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Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…disease, particularly diabetic kidney disease and advanced CKD. The clinical course is often more rapidly reversible than that of other forms of acute tubular necrosis…

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…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…angina pectoris. The location of the pain beneath the xiphoid and epigastrium, combined with patient denial, often leads to a mistaken impression of indigestion. STEMI…

Pulmonary Hypertension: Classification and Treatment Principles

…of pulmonary arterial hypertension (PAH). The threshold is not absolute: patient phenotype, risk factors for heart failure with preserved ejection fraction, echocardiographic findings, and left…

Statin Intolerance and Statin-Associated Muscle Symptoms

…Complete intolerance is uncommon. Most patients who report intolerance can ultimately take some form of statin therapy after systematic reassessment and rechallenge. The principal manifestation…

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

…in patients with reduced left ventricular ejection fraction (LVEF). They are also recommended in patients within one year of MI and in those with LVEF…

Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC, ARVD)

…is confined to the left ventricle. ARVC causes ventricular tachycardia and sudden cardiac arrest; the disease is one of the most common causes of sudden…

Immediate Management of Type A and Type B Aortic Dissection

…trauma Definition and Pathophysiology Aortic dissection is a major form of acute aortic syndrome (AAS), alongside intramural haematoma, penetrating atherosclerotic ulcer, aortic pseudoaneurysm and traumatic…

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

…reentry. In the common form of typical atrial flutter, the reentrant circuit is confined to the right atrium and travels in a counterclockwise direction. The…

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