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Dix–Hallpike test and Epley manoeuvre

…recent stroke or TIA in the vertebrobasilar territory. Retinal detachment. Relative: Marked cervical restriction of movement or pain — use the Semont manoeuvre or the side…

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…

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

…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…

Constrictive pericarditis: definition, causes, diagnosis & echocardiography

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

Cardiac Tamponade: Recognition and Pericardiocentesis

…It generally results from accumulation of pericardial fluid, blood, or, less commonly, a mass. Tamponade occurs when intrapericardial pressure equals or exceeds right atrial pressure…

Blood transfusion and massive haemorrhage

…deficiency, folate deficiency — transfusion is rarely the right measure. Contraindications Anaemia that can be corrected with iron, B12 or folate in a stable patient. Transfusion…

Resistant Hypertension: Evaluation and Treatment

…particularly when kidney function is impaired. Inadequate adherence to medication or dietary sodium restriction may therefore mimic pharmacological resistance or contribute directly to persistent hypertension…

Spirometry

…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…

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

…fraction is reduced). Left ventricular diastolic function may be normal or exhibit a restrictive pattern (increased E/A ratio and rapid deceleration time; see Diastolic…

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