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ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…hypotension, pulmonary edema, malignant arrhythmias, and rapid progression to cardiogenic shock. Ventricular fibrillation or asystole may occur early due to the massive ischemia. Complete LMCA…

Hypertensive crisis: drugs and doses

…acute target organ damage. Common manifestations are hypertensive encephalopathy, intracerebral haemorrhage, acute coronary syndrome, acute left ventricular failure with pulmonary oedema, acute aortic syndrome, acute…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…attention to the type of stroke and the possibility of thrombolytic treatment. Cardiac and pulmonary complications Acute hypertension may precipitate myocardial ischemia or infarction, acute…

Chronic Heart Failure With Reduced Ejection Fraction: Four-Pillar Therapy

…the strongest evidence for the four pillar disease modifying strategy applies to symptomatic HFrEF. Clinical presentation and symptoms Typical manifestations reflect pulmonary and systemic congestion…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

Cardiology Emergency medicine Definition and pathophysiology Acute pulmonary embolism (PE) is classified according to haemodynamic status, clinical severity, evidence of right ventricular (RV) dysfunction, and…

Acute exacerbation of COPD: quick reference

…a sufficient explanation for all acute dyspnoea in a patient with COPD. Pneumonia, heart failure, pulmonary embolism, pneumothorax and acute coronary syndrome must be actively…

Levosimendan (Simdax, Simendan) in acute heart failure

…patients with unknown etiology for acute severe heart failure. A recent echocardiographic examination should be available or performed urgently to evaluate ventricular and valvular function…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…chronic obstructive pulmonary disease, renal insufficiency, systemic hypertension, and concomitant abdominal aortic aneurysm. Clinical Presentation and Symptoms Acute chest and/or back pain is the…

Pulmonary Embolism (PE)

…factors (see Risk factors below). A significant proportion of cases with pulmonary embolism require thrombolysis to dissolve the occlusion. Administration of thrombolysis requires careful consideration…

Pulmonary Hypertension: Classification and Treatment Principles

…3: PH due to chronic lung disease, hypoxia, or sleep disordered breathing Group 4: Chronic thromboembolic pulmonary hypertension (CTEPH) and chronic thromboembolic pulmonary disease Group…

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