Wrist and Hand Conditions

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Physical Findings Rapid, jerky upstroke of the carotid pulse A double or triple apex beat harsh systolic ejection murmur at the lower LSB medial to the apex (increases in intensity with maneuvers that decrease venous return such as Valsalva’s maneuver or standing and decreases with squatting, leg raise and clenching fist). wide splitting of S2 third heart sound is common, owing to greater diastolic filling rates fourth heart sound may be heard as a result of vigorous atrial contractions in individuals with thin chest walls.
Echocardiographic Findings (investigation of choice) marked, asymmetrical LV wall thickening (septum disproportionately greater than the LV free wall, with an average thickness of ≥20mm) diminished LV cavity size (
Page 2 and 3: Sudden Cardiac Death in Athletes Fa
Page 4 and 5: Other definitions limit the time fr
Page 6 and 7: History The first recorded sudden d
Page 8 and 9: professional basketball All-Star Re
Page 10 and 11: Landmark studies Maron et al: 134 S
Page 12 and 13: France Institute of Forensic Medici
Page 15 and 16: Etiology (Brukner) Common: Hypertro
Page 18 and 19: Etiology USA Hypertrophic cardiomyo
Page 20 and 21: Italy To establish the impact of sp
Page 22 and 23: France 31 SCDs: 29 male subjects, r
Page 24: Among non sports-related SCDs in th
Page 28 and 29: Hypertrophic cardiomyopathy is gene
Page 30 and 31: Unfortunately, often the first clin
Page 34 and 35: Note: Elite athletes with left vent
Page 36 and 37: Electrocardiographic Findings drama
Page 38 and 39: Apical hypertrophic cardiomyopathy.
Page 40 and 41: Recommendations for diagnostic eval
Page 43 and 44: Recommendations for participation i
Page 45 and 46: Nonpharmacologic therapies are rese
Page 48 and 49: Coronary Artery Anomalies The secon
Page 50: Anatomy - Coronary Arteries
Page 53 and 54: Both MRI and CT coronary angiograph
Page 55 and 56: Myocarditis Is frequently the resul
Page 57 and 58: Endomyocardial biopsy and histologi
Page 59 and 60: Arrhythmogenic right ventricular dy
Page 61 and 62: The first clinical sign of ARVD is
Page 63 and 64: ECG changes in the majority of case
Page 66: Criteria for the differential diagn
Page 69 and 70: Wolff-Parkinson-White syndrome An a
Page 71 and 72: The resting ECG may demonstrate an
Page 73 and 74: WPW
Page 75 and 76: Brugada syndrome A syndrome of SCD
Page 78 and 79: Brugada syndrome. Note the incomple
Page 80 and 81: Determination of the QT interval. O
Page 82 and 83:
Long QT Syndrome
Page 84:
V-tach that changes orientation (ch
Page 87 and 88:
LQTS is a relatively rare cause of
Page 89 and 90:
Aortic rupture Aortic rupture makes
Page 91 and 92:
Common manifestations involve the s
Page 93 and 94:
Diagnosis Positive family history:
Page 95 and 96:
Commotio cordis or cardiac concussi
Page 97 and 98:
Exposure to agents such as erythrom
Page 100 and 101:
Preventive Strategies American appr
Page 102 and 103:
Family history 6. Premature death (
Page 104 and 105:
Prehospital Care Time period betwee
Page 106:
Cardiopulmonary resuscitation shoul
Page 109 and 110:
4. Tanaka Y, Yoshinaga M, Anan R, T
Page 111 and 112:
10. Fornes P, Lecomte D. Pathology
Page 113 and 114:
16. Wren C. Sudden death in childre
Page 115 and 116:
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