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The refractory period is the time interval when a second contraction cannot occur and repolarization is the recovery of the resting potential due to efflux of potassium ions. After this the cycle repeats itself. A typical ECG is shown in Figure and contraction; the QRST complex corresponds to atrial repolarization and relaxation and the onset of ventricular depolarization and contraction; and the T wave buys aldara cream canada ventricular repolarization and relaxation. Analysis of the size and shape of the waves can indicate abnormalities of the heart. Heart rate can be altered by the autonomic nervous system to meet changes in demand for blood supply.

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In hypertension, for example, the additive effects of multiple drug therapy is often necessary to achieve a reduction in blood pressure. Type B adverse drug reactions are much rarer than type A, but they are unpredictable and not dose-related and they are potentially more serious.

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Premedication is used to prepare the patient for general anaesthesia. The objective is to reduce feelings of anxiety and lightly sedate the patient.

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