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Additional info for Amsacrine-Associated Cardiotoxicity

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If we measure the PQ interval, we will not only reeognise a prolongation or shortening of the PQ time, but also that • p waves are partially eonducted, and portially not condueted, in variable manners: in the three forms of AV block r • No p wave is eonducted: this means thar the atria ond ventrides are working independently from each other, in the presence of AV block 3" (complete AV block) • p waves are twisting around the QRS eomplexes (in the special forms of AV dissociation) QRS duration normal (:5 90 msec) or prolonged?

It is obvious that the echocardiogram (by direct measurement) can better determine the dimensions and the wall thickness of all four heart chambers than the ECG. Famous indices for the detection of left ventricular hypertrophy as Sokolow's, Lyon's and Romhilt's point score indexes have revealed a very low sensitivity and good to moderate specificity. It is time to realize this. 3. 40 years ago even complex congenital heart diseases were diagnosed on the basis of clinical findings (especially auscultation), x-rays and, of course, the ECG.

Fusion of Tand U Normal ECG Afrial fibrillafion, LAF8, LVH, hypokalemia? LAD, left axis deviation; LAFB, left anterior fascicular block; LVH, left ventricular hypertrophy; SR, sinus rhythm. 3 In our experienee readers preferring the fuH pieture may also have a lack of eoneentration during ECG interpretation, thus falling into the same traps as the glaneers. The reasons for this are manifold. Step' Regular or irregular? 1)-diagnosable by every dentist-was shown to the author by a very good-looking female colleague.

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Amsacrine-Associated Cardiotoxicity by dr.salem


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