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Immediate Management of Type A and Type B Aortic Dissection

…aorta: Stanford type A: involves the ascending aorta, with or without extension into the arch or descending aorta. Stanford type B: does not involve the…

Cardiac arrest due to pneumothorax

CPR Pneumothorax Pneumothorax is characterized by the presence of free air in the thoracic cavity. While this can occasionally be benign and manifest even in…

Spirometry

…40 with respiratory symptoms, and occupational exposure to dust, gas or fumes. Preoperative assessment before thoracic or upper abdominal surgery in a patient with known…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…These disruptions may initiate or complicate the haematoma. IMH most frequently involves the descending thoracic aorta, which is affected in approximately 60%–70% of cases…

Atrial fibrillation: ECG, classification, causes, risk factors & management

…fibrillation with onset during hyperthyroidism (thyrotoxicosis), alcohol overdose, thoracic surgery, acute myocardial infarction, pericarditis/myocarditis or pulmonary embolism is often a reversible arrhythmia with low…

Cardiac tamponade causing cardiac arrest

…the mediastinum can cause tamponade. Post operative Complications : Post surgical complications following thoracic procedures can cause tamponade. Tamponade with swinging heart of the pericardium. Source…

Performing Echocardiographic Examinations

…are obtained with the patient positioned in the left lateral decubitus position. In this position, the heart comes closer to the thoracic wall, with less…

Right ventricular hypertrophy (RVH): ECG criteria & clinical characteristics

…with respect to RVH, because the right ventricle is difficult to visualize clearly with trans thoracic echocardiography. Causes of right ventricular hypertrophy Lung disease (with…

Pleural aspiration and chest drain

…Relative Skin infection, herpes zoster or burns over the puncture site Relative Mechanical ventilation with a high PEEP (an increased risk of pneumothorax; ultrasound guidance…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…and thoracic diagnoses must be considered. The immediate clinical categories include: Non cardiac diagnosis Chronic stable angina Possible ACS Definite ACS In patients with ST…

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