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ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…valvular disease or excessive beta blocker or calcium channel blocker exposure. The incidence of cardiogenic shock complicating STEMI has fallen with prompt reperfusion and reduction…

Sotalol: Initiation, QT Monitoring and Renal Dosing

…adrenoceptors and lacks sodium channel blocking activity, meaning it exerts no membrane stabilizing effects. The class III antiarrhythmic effect is achieved by blocking the delayed…

Amiodarone: Loading, Maintenance Dosing and Monitoring Schedule

…1 to 2 hours. Oral onset is delayed, typically requiring 2 to 3 days, and often 1 to 3 weeks or occasionally longer; loading doses…

NSTEMI: Risk Stratification and Timing of the Invasive Strategy

…selective or delayed approach is recommended in this setting unless other findings justify urgent intervention. Risk scores Several risk scores integrate clinical, ECG, and biomarker…

🟠 Prasugrel (Effient, Efient, Prasita)

…either primary or delayed percutaneous coronary intervention (PCI). Contraindications Prasugrel should not be used in the following situations: Hypersensitivity to the active substance or any…

Anaphylaxis: quick reference for emergency management

…acute clinical use the following simplification can be used: Grade Clinical picture Management : : : Mild allergic reaction Skin or mucosa only, stable breathing and circulation Observation…

Coronary Anomalies and Myocardial Bridging

…distribution, or termination of the coronary arteries. They include anomalous aortic origin of a coronary artery (AAOCA), coronary fistulae, and myocardial bridging. Although many are…

Right bundle branch block (RBBB): ECG, criteria, definitions, causes & treatment

…slowly as they travel partially or entirely outside the specialized conduction system. This slow propagation leads to a delayed and abnormal activation sequence of the…

Sinus node dysfunction (SND) and sick sinus syndrome (SSS)

…intermittent failures to discharge impulses). Sinoatrial block (delayed or blocked impulse conduction between the sinoatrial node and the atrium). All these conditions have been discussed…

Neutropenic fever: quick reference for emergency management

…but delayed antibiotics are associated with a worse outcome in sepsis and in several studies of neutropenic patients. In septic shock, or where sepsis is…

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