…that include rheumatoid arthritis (RA), psoriatic arthritis, spondyloarthropathies, systemic lupus erythematosus (SLE), systemic sclerosis, vasculitides, mixed connective tissue disease, myositis, Sjögren syndrome, gout and antiphospholipid…

…and the barbecue roll or the Gufoni manoeuvre for treatment. Contraindications Absolute: Unstable cervical spine injury, recent cervical spine surgery, atlantoaxial instability, severe rheumatoid arthritis…

…up of treatment effect and of disease progression. Assessment of pulmonary involvement in systemic disease, for example rheumatoid arthritis or scleroderma, and during treatment with…

…such as rheumatoid arthritis, systemic lupus erythematosus, scleroderma, and rheumatic fever. Aortic dissection rupturing into the pericardium. Idiopathic pericardial effusion. Renal failure, hypothyroidism, and hypercholesterolemia…

…cervical collar, rheumatoid arthritis, ankylosing spondylitis MACOCHA is validated for the intensive care patient and totals 12 points: Mallampati III–IV (5 points), obstructive sleep…

…compression The ankle brachial index measured with Doppler determines whether compression may be applied at all, and if so at what pressure. Palpable foot pulses…

…premature menopause and subsequent hypertension or diabetes are insufficient to support firm conclusions. Systemic inflammatory and autoimmune diseases, including systemic lupus erythematosus and rheumatoid arthritis…

Echocardiography The mitral valve The mitral valve separates the left atrium and the left ventricle. The valve is attached to the mitral annulus , which is…

…a wide range of local and systemic conditions may cause pericarditis. The most common causes are as follows: Rheumatoid arthritis (RA) Systemic Lupus Erythematosus (SLE…

…severity. Tricuspid stenosis is visually characterized by thickened leaflets, with reduced motion and potentially fused commisures. Continuous Doppler is used to assess the stenosis. Doppler…

…bacterial, protozoal, fungal, parasitic), autoimmune processes (giant cell myocarditis, sarcoidosis, rheumatic heart disease, connective tissue disease, eosinophilic myocarditis), toxins (alcohol, cocaine, cancer therapies), or physical…

…Rheumatic heart disease is the leading cause of mitral regurgitation in low and middle income countries. Rheumatic heart disease typically results in thickening of the…

…first trimester under specialist care). Rheumatic mitral stenosis with atrial fibrillation. In uncomplicated atrial fibrillation and in ordinary venous thromboembolism, a DOAC is the first…

…a complication of rheumatic fever, which is caused by streptococcal infections (group A Streptococcus ). Rheumatic heart disease can occur at any age and multiple valve…

…of the pulmonary valve and, subsequently, narrowing of the valvular orifice. Carcinoid heart disease may also lead to endocardial fibrosis. Rheumatic heart disease Sinus of…

…Reduced leaflet mobility. Left sided rheumatic valvular disease is virtually always present. Carcinoid heart disease Short, thick and rigid leaflets. Echocardiography Two dimensional echocardiography is…

…increasing LVEDP and LAP, which in turn results in pulmonary hypertension and pulmonary edema. Table 1. Causes of aortic regurgitation Bicuspid aortic valve Rheumatic heart…

…sinus node dysfunction occur after tachyarrhythmia; the combination of tachyarrhythmia and sinus node dysfunction is referred to as tachy brady syndrome . Neurocardiogenic syndrome (which includes…