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Diuretic Strategy and Decongestion in Heart Failure

…venous pressure, pulmonary congestion, peripheral edema and body weight, often within days. However, diuretic treatment has not been shown formally to reduce heart failure mortality;…

Stress Echocardiography: Protocols and Interpretation

…LV systolic function LV contractile reserve Valve function and stress related haemodynamic changes Diastolic function Pulmonary hypertension Coronary flow velocity reserve (CFVR) Pulmonary congestion detected…

Right Ventricular Infarction: Recognition and Haemodynamic Management

…infarction confined predominantly to the right ventricle is rare. The clinical spectrum extends from limited right ventricular dysfunction to severe right sided failure and cardiogenic…

Assessing left ventricular systolic function

…measured in M mode and 2D. FS = (LVEDD LVESD)/LVEDD LVEDD = left ventricular end diastolic diameter; LVESD = left ventricular end systolic diameter…

🟠 Inotropes and Vasopressors

…peripheral use +++++ +++ ++ 0 Potent vasoconstrictor with mild inotropic effect. Increases systolic pressure, diastolic pressure and pulse pressure with minimal effect on CO. Minimal chronotropic effect…

Inotropes and Vasopressors: Doses, indications, contraindications and effects

…peripheral use +++++ +++ ++ 0 Potent vasoconstrictor with mild inotropic effect. Increases systolic pressure, diastolic pressure and pulse pressure with minimal effect on CO. Minimal chronotropic effect…

M-mode (motion mode) echocardiography

…using TAPSE (Tricuspid Annular Plane Systolic Excursion). Study the movement and opening of the aortic valve. Study the movement and opening of the mitral valve…

Risk Factor Modification: The Evidence Base for Primary Prevention

…to the number and severity of cardiovascular risk factors. Five modifiable factors—systolic blood pressure, non HDL cholesterol, diabetes, body mass index, and current smoking…

Inotropes and vasopressors: doses, indications, contraindications and effects

…Heart failure, acute or chronic. Bradycardia (second line option). 3.0–10.0 μg/kg/min + ++++ + +++++ Intermediate dose dopamine activates β1, releases noradrenaline and…

Dietary Patterns and Cardiovascular Outcomes

… and antioxidant and antithrombotic constituents from whole grains. These combined effects may improve inflammation, insulin resistance, glucose metabolism, hypertension, atherogenic dyslipidaemia, endothelial biology and platelet…

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