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Refractory Angina: Options When Standard Therapy Fails

…Adverse effects that restrict further drug escalation. Previous PCI, CABG, or attempted chronic total occlusion recanalization. Patient preferences concerning additional medication, invasive investigation, and device…

Levosimendan (Simdax, Simendan) in acute heart failure

…concurrent use of beta blockers. The vasodilating effect reduces preload and afterload, further reducing myocardial workload. Levosimendan is used in severe acute or chronic heart…

Dual Antiplatelet Therapy Duration After Acute Coronary Syndromes and Elective Percutaneous Coronary Intervention

…whether ACS or chronic coronary syndrome (CCS). Whether and how PCI was performed. The need for non cardiac surgery. The presence of an indication for…

Hypertensive crisis: drugs and doses

…hypertensive emergency. It summarises the mechanism of action, the onset, the duration of effect, the dosing, the adverse effects and the important precautions. A hypertensive…

Ivabradine: Indications, Dosing and Heart-Rate Targets

…Long term efficacy data remain limited, and the possibility that chronic If channel blockade could increase sympathetic activity, with adverse remodelling or pro arrhythmic c

Type 2 Diabetes and Cardiovascular Risk Management

…through diabetic neuropathy and adverse metabolic effects, independently of coexisting CAD, previous myocardial infarction or HF. Nevertheless, the risk of arrhythmia and sudden cardiac death…

PCSK9 Inhibitors: Indications, Efficacy and Access

…In chronic coronary syndrome, the recommended LDL C objective is: LDL C <1.4 mmol/L (<55 mg/dL) , and A reduction of at least…

Alcohol and Cardiovascular Disease

…reflects true biological protection. Potentially favourable associations with myocardial infarction may coexist with adverse effects on stroke, heart failure, cardiovascular mortality and atrial fibrillation. Consequently…

Atrial fibrillation: ECG, classification, causes, risk factors & management

…not surprising given the adverse effects of long periods of tachycardia and desynchronized atrial and ventricular activity. Fortunately, the treatment of atrial fibrillation has come…

Inotropes and vasopressors: doses, indications, contraindications and effects

…of each drug according to its vasoconstrictor effect (vertical axis) and its positive inotropic effect (horizontal axis). Grey = pure vasopressors, orange = phosphodiesterase inhibitors…

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