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ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

Critical care Myocardial ischemia and infarction Definition and Pathophysiology Cardiogenic shock is a state of inadequate tissue and end organ perfusion caused by cardiac insufficiency…

Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

Cardiology Critical care Pharmacology & dosing Definition and Pathophysiology In the management of acute heart failure and cardiogenic shock, intravenous vasoactive agents are categorised according to…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…LAD) and left circumflex (LCx) arteries (Figure 1). Acute obstruction can lead to rapid hemodynamic deterioration, cardiogenic shock, malignant ventricular arrhythmias, or sudden cardiac death…

Management of bradycardia (bradyarrhythmia)

…and should be managed urgently. The risk of cardiogenic shock and cardiac arrest is high and pharmacological interventions are frequently futile. It is often necessary…

🟠 Inotropes and Vasopressors

…Dobutamine Cardiogenic shock Bradycardia (second line therapy) Stress testing (due to induced increase in myocardial O 2 consumption) Regular : 2.0–20 μg/kg…

Acute Coronary Syndrome: Definitions and Initial Triage

…cardiac arrest, electrical or haemodynamic instability, and cardiogenic shock. ACS is distinct from myocardial infarction (MI). MI denotes cardiomyocyte necrosis occurring in the clinical setting…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…no imaging evidence of RV dysfunction. Catastrophic or “supermassive” PE refers to refractory cardiogenic shock or the need for ongoing cardiopulmonary resuscitation. Mechanical circulatory support…

NSTEMI: Risk Stratification and Timing of the Invasive Strategy

…heart failure presumed to result from ongoing myocardial ischaemia Haemodynamic instability or cardiogenic shock Life threatening arrhythmias or cardiac arrest after presentation Mechanical complications of…

Right Ventricular Infarction: Recognition and Haemodynamic Management

…right ventricle is rare. The clinical spectrum extends from limited right ventricular dysfunction to severe right sided failure and cardiogenic shock. The haemodynamic disturbance results…

STEMI: Fibrinolysis, Indications, Contraindications and Rescue PCI

…risk is high, the diagnosis is uncertain, cardiogenic shock is present, or symptoms have been present for more than 2–3 hours. Patients with a…

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