Index permanent dual-chamber 114, 123 program alteration 138 rate-adaptive 136 single lead atrial 114 testing 137 VVI 136, 138 pacing atrial fibrillation 136 atrial tachycardia 123 atrioventricular (AV) block 118, 135, 136 bifascicular block 121 bradycardia 114, 135, 136 external 113 hypertrophic cardiomyopathy 184 sinus node dysfunction 136 syncope 136 trifascicular block 121 palpation 9–10 papillary muscle dysfunction 157, 160 paraprosthetic regurgitation 42 Parry, C 47 patent ductus arteriosus 210, 211 common associations 13 incidence 204 pulse 7 patent foramen ovale 210 patient education in chronic heart failure 100–1 percutaneous techniques 63, 64–6 balloon aortic valvotomy 149 balloon mitral valvotomy 164 evidence base 67 valvotomy 155–6 percutaneous transluminal coronary angioplasty (PTCA) 63, 70 perfusion imaging 59–61 pericardial disease 197–201 cardiac tamponade 199–200 pericardial effusion 199 pericarditis 197–9 constrictive 200–1 pericardial effusion 199 pericarditis 197–9 causes 198 constrictive 200–1 ECG 29 examination 198 imaging 198 investigations 198 management 199 pathophysiology 197 presentations 198 pericardium 197
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