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Resistant Hypertension: Evaluation and Treatment

…are not included in the European guideline definition. Clinical Presentation and Symptoms The source material does not describe a distinctive symptom profile for resistant hypertension…

Acute severe asthma in adults: quick reference

…management The most dangerous asthma attack is the silent one. A patient who has become calm, quiet in the chest and stopped struggling may be…

Blood Pressure Targets in Older and Frail Adults

…Patient priorities and preferences Patients who are fit and independent generally benefit from guideline directed blood pressure treatment similar to that used in younger adults…

Bone marrow aspiration and biopsy

…B12 or folate deficiency when blood tests are insufficient. Contraindications Severe coagulopathy or ongoing anticoagulation — correct this first . Thrombocytopenia, by contrast, is not a contraindication…

Peripheral venous cannula and intraosseous access

…Avoid the lower limb in adults. In shock with collapsed vessels, the antecubital fossa or the external jugular vein are the vessels that can most…

Cardiovascular Risk Assessment with SCORE2 and SCORE2-OP

…apply SCORE2 and SCORE2 OP are intended for apparently healthy people or for individuals with elevated BP who do not already have a condition conferring…

Tachycardia induced cardiomyopathy

…The incidence is 10–34% among patients with premature ventricular contractions and/or nonsustained ventricular tachycardia who are referred for electrophysiological evaluation (Hasdemir et al…

Physical Activity Prescription for Cardiovascular Prevention

…Balance exercises Flexibility exercises Walking, yoga and gardening may provide useful activity for individuals who are reluctant to undertake formal exercise. Increasing movement during daily…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…status and walking capacity, because these may reveal “masked” PAD in patients who do not exert themselves sufficiently to provoke symptoms. Intermittent claudication Intermittent claudication…

Foreign body in the ear and nose

…down by three adults. Procedure Batteries and magnets A button battery in the nose or the ear canal is an emergency, not a finding that…

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