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Pulmonary Hypertension: Classification and Treatment Principles

…pulmonary hypertension (CTEPH) and chronic thromboembolic pulmonary disease Group 5: PH with unclear or multifactorial mechanisms PAH is a distinct and uncommon form of precapillary…

Chronic Kidney Disease as a Cardiovascular Risk Factor

…cardiac and renal axes may produce cardiorenal syndrome. Worsening renal function in the presence of persistent congestion is particularly associated with elevated central venous pressure…

Obesity and Cardiovascular Disease: Assessment and Treatment

…factor and as a driver of hypertension, diabetes, dyslipidaemia and systemic inflammation. It is also associated with respiratory disorders, notably obstructive sleep apnoea (OSA) and…

Refractory Angina: Options When Standard Therapy Fails

…of a chronic total coronary occlusion. Angina or ischaemia with non obstructive coronary arteries (ANOCA/INOCA), after appropriate investigation has identified the relevant endotype and…

Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…Clinical presentation and symptoms A new episode of hypotension, recurrent chest pain, pulmonary congestion, a new cardiac murmur, or jugular venous distension in the days…

Inotropes and vasopressors: doses, indications, contraindications and effects

…electrocardiographic and haemodynamic monitoring with ECG, a central venous catheter and an arterial line is necessary to achieve an optimal result. Overview of vasopressors and…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…chronic kidney disease (CKD), and multiple non cardiovascular conditions are frequent features. A proposed disease pathway involves systemic and coronary microvascular endothelial inflammation associated with…

Cardiac thromboembolism: cardiac sources of embolism

…Aortic stenosis with calcification Mitral disease with calcification Fibrin strands Giant Lambls excrescences Septum Defects — PFO, ASA, ASD SOURCES OF CARDIAC EMBOLI AND EMBOLIC POTENTIAL…

Levosimendan (Simdax, Simendan) in acute heart failure

…525) In a randomized, double blind study involving 192 patients with cardiogenic shock, researchers compared the effectiveness of milrinone and dobutamine . The primary composite outcome…

Cardiac arrest due to electrolyte imbalance

…Hypotension Arrhythmias and ECG changes Cardiac arrest Treatment Furosemide 1 mg/kg IV. Hydrocortisone 300 mg IV. Pamidronate 30 90 mg IV. Causal treatment of…

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