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By Glenn N. Levine

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The risks of lidocaine toxicity are increased in elderly patients, those with depressed left ventricular function, and those with liver disease. 76. The most important side effect of the antiarrhythmic drug sotalol is QT-segment prolongation leading to torsades de pointes. 77. , retroperitoneal bleed, pseudoaneurysm, arteriovenous fistula), stroke, and a very rare need for emergency CABG. 78. The widely accepted hemodynamic definition of pulmonary arterial hypertension (PAH) is a mean pulmonary arterial pressure of more than 25 mm Hg at rest or more than 30 mm Hg during exercise with a pulmonary capillary or left atrial pressure of less than 15 mm Hg.

By measuring in centimeters the vertical height from the sternal angle to the top of the jugular pulsation. To do so, place two rulers at a 90-degree angle: one horizontal (and parallel to the meniscus) and the other vertical to it and touching the sternal angle (Fig. 1-1). The extrapolated height between the sternal angle and meniscus represents the jugular venous pressure (JVP). & By adding 5 to convert jugular venous pressure into central venous pressure. , the point where central venous pressure is, by convention, zero) is the center of the right atrium.

In Mobitz type II, the PR interval is fixed and occasional P waves are nonconducted. Mobitz type II second-degree heart block usually indicates structural disease in the atrioventricular (AV) node or His-Purkinje system and is an indication for pacemaker implantation. & Third-degree heart block: All P waves are nonconducted, and there is either a junctional or ventricular escape rhythm. To call a rhythm third-degree or complete heart block, the atrial rate (as evidenced by the P waves) should be faster than the ventricular escape rate (the QRS complexes).

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