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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

…the left atrial appendage, although competing mechanisms such as large artery atherosclerosis and small vessel disease may also contribute to stroke in patients with 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

…Abnormal renal/liver function, Stroke history, Bleeding history, Labile INRs, Elderly age ( 65), and Drugs/alcohol. A crucial clinical pitfall is the misapplication of this…

Hypertensive crisis: drugs and doses

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

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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