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Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…a blunt proximal stump, vessel bending, calcification and an occlusion length of at least 20 mm. These characteristics are incorporated into the J CTO score…

Stroke Prevention in Atrial Fibrillation: Choosing Anticoagulation

…Definition and pathophysiology Atrial fibrillation (AF) is a major independent risk factor for thromboembolism, including ischaemic stroke. This risk applies across the clinical patterns of…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…evidence of peripheral embolism, or an unexplained drop in arterial pressure. Silent or unrecognized infarction occurs more often in patients without antecedent angina and in…

Acute coronary syndrome: quick reference for loading doses and time targets

…thrombolysis and PCI wire crossing. Exact times are needed for continued management and quality follow up. STEMI: time targets and choice of reperfusion Primary PCI…

Wound suturing

…without apposition. A wound that bleeds because the edges are held apart. A wound through the full thickness of the dermis, particularly over joints and…

Ventricular Pressure-Volume Relationship: Preload, Afterload, Stroke Volume, Wall Stress & Frank-Starling's law

…the contracting starts, and when left ventricular pressure exceeds left atrial pressure, the mitral valve closes. Upon closing of the mitral valve, left ventricular pressure…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…freely and therefore does not produce the same sustained shift of water [3]. Severity of DKA The classification helps in choosing the level of care…

Oxygen therapy

…a set of valves, and a high flow nasal cannula where available. Bag mask equipment for a patient who is not breathing adequately. Choosing a…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…bridge. Clinical Presentation and Symptoms Symptoms of STEMI The usual symptom is severe, prolonged ischemic discomfort. It is commonly described as heavy, squeezing, or crushing…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…people with diabetes and becomes more common with advancing age. Presentations without pain may include: Sudden breathlessness Syncope or sudden loss of consciousness Confusion Profound…

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