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Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…cerebral ischaemia; known CAD, PAD, or other atherosclerotic disease; diabetes and other cardiovascular risk factors; smoking, hypertension, hypercholesterolaemia, and sedentary behaviour; family history, particularly in…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…or other vascular beds. Malignant hypertension represents an extreme form in which acute microvascular injury occurs, classically involving fibrinoid necrosis of small arteries in the…

Terminology of sudden cardiac arrest and resuscitation

…the coronary arteries. CPP is equivalent to the pressure difference between the aortic root and right atrium during diastole (coronary blood flow occurs in diastole…

Cardiac thromboembolism: cardiac sources of embolism

…or TIA. The purpose of performing an ultrasound is to scrutinize potential cardiac sources of emboli and to evaluate the carotid and cerebral arteries. Ultrasound…

The physiology of cardiopulmonary resuscitation (CPR)

…decompressions that result in perfusion of cardiac, cerebral, and pulmonary tissue. Chest compressions produce perfusion of vital organs by increasing the pressure in the atria…

Assessment of the pupillary reflex in cardiac arrest

…result, pupils often dilate widely within 30–120 seconds of cardiac arrest and light reactivity is lost when cerebral blood flow ceases. In other words…

Short and long-term prognostication in cardiac arrest

…and anoxia ( Casas et al ). In cardiac arrest without chest compressions (i.e. if cerebral perfusion ceases), irreversible neuronal cell death starts within 5–6…

Hyponatraemia: quick reference for work-up and correction

…is to relieve the cerebral oedema quickly, not to normalise the plasma sodium. Chronic or minimally symptomatic hyponatraemia must be corrected in a controlled fashion…

Hypertensive crisis: drugs and doses

…a universal target. Chronic hypertension shifts autoregulation in the brain and kidneys towards higher pressures. Too rapid a normalisation can therefore cause cerebral, coronary or…

Hypertensive crisis: quick reference for acute blood pressure lowering

…up. Rapid lowering can worsen cerebral, coronary and renal perfusion, particularly in patients with long standing hypertension and a rightward shifted autoregulation [1,3]. The…

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