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Statin Intolerance and Statin-Associated Muscle Symptoms

…Predisposing factors The likelihood of SAMS increases with higher statin doses and with several patient and treatment related factors: Age older than 80 years Female…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…risk factors The principal determinant of risk is baseline renal function. The risk is increased by: CKD, especially advanced CKD; diabetic kidney disease; older age…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…and infarction ECG Definition and Pathophysiology Acute coronary syndromes (ACS) encompass a spectrum of clinical conditions characterized by a recent change in symptoms or signs…

Pulmonary Hypertension: Classification and Treatment Principles

Cardiology Respiratory medicine Definition and Pathophysiology Pulmonary hypertension (PH) is a heterogeneous pathophysiological disorder characterized primarily by elevation of pulmonary arterial pressure. It may arise…

Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC, ARVD)

…Recessive forms exist, although they are rare (Naxos disease, Carvajal syndrome). The prevalence of ARVC is between 0.02 and 0.05% in Europe (Corrado…

Short Synacthen test

Procedurer The test measures the ability of the adrenal cortex to respond to maximal ACTH stimulation, and it is rarely the injection itself that determines…

Antianginal Therapy: Beta-Blockers, Calcium Channel Blockers, Nitrates, and Ranolazine

…CCS. General strategy For most patients, initial therapy consists of a beta blocker and/or a calcium channel blocker (CCB). If symptoms remain inadequately controlled…

Immediate Management of Type A and Type B Aortic Dissection

Cardiology Emergency medicine Surgery & trauma Definition and Pathophysiology Aortic dissection is a major form of acute aortic syndrome (AAS), alongside intramural haematoma, penetrating atherosclerotic ulcer…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…than confined to a single lesion. Consequently, local revascularization must be accompanied by systemic treatment aimed at stabilizing the broader atherosclerotic disease. Pathophysiology Mechanisms of…

Atrial Flutter: Mechanisms, ECG Recognition and Management

…characterized by discrete P waves separated by an isoelectric baseline. The most likely mechanism underlying typical atrial flutter is reentry. In the common form of…

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