Pulsus Bigeminus
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Pulsus Bigeminus
Pulsus bigeminus is a cardiovascular phenomenon characterized by groups of two heartbeats close together followed by a longer pause. The second pulse is weaker than the first. Look for a pattern of what appears to be a relatively normal QRS complexes, each followed by a smaller, abnormal one. The smaller beat is palpated as either a missing or an extra beat, and on EKG resembles a PVC. These PVCs appearing every other beat are also called extrasystoles. This phenomenon can be a sign of hypertrophic obstructive cardiomyopathy or of many other types of heart disease (see list below). Other causes include digitalis toxicity, induction of anesthesia, placement of surgical instrumentation into the thorax or as a benign, temporary phenomenon. In Pulsus Bigeminus not all of the conducted electrical activity will elicit sufficient ventricular contraction to produce a palpable pulse. This is important for two reasons. One, an ECG may give a ventricular contraction rate that does not cor ...
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CG Heart
CG, Cg or cg may refer to: Arts and entertainment * Chaotic Good, an alignment in the role-playing game ''Dungeons & Dragons'' * Classical guitar, a type of guitar Businesses and organizations Businesses * Central of Georgia Railway, between Macon and Savannah, Georgia in the US *Chappe et Gessalin, a French automobile maker *Chaudhary Group, a multinational company based in Nepal * Cigna, formed in Hartford in 1865 as the Connecticut General Life Insurance Company *Colorado General Hospital, now known as University of Colorado Hospital *PNG Air, an airline from Papua New Guinea (IATA code CG) *The Carlyle Group, a private equity firm (stock symbol CG) Military units *Ceremonial Guard, an ''ad hoc'' military unit in the Canadian Forces *Coast guard, a national organization responsible for various services at sea Political parties *Galician Coalition, a Galician political party with a Galician nationalist and centrist ideology *Galician Convergence, a Galician political part ...
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Digoxin
Digoxin (better known as Digitalis), sold under the brand name Lanoxin among others, is a medication used to treat various heart conditions. Most frequently it is used for atrial fibrillation, atrial flutter, and heart failure. Digoxin is one of the oldest medications used in the field of cardiology. It works by increasing myocardial contractility, increasing stroke volume and blood pressure, reducing heart rate, and somewhat extending the time frame of the contraction. Digoxin is taken by mouth or by injection into a vein. Digoxin has a half life of approximately 36 hours given at average doses in patients with normal renal function. It is excreted mostly unchanged in the urine. Common side effects include breast enlargement with other side effects generally due to an excessive dose. These side effects may include loss of appetite, nausea, trouble seeing, confusion, and an irregular heartbeat. Greater care is required in older people and those with poor kidney function. It ...
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Pulsus Bisferiens
Pulsus bisferiens, also known as biphasic pulse, is an aortic waveform with two peaks per cardiac cycle, a small one followed by a strong and broad one. This reference illustrates the normal and abnormal spectral waveform. It is a sign (medicine), sign of problems with the aortic valve, aorta, including aortic stenosis and aortic regurgitation, as well as hypertrophic cardiomyopathy causing subaortic stenosis. __TOC__ Pathogenesis In hypertrophic cardiomyopathy, there is narrowing of the left ventricular outflow tract (LVOT) due to hypertrophy of the interventricular septum. During systole, the narrowing of the LVOT creates a more negative pressure due to the Venturi effect and sucks in the anterior mitral valve leaflet. This creates a transient occlusion of the LVOT, causing a midsystolic dip in the aortic waveform. Towards the end of systole, the ventricle is able to overcome the obstruction to cause the second rise in the aortic waveform. In severe aortic regurgitation, addit ...
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Inotrope
An inotrope is an agent that alters the force or energy of muscular contractions. Negatively inotropic agents weaken the force of muscular contractions. Positively inotropic agents increase the strength of muscular contraction. The term ''inotropic state'' is most commonly used in reference to various drugs that affect the strength of contraction of heart muscle. However, it can also refer to pathological conditions. For example, enlarged heart muscle can increase inotropic state, whereas dead heart muscle can decrease it. Medical uses Both positive and negative inotropes are used in the management of various cardiovascular conditions. The choice of agent depends largely on specific pharmacological effects of individual agents with respect to the condition. One of the most important factors affecting inotropic state is the level of calcium in the cytoplasm of the muscle cell. Positive inotropes usually increase this level, while negative inotropes decrease it. However, not al ...
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