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Patients with heart failure have a high incidence of both symptomatic and asymptomatic arrhythmias.
About 10 per cent of patients have syncope or presyncope resulting from ventricular tachycardia. However Holter monitoring reveals that up to 70 per cent of patients have asymptomatic episodes of nonsustained ventricular tachycardia, which indicate a poor prognosis independent of the severity of left ventricular dysfunction.
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Examination is begun by placing the transducer in left parasternal region, usually in the third or fourth left intercostal space. From this position, a sector image of the heart
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In addition to parasternal and apical transducer position. Subcostal view also provides imaging window in adult patients. The patient is supine with knees flexed to relax the abd
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