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Evaluation of exercise stress test: ECG, symptoms, blood pressure, heart rate, performance

…however, be distinguished from dyspnea which is shortness of breath. Dyspnea may be due to poor exercise capacity (with normal ventilatory capacity and cardiac output…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…of standing to determine if orthostatic hypotension is present. High risk features on history include: New onset of chest discomfort, abdominal pain, shortness of breath…

Acute Coronary Syndrome: Definitions and Initial Triage

…nausea or vomiting. Persistent shortness of breath. Weakness, dizziness, light headedness, or loss of consciousness. No symptoms at the time of assessment. Ongoing chest discomfort…

Type 2 Myocardial Infarction: Mechanisms and Management

…shortness of breath is the cardinal symptom and may act as an ischaemic equivalent, though caution is advised in interpreting it without corroborating evidence of…

Oxygen therapy

…shows a falsely normal value. Give 100 % oxygen on a reservoir mask — this markedly shortens the half life of carbon monoxide. Contact your national or…

Central venous catheter

…dialysis catheter, not an ordinary triple lumen catheter). Measurement of central venous pressure and central venous oxygen saturation. Repeated blood sampling during intensive care. Exhausted…

Pericardiocentesis

…most superficially, where the distance from the skin is shortest, and where no liver, lung or vessel lies in the path of the needle. Access…

Intensive care parameters

…with a daily wake up trial shortens the time on the ventilator. See the article on confusion for the management of delirium in intensive care…

Adenosine: Administration Technique, Dose Escalation and Precautions

…Adenosine is an endogenous nucleoside present throughout the body that interacts with G protein coupled A1 receptors located on the extracellular surface of cardiac cells…

QT duration & corrected QT (QTc) duration: ECG features & implications

…separate chapter discusses Long QT syndrome (LQTS). A complete list of drugs causing QT prolongation can be found here. Corrected QT intervals (QTc) can be…

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