Addiction is a very difficult subject to broach. How should you talk to your patient about their substance abuse? How can you gauge their motivation for change? Find out the answers by watching this video from our course Essentials of Addiction Medicine, written and presented by Dr. Stephen Holt, Co-Director at Yale Addiction Recovery Clinic, USA.

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When assessing right ventricle pressure in congenital heart disease, you can leverage the pulmonary artery diastolic pressure. Which view should you use? At which exact point should you measure the pressure of the pulmonary regurgitation jet? In this video, Cristiana Monteiro—a cardiac physiologist from the University of Oxford—provides answers and explains the underlying physics for this procedure.

Measuring the velocity of the tricuspid regurgitation jet can help you estimate the systolic pressure in the right ventricle. How do you get a reliable measurement in patients with atrial fibrillation? In this video, Cristiana Monteiro—a cardiac physiologist from the University of Oxford—provides answers and explains the underlying physics of this right-heart pressure measurement.

The tricuspid valve is made up of three non-identical leaflets: the anterior, the septal, and the posterior one. Their sizes and positions differ between individuals, which makes identifying them on ultrasound images tricky. In this video, Cristiana Monteiro—a cardiac physiologist from the University of Oxford—explains the anatomy behind septal defects and how to diagnose them using ultrasound.

The interatrial septum can contain defects, like a patent foramen ovale or primum or secundum atrial septal defects. How do you distinguish between an ultrasound artifact and a real defect? What is the role of Doppler ultrasound in diagnosing septal defects? Can the appearance of the right heart provide any clues? In this video, Cristiana Monteiro—a cardiac physiologist from the University of Oxford—explains the anatomy behind septal defects and how to diagnose them using ultrasound.

Right ventricular failure is caused by left ventricular failure, heart attack, or hereditary right heart diseases. What are the echocardiography signs of systolic dysfunction in the right ventricle? How is the tricuspid anulus supposed to move in a healthy heart? What about the free wall of the right ventricle? In this video, Cristiana Monteiro—a cardiac physiologist from the University of Oxford—shares her expert approach to right heart echo.

Measuring the right ventricular outflow tract (RVOT) with echocardiography is a great way to recognize dilation of the right ventricle. Which views should you use for measurement? Which dimensions should you measure? How can you recognize right ventricular hypertrophy? In this video, Cristiana Monteiro – a cardiac physiologist from the University of Oxford – shares her expert approach to right-heart echo.

There are some findings on a Holter monitor recording you expect, for example atrial fibrillation or premature ventricular complexes (PVCs). How do you report on it in clear and precise language? Our expert highlights common findings and reviews terms you should use to describe them.

The patient comes back with a completed Holter monitor recording. How do you get started reviewing hours of ECG records? To what extent can you trust the analyzer software? Our expert explains the cornerstones of Holter interpretation, including finding the baseline ECG rhythm, looking for pauses, brady- and tachycardias, and reviewing fragments associated with symptomatic episodes.