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Isoprenaline and Dopamine Infusions for Bradycardia

…effects. Inflammatory heart disease, caused by infections (viral, bacterial, protozoal, fungal, parasitic), autoimmune processes (giant cell myocarditis, sarcoidosis, rheumatic heart disease, connective tissue disease, eosinophilic…

Mitral regurgitation

…prolapse DCM (dilated cardiomyopathy) Ischemic heart disease (coronary heart disease) Rheumatic valve disease Endocarditis Congenital mitral regurgitation Amyloidosis SLE Hypertrophic obstructive cardiomyopathy (HOCM) Rupture of…

Aortic regurgitation

…Rheumatic heart disease Calcified aortic valves Idiopathic aortic dilatation (aneurysm) Hypertension Aortic dissection, proximal Marfan syndrome (may also cause aortic dissection) Trauma Vasculitis, rheumatic diseases…

Warfarin therapy

…anticoagulants (DOACs) are contraindicated. Antiphospholipid syndrome, particularly triple positive disease or after an arterial event, where DOACs have proved inferior. Atrial fibrillation with marked renal…

Cardiovascular Risk in Women: Sex-Specific Factors

…four female deaths is attributed to CVD. The cardiovascular burden in women includes coronary heart disease, heart failure and stroke; the lifetime risk for a…

Dix–Hallpike test and Epley manoeuvre

…of the Dix–Hallpike test. Marked obesity or spinal disease that makes positioning impossible. Severe angina, heart failure or recent myocardial infarction. Red flags — investigate…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…pericardiotomy syndrome. Acute transmural myocardial infarction. Rupture of the free ventricular wall. Neoplasms (particularly breast and lung cancer). Inflammatory conditions, such as rheumatoid arthritis, systemic…

Pericarditis, myocarditis & perimyocarditis: ECG, criteria & treatment

…as follows: Rheumatoid arthritis (RA) Systemic Lupus Erythematosus (SLE) Acute myocardial infarction (AMI) Post infarction (including Dressler syndrome) Uremia Radiation to the heart Trauma Tuberculousis…

Leg ulcers — wound debridement and compression therapy

…toe pressure < 30 mmHg. Decompensated heart failure — compression of both legs acutely increases preload. Untreated deep vein thrombosis in the acute phase. Septic phlebitis…

Acute coronary syndrome: quick reference for loading doses and time targets

…shock, serious arrhythmia or acute heart failure. Routine opening of a persistently occluded infarct related artery in a stable and asymptomatic patient is by contrast…

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