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Frauen Wertheim.Electrocardiographic manifestations of hypertensive crisis.

The electrocardiographic changes in the presence of a hypertensive crisis are often subtle and non-specific. Nevertheless, the clinician should be aware of these changes as they may aid in establishing the diagnosis. They are more common in older subjects and in the presence of left ventricular hypertrophy or congestive heart failure. The most common is sinus tachycardia, which is not always pathological and can be used to differentiate between pre- and postural hypertension. Other ECG changes are not specific but are often seen. These include bradycardia, right axis deviation, ST segment depression, and T wave inversion. Each of these is most likely to reflect a different pathophysiologic process and may lead to a specific diagnosis. For example, right axis deviation in the presence of a hypertensive crisis often indicates the presence of preload or pre-excitation in the presence of a hypertrophied left ventricle. With the exception of sinus tachycardia and bradycardia, all of the ECG changes listed above are potentially reversible with therapy.In the last 24 hours, as part of the process of trying to assure our safety from the potential harms of coronavirus, the Massachusetts Bay Transportation Authority has decided to make various changes to bus service in order to keep our routes running. We'll have more to say on this soon, but in the meantime you can read the memo MBTA sent out here and here.

In the last 24 hours, as part of the process of trying to assure our safety from the potential harms of coronavirus, the Massachusetts Bay Transportation Authority has decided to make various changes to bus service in order to keep our routes running. We'll have more to say on this soon, but in the meantime you can read the memo MBTA sent out here and here.The 2015-16 campaign, which kicks off on October 17 against Portland Trail Blazers at San Antonio, will be the second year in a row on which the Clippers play host to a member of 0b46394aab

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