…possible or known plaques, or stenosis. Diagnostics Electrocardiogram and Cardiac Monitoring An ECG should be performed if there is suspicion of syncope due to an…

…warning symptoms are due to sympathetic activation: sweating tremor palpitations hunger anxiety pallor paraesthesiae Neuroglycopenic symptoms An inadequate supply of glucose to the brain can…

…last intake Common clinical picture : : 4 to 12 hours Tremor, sweating, anxiety, insomnia, tachycardia, hypertension, headache, nausea and vomiting 8 to 24 hours Alcoholic hallucinosis…

…and anxiety related disorders. The immediate objective is not simply to establish whether the patient has ACS. It is to determine whether the patient is…

…loss Polycystic ovary syndrome Functional hypothalamic amenorrhoea Fertility therapy and assisted reproductive technology The extent to which these conditions confer risk independently of conventional factors…

…costochondritis, and gastrointestinal disorders. Radiation of discomfort to the trapezius ridge is not seen in STEMI and suggests pericarditis instead. Pain is not uniformly present…

…drugs. Such treatment has not been shown to improve the prognosis and can cause hypotension, acute kidney injury, myocardial ischaemia or cerebral hypoperfusion. Pain, anxiety…

…Known stricture or tumour of the nose, pharynx or oesophagus. Oesophageal varices. Recent surgery of the nose, pharynx or oesophagus. Marked nausea, anxiety or communication…

…g due to reciprocal ST segment depressions in V1, V2, V3). IIa B In patients with inferior myocardial infarction, consider connecting V3R and V4R to…

…dyslipidaemia, and diabetes mellitus Reduce anxiety and depressive symptoms Facilitate return to work and appropriate recreational or sporting activity Limit recurrent myocardial infarction, cardiovascular morbidity…

…or intravenous treatment. Some patients with acute pain, anxiety, or distress have transient BP elevation that improves when the precipitating state resolves. The distinction is…

…nodal reentrant tachycardia (AVNRT) is a common tachyarrhythmia observed across all age groups, from children to the elderly, and frequently occurs in otherwise healthy individuals…

…manifestations. Anaphylactic cardiac arrest should be suspected among younger patients, in case of known allergy, when exposed to potent allergens (e.g. wasp stings, peanuts…

…muscle activation, leading to marked heat generation, acidosis, and the subsequent development of hyperkalemia. This condition is potentially fatal and necessitates prompt intervention, including sedation…

…deprivation, urinary retention or a new sedative drug, for example — may be enough to precipitate the condition [1,2]. Delirium is common but often missed…

…Routine gynaecological examination of asymptomatic women has not been shown to improve outcomes and is not part of the screening programme — screening consists of the…

…instability and hypertension [4]. Step 2: look systematically for acute organ damage Organ or condition Findings to look for Initial investigation : : : CNS Confusion, reduced consciousness…

…may lead to inappropriate anxiety and invasive procedures. Symptomatic disease Symptoms of carotid disease include: TIA; ischaemic stroke; focal neurological symptoms attributable to the affected…

…obstruction of an epicardial coronary artery. A vulnerable atherosclerotic plaque and thrombogenic blood interact to initiate and extend thrombosis. Plaque vulnerability is influenced by inflammation…

…Body weight 50 kg: Adult dosage. Adverse effects Adverse effects typically persist <10 seconds due to the short half life of adenosine. Anxiety Chestpain. Palpitations…

…clinicians must be able to separate pericarditis from ST elevation myocardial infarction (STEMI). This may not always be simple, because both conditions bring about severe…