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Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…and medical therapies. Adults with congenital heart disease are mostly managed in GUCH clinics (Grown Up Congenital Heart disease). Prevalence of congenital heart disease (CHD…

Right ventricular strain: definition, causes, echocardiography

Echocardiography Right ventricular strain When assessing the right half of the heart, it is important to familiarize yourself with the principles of hemodynamics and conditions…

Strain, strain rate and speckle tracking: Myocardial deformation

…the theoretical and practical aspects of deformation (strain, strain rate) and myocardial motion. Myocardial motion Myocardial motion concerns the movement of myocardium from one point…

ECG parameters

…deviation — left anterior fascicular block, inferior infarction, hypertrophy +90° to +180° Right axis deviation — right ventricular strain, lateral infarction, left posterior fascicular block −90° to…

Cardiovascular Risk in Women: Sex-Specific Factors

…women than men after approximately 65 years of age. Hypertension related left ventricular hypertrophy, concentric remodelling, reduced longitudinal strain and heart failure with preserved ejection…

Pulmonary embolism: quick reference for risk stratification and treatment

…or cardiac arrest with suspected pulmonary embolism. Urgent bedside echocardiography, looking for right ventricular strain. If CT pulmonary angiography can be performed immediately, do it…

Ventricular tachycardia (VT): ECG criteria, causes, classification, treatment

…virtually all cases. Ventricular tachycardia causes immense strain on the ventricular myocardium, simultaneously as the cause of the arrhythmia already affects cellular function. This results…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…pulmonary vascular disease can lead to right ventricular strain and dysfunction, which is associated with poor outcomes. Preserving right ventricular function is therefore an important…

Assessing left ventricular systolic function

…with ejection fraction, stroke volume and is thus a measure of systolic function. Strain and strain rate Myocardium deforms during systole and diastole. The deformation…

ECG in left ventricular hypertrophy (LVH): criteria and implications

…ECG signs of left atrial enlargement 3 Left axis deviation 2 QRS duration ≥90 milliseconds 1 Prolonged R wave peak time: V1 V2 (right ventricle…

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