…Hypertension. Smoking. Dyslipidemia (hyperlipidemia). Obesity and/or diabetes. Psychosocial stress. Alcohol abuse. Physical inactivity. Unhealthy diet. Cerebral / peripheral vascular disease. Cancer. Acute coronary syndromes cause…

…Pathophysiology Alcohol enhances inhibitory signalling via gamma aminobutyric acid, GABA, and inhibits excitatory glutamate signalling, in part via NMDA receptors. With prolonged alcohol exposure the…

…metabolism. Alcohol dehydrogenase converts ethanol to acetaldehyde, which is subsequently converted by aldehyde dehydrogenase to acetate. The remaining fraction is excreted unchanged in urine, perspiration…

…pattern Pattern Predominant Consider : : : Hepatocellular ALT and AST ↑↑, ALP normal Viral hepatitis, drugs, alcohol, autoimmune hepatitis, ischaemic hepatitis, steatohepatitis Cholestatic ALP and GGT ↑↑…

…renal failure, alcohol, a missed meal, physical activity and any other precipitating factor. Thresholds The thresholds below are used above all in diabetes. The severity…

…blood contact. An alcohol or chlorhexidine swab. Let the skin dry completely before inserting the needle — alcohol carried in with the needle stings. Needles of…

…Preparation and equipment Chlorhexidine in alcohol 5 mg/mL: clean with 3–4 swabs in wide circles and let it dry for a couple of…

…80 mg tablet once daily. Warnings and precautions Use Aspirin with caution in the following cases: Concurrent anticoagulant therapy (e.g., coumarin derivatives or heparin…

…age 65, and concomitant drug/alcohol use. Some studies suggest HAS BLED has comparable or slightly superior predictive capability for major bleeding compared to ATRIA…

…antidepressants reduces the effect of clonidine. • Clonidine increases the CNS depressive effects of alcohol and sedatives. Clonidine doses and administration in hypertension (hypertensive crisis/emergency).