•40% myocardial damage •High output: beri-beri, Paget’s, anaemia, thyrotoxicosis •Hypertension: sympathetic, aldosterone •LVF: dyspnoea, bibasalcreps, gallop rhythm (3rdHS),

•Orthopnoea: •PND: -‘going to the window to get air’ •Marfan’s–ass. w/ aortic aneurysms and aortic regurgitation •Thallium/tetrofosmin: ischaemia/infarctio

•Sinus tachy: fever, anaemia, heart failure •SVT (narrow complex) –AF, flutter –Bundle of Kent –WPW/pre-excitation –delta waves –AVNRT –most common &bull

  •‘prominent v waves’ –TR –Secondary venous upstroke d/t filling of RA @systole •Distended, non-pulsatileneck veins: SVC obstruction –espd/t SCC of lung &

    IHD: precipitation by exercise –incl. sexual intercourse •Sweating, nausea, vomiting –high suspicion of MI •Aortic dissection –‘tearing,’ mediast