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No-Reflow Phenomenon During Percutaneous Coronary Intervention: Prevention and Treatment

…exceeding those seen with native vessel PCI. Mechanisms The principal mechanism is distal embolization of atheromatous and thrombotic material. Plaque or thrombus may be dislodged…

ECG changes due to electrolyte imbalance (disorder)

Drugs and electrolyte imbalance ECG ECG changes due to electrolyte imbalance (electrolyte disorder) The normal cardiac action potential may be altered by electrolyte imbalance, owing…

Familial Hypercholesterolaemia: Diagnosis, Cascade Screening and Treatment

…over extensor tendons, are characteristic clinical manifestations of untreated FH and may develop when the disorder is not recognized early in life. Corneal arcus and…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…an isolated disorder of the lower limbs. Patients frequently have concomitant coronary, cerebrovascular or other peripheral arterial disease, and management should therefore address the entire…

Pulmonary Hypertension: Classification and Treatment Principles

…slope greater than 2 mmHg/L/min may help identify a postcapillary mechanism. Clinical classification The clinical classification comprises five groups: Group 1: Pulmonary arterial…

Hypertrophic Cardiomyopathy (HCM) & Hypertrophic Obstructive Cardiomyopathy (HOCM)

Echocardiography Hypertrophic cardiomyopathy (HCM): from pathophysiology to echocardiography Hypertrophic cardiomyopathy is a genetic disorder that causes left ventricular hypertrophy under normal loading conditions. Hypertrophic cardiomyopathy…

Spontaneous Coronary Artery Dissection

…Inherited connective tissue disorders, including Marfan syndrome and Ehlers–Danlos syndrome. FMD may be clinically occult and can affect multiple vascular territories, including the renal…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…a disorder of autonomic reflexes. It typically occurs after attaining an upright posture or following painful stimuli and emotional stress. By the age of 60…

Alcohol withdrawal and delirium tremens: quick reference

…4. Monitoring at the appropriate level of care , with readiness for respiratory support. 5. Treatment of the alcohol use disorder and planned follow up , not…

Blood gas interpretation: quick reference for acid-base disorders

…pH 7.45 is alkalaemia. A normal pH does not exclude an acid base disorder 2 Which process explains the pH? A low pH with…

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