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Left Ventricular Function

…of fraction of left ventricular volume ejected per beat and of ventricular end diastolic and residual volumes. Experimental and clinical observations with a precordial dilution…

Levosimendan (Simdax, Simendan) in acute heart failure

…and initiation of renal replacement therapy. The study found no significant differences between the two treatment groups with respect to either the primary or secondary…

Stroke Prevention in Atrial Fibrillation: Choosing Anticoagulation

…and risk assessment The evaluation of a patient with AF who may require anticoagulation should establish: Whether AF is clinical or device detected subclinical AF…

🟠 Enalaprilat

…prolonged duration of effect, and significant individual variations in its effect. Drug Enalaprilat Brand names Vasotec IV ® Indications Hypertension and hypertensive emergency. Acute left…

Anticoagulation Strategies in Atrial Fibrillation

…Bleeding risk must be quantified using validated tools, with the HAS BLED score being the most widely recommended. It evaluates Hypertension, Abnormal renal/liver function…

Hypertensive crisis: drugs and doses

…reference to the intravenous antihypertensive drugs used in a hypertensive emergency. It summarises the mechanism of action, the onset, the duration of effect, the dosing…

Diuretic Strategy and Decongestion in Heart Failure

…mitral regurgitation, ventricular dilatation, myocardial wall stress and subendocardial ischemia. Neurohormonal activation and vascular and renal abnormalities contribute to sodium and water retention. The interaction…

Atrial fibrillation: quick reference for emergency management

…with concomitant verapamil, or with an increased bleeding risk Renal thresholds: a DOAC is given at an eGFR 30 mL/min. At an eGFR of…

ECG changes due to electrolyte imbalance (disorder)

…at the top. Refer to Figure 1 . Patients with left ventricular hypertrophy may instead display normalization of secondary T wave inversions (lead V5, V6, aVL…

Digoxin: Dosing, Therapeutic Range and Toxicity Management

…with digitalis toxicity. Several underlying conditions increase a patient's sensitivity to digitalis related arrhythmias. The clinician must evaluate for the presence of worsening renal…

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