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Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…typical” and “atypical” angina have limited value, particularly in patients with microvascular dysfunction or vasospasm. Angina associated with microvascular disease or vasomotor abnormalities may not…

Renal parameters

…Staging of chronic kidney disease Stage eGFR Description : : : G1 ≥ 90 Normal or high G2 60–89 Mildly reduced G3a 45–59 Mildly to moderately reduced…

Empirical antibiotic therapy: quick reference for common infections

…in chronic lung disease amoxicillin 750 mg × 3 PO 5–7 days or benzylpenicillin 3 g × 4 IV Pneumonia, suspected atypical pathogen erythromycin 500 mg…

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

…Chronic limb threatening ischaemia CLTI occurs when resting perfusion is insufficient to meet the basal nutritional requirements of tissue. Typical symptoms include: Ischaemic rest pain…

Spontaneous Coronary Artery Dissection

…when marked hormonal changes occur. Hypertension and oestrogen exposure. Emotional or chronic mental stress. Fibromuscular dysplasia (FMD), which may produce arterial wall abnormalities and intramural…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…morning within several hours of awakening has been described. Atypical and painless presentations Pain is not universal. Painless STEMI is more frequent in people with…

Non-ST Elevation Acute Myocardial Infarction (NSTEMI) and Unstable Angina

Introduction to Coronary Atherosclerosis, Plaques, Atherothrombosis Coronary atherosclerosis is a chronic, progressive, and highly dynamic inflammatory disease of the arterial wall. It is characterized by…

Chronic Heart Failure With Reduced Ejection Fraction: Four-Pillar Therapy

…fatigue and oedema. This definition does not depend on left ventricular ejection fraction (LVEF). Heart failure with reduced ejection fraction (HFrEF) is defined by the…

Cardiac tamponade causing cardiac arrest

…either via the subxiphoid or apical window, is generally considered less effective than thoracotomy. This is because it does not ensure complete drainage of the…

Acute Coronary Syndrome: Definitions and Initial Triage

…release that does not fulfil the criteria for ischaemic myocardial infarction. It may be acute, when serial troponin values show a dynamic change, or chronic…

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