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Left Ventricular Thrombus After Myocardial Infarction

Echocardiography Myocardial ischemia and infarction Definition and pathophysiology Left ventricular (LV) thrombus is an intracavitary clot attached to the LV endocardium, typically overlying an akinetic…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…a bloodless field one works by feel, and by feel nail spicules are left behind — which is the commonest cause of recurrence. Indications Condition Procedure : …

Antianginal Therapy: Beta-Blockers, Calcium Channel Blockers, Nitrates, and Ranolazine

…myocardial ischaemia and relieving anginal symptoms, while maintaining tolerability and adherence. Selection should be individualized according to blood pressure, heart rate, left ventricular function, comorbidities…

Cardiac arrest during pregnancy and childbirth

…hospital, prompt communication with an obstetrician and neonatologist is critical. Cardiopulmonary resuscitation (CPR) should generally adhere to the standard adult guidelines, encompassing chest compressions, ventilation…

Warfarin therapy

…Venous thromboembolism when a DOAC cannot be used (interactions, cost, adherence, pregnancy after the first trimester under specialist care). Rheumatic mitral stenosis with atrial fibrillation…

ACE Inhibitor Cough and Angioedema: Practical Management

…P. When ACE is inhibited, the resulting accumulation of these peptides irritates afferent neural pathways in the respiratory tract. This process is not dose dependent…

Complete Versus Culprit-Only Revascularization in Acute Coronary Syndrome

…adverse cardiovascular events. Complete revascularization is therefore considered an important therapeutic objective, particularly in patients with left ventricular dysfunction and/or MVD. Nevertheless, the optimal…

Hypertension: Initial Combination Therapy and Drug Selection

…the dose of a single drug. They may also permit lower doses of each component, potentially limiting adverse effects and facilitating adherence. Treatment response, however…

Resistant Hypertension: Evaluation and Treatment

…function is impaired. Inadequate adherence to medication or dietary sodium restriction may therefore mimic pharmacological resistance or contribute directly to persistent hypertension. Resistant hypertension is…

SGLT2 Inhibitors for Cardiovascular and Renal Protection

…sodium delivery to the macula densa restores tubuloglomerular feedback, causing afferent arteriolar vasoconstriction and reducing glomerular hyperfiltration. The cardiovascular and renal effects extend beyond glycaemic…

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