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ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…PDA) in a left dominant circulation (i.e. 10 15% of cases). Clinically, patients present with severe chest pain, diaphoresis, hypotension, pulmonary edema, malignant arrhythmias…

🟠 Nitroprusside

…Indications Pulmonary edema, congestive heart failure. Angina pectoris. Hypertension, hypertensive crisis/emergency. Pulmonary hypertension. Blood pressure control. Mechanism of action Nitroprusside provides nitric oxide (NO…

Mitral regurgitation

…Ehlers Danlos syndrome), osteogenesis imperfecta typically causes prolapse of P2 (Figure 1). Myocardial ischemia affecting the papillary muscles or the connected myocardium may cause mitral…

Cardiac amyloidosis

…antihypertensives, should prompt clinical suspicion [1]. Cardiac Signs and Symptoms Patients often present with symptoms of predominant right heart failure, including lower extremity edema, ascites…

Diuretic Strategy and Decongestion in Heart Failure

…or both. The clinical consequences of extracellular volume expansion include elevated cardiac filling pressures, pulmonary congestion, systemic venous hypertension, and peripheral interstitial edema. These abnormalities…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…swelling, interstitial edema, and tissue inflammation promote extravascular compression, exacerbating myocardial injury. Clinical Presentation and Symptoms In up to one half of STEMI cases, a…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…affects ventricular relaxation (and thus ventricular filling). This may even lead to compression of the ventricles during diastole; cardiac tamponade occurs if excess pericardial fluid…

🟠 Nicardipine

…Adverse effects Tachycardia. Headache. Flushing. Edema. Dizziness. Caution Should be used cautiously in patients with myocardial ischemia and/or heart failure. Nicardipine doses and administration…

🟠 Nitroglycerin

…Trinipatch ® Indications Pulmonary edema, congestive heart failure. Angina pectoris. Hypertension, hypertensive crisis/emergency. Pulmonary hypertension. Blood pressure control. Mechanism of action Nitroglycerin provides nitric…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…interstitial edema, and inflammatory extravascular compression. This impaired tissue perfusion can extend injury beyond the initial ischemic zone and contributes to ventricular failure. Mechanisms of…

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