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Management of bradycardia (bradyarrhythmia)

Cardiology Diagnosis and treatment of bradycardia (bradyarrhythmia) Acute bradycardia with hemodynamic instability Acute bradycardia with hemodynamic effects is a potentially life threatening condition and should…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…high probability of endocarditis, the sensitivity and specificity of the examination will increase, and vice versa. In case of suspicion of endocarditis, transthoracic echocardiography (TTE…

Digoxin - ECG changes, arrhythmias, conduction defects & treatment

…Figure 1 . Figure 1. ST segment depression due to digoxin treatment. Adverse effects of digoxin The incidence of adverse drug reactions is high, owing to…

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

…electrolyte disorders). QT duration is inversely related to heart rate; QT duration increases at slow heart rates and vice versa . Hence, the QT duration must…

Coronary Artery Disease

…prognostication, selection of diagnostic tests, and treatment strategies have been updated. For example, exercise stress testing is no longer recommended in the initial evaluation of…

Stable Coronary Artery Disease (Angina Pectoris): Diagnosis, Evaluation, Management

…prognostication, selection of diagnostic tests, and treatment strategies have been updated. For example, exercise stress testing is no longer recommended in the initial evaluation of…

The T-wave: physiology, variants and ECG features

…positive QRS complex should be followed by a positive T wave, and vice versa ( Figure 17 ). Otherwise there is discordance (opposite directions of QRS and…

Aberrant ventricular conduction (aberrancy, aberration)

…length of the refractory period (see Basic Cardiac Electrophysiology) varies with heart rate. The length is shortened as heart rate increases and vice versa. Thus…

Long QT (QTc) interval, long QT syndrome (LQTS) & torsades de pointes

…As the heart rate increases, the QT interval decreases and vice versa. The physiological purpose of this phenomenon is to allow for faster cardiac cycles…

Myocardial Ischemia & infarction: Cellular changes, ECG and symptoms

…Cardiac cells are highly capable of matching the supply and demand of ATP; increased cardiac workload results in increased ATP production and vice versa. Importantly…

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