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Abdominal Aortic Aneurysm: Screening and Surveillance

…and contrast agents, and accurately identifies abdominal aortic enlargement. Screening reduces aneurysm related mortality in populations with a high prevalence of AAA, particularly older male…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…systemic hypertension, and concomitant abdominal aortic aneurysm. Clinical Presentation and Symptoms Acute chest and/or back pain is the predominant symptom of both IMH and…

Spirometry

…abdominal or thoracic surgery 1 month Neurosurgery or an intracranial aneurysm Contact the responsible specialist An aortic aneurysm 6 cm Relative — avoid forced manoeuvres An…

Lipoprotein(a): Measurement and Clinical Implications

…arterial disease, ischaemic stroke, abdominal aortic aneurysm, and calcific aortic valve stenosis. Lp(a) is not associated with venous thromboembolism in prospective epidemiological studies. Its…

PCSK9 Inhibitors: Indications, Efficacy and Access

…and improves walking distance. The role of PCSK9 inhibition in thoracic or abdominal aortic aneurysmal disease remains an emerging area of research. Pharmacological Classes and…

Immediate Management of Type A and Type B Aortic Dissection

…cardiac tamponade, severe acute aortic regurgitation, coronary malperfusion, myocardial ischaemia, heart failure, shock and cerebral or visceral malperfusion. Type B disease may produce rupture, renal…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…In diabetes, carotid plaque prevalence correlates linearly with diabetes and carotid atherosclerosis tends to be more advanced than in people without diabetes. Carotid disease is…

Metabolic Syndrome: Definition and Clinical Significance

Cardiology Endocrinology & metabolism Definition and Pathophysiology Metabolic syndrome is a clustering of cardiometabolic abnormalities centred on abdominal adiposity, insulin resistance, dyslipidaemia, elevated blood pressure and…

Paracentesis

…should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal pain and peritonism and instead presents as encephalopathy, renal failure or simply deterioration…

Clinical application of ECG in chest pain & acute myocardial infarction

…palpitations, back pain and selected cases of upper abdominal pain. An ECG recording costs approximately $10 (10€) and may reduce morbidity and mortality substantially in…

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