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Anticoagulation Strategies in Atrial Fibrillation

…the left atrial appendage (LAA). The LAA is a highly trabeculated, windsock like embryonic remnant that exhibits uniquely low flow velocities during the loss of…

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…

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…

🟠 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…

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…

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…

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…

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…

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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