis

…paradoxus. Tamponade is therefore characterized haemodynamically by elevation and near equalization of diastolic pressures in the cardiac chambers, with chamber pressures approaching intrapericardial pressure. The…

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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