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Diuretic Strategy and Decongestion in Heart Failure

…of recurrent congestion and hospitalization. Clinical presentation and symptoms Symptoms of congestion Dyspnea is the dominant presenting symptom in acute decompensated heart failure and occurs…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…predominantly by atrial tissue; its midregional pro ANP assay may provide information comparable to BNP and NT proBNP in heart failure (HF). The biologically active…

Cardiac Tamponade: Recognition and Pericardiocentesis

…cardiovascular procedures Acute aortic disease, particularly ascending or type A aortic dissection Myocardial free wall rupture after infarction Anticoagulant associated bleeding Renal failure Systemic inflammatory…

Stress Echocardiography: Protocols and Interpretation

…Valve function and stress related haemodynamic changes Diastolic function Pulmonary hypertension Coronary flow velocity reserve (CFVR) Pulmonary congestion detected by B lines on lung ultrasound…

Mitral regurgitation

…aorta. Thus, acute regurgitation results in a sudden increase in preload, which the ventricle counteracts by increasing heart rate and stroke volume (Preload, Afterload, Stroke…

🟠 Hypertensive emergency (crisis) - Drugs, doses & management

…Fever. Atrial fibrillation. Worsening of heart failure. Caution • Used cautiously in patients with acute heart failure. • Clevidipine can cause reflex tachycardia. • Contraindicated in severe aortic…

Hypertensive emergency (crisis)

…Fever. Atrial fibrillation. Worsening of heart failure. Caution • Used cautiously in patients with acute heart failure. • Clevidipine can cause reflex tachycardia. • Contraindicated in severe aortic…

Aortic regurgitation

…extracellular processes that ultimately lead to heart failure. This initially results in greater diastolic volume and increased compliance. Increasing diastolic volumes requires that the myocardium…

Blood pressure

…involvement — lower it orally over days. Hypertensive emergency: raised pressure with acute organ damage (encephalopathy, pulmonary oedema, aortic dissection, acute renal failure, pre eclampsia) — intravenous…

🟠 Inotropes and Vasopressors

…cerebral and mesenteric vessels. Few Dopamine medium dose Cardiogenic shock Vasodilatory shock Heart failure (HF), acute Heart failure (HF), chronic Bradycardia (second line alternative) Medium…

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