…the combined effects of contrast exposure and other ischaemic or nephrotoxic stresses. The kidney is particularly vulnerable to toxic injury because of its high blood…

…of LDL C reduction. Thus, even a modest absolute reduction may be clinically important in individuals at high or very high risk. Prolonged exposure to…

…can lead to a significant increase in exposure to ticagrelor. Dosage: Acute Coronary Syndromes Treatment with Ticagrelor should start with a loading dose of 180…

…drinking in either sex. Other definitions of unhealthy drinking include at least two drinks daily in women or three in men, or at least four…

…for smoking and anticipated barriers to cessation. Exposure to second hand smoke. Use of cannabis, electronic cigarettes or other inhaled products. Readiness to attempt cessation…

…rivaroxaban and edoxaban. Check every 6 months 15 30 Dabigatran contraindicated. The other DOACs are possible according to FASS, but the documentation is insufficient; check…

…confined to a single lesion. Consequently, local revascularization must be accompanied by systemic treatment aimed at stabilizing the broader atherosclerotic disease. Pathophysiology Mechanisms of acute…

…administration. Radiotracers with higher levels of redistribution can move from areas of higher concentration to regions with lower concentration, for reasons other than perfusion differences…

…are more prevalent in women. Chronic kidney disease and several other comorbidities also contribute to the disproportionate cardiovascular burden in women. Depression and anxiety are…

…monoamine oxidase inhibitor crisis, cocaine intoxication, or other sympathomimetic exposure, including methamphetamine. Abrupt withdrawal of antihypertensive medication, particularly clonidine, can also precipitate a hypertensive crisis…

…lesions can cause acute severe regurgitation, a left to right shunt, tamponade, or sudden loss of effective cardiac output. Their recognition is essential because treatment…

…flow limitation. The mechanisms are incompletely defined. Proposed contributors include hypercontractility or hypersensitivity of coronary vascular smooth muscle to vasoconstrictor stimuli, including adrenergic agonists, leukotrienes…

…affecting approximately 1 in 250,000–350,000 individuals. The lifelong exposure to high LDL C is central to the disease burden. In untreated HeFH…

…an exposure Concussion, temporal bone injury, dissection, aminoglycoside toxicity, antiepileptic drugs, alcohol or sedatives Trauma and medication directed workup This corresponds to the principles of…

…epilepticus should raise strong suspicion of another or an additional cause [1]. Delirium tremens most often begins after one to three days but can start…

…exertion, emotional stress, meals, or exposure to cold. Relieving factors, including rest or medication. Time of day and temporal pattern. Change in frequency, severity, or…

…via Glycoprotein IIb/IIIa cross linking). Concurrent activation of the coagulation cascade leads to thrombin generation and fibrin deposition, culminating in a partially or fully…

…and mortality. Risk factor modification is therefore directed at identifying individuals at increased risk and reducing exposure to established, modifiable determinants of cardiovascular disease. The…

Procedurer For many patients a gynaecological examination is associated with a sense of exposure, and technically correct performance is only half the task. The examination…

…central to diagnosis and long term management. Clinical presentation and symptoms The source material does not describe the typical symptoms or symptom burden of uncomplicated…

…and the findings of the ambulance crew The stated dose is often unreliable and must never be used on its own to declare the patient…

…saline solution (NaCl) if suspected of toxin exposure. Gastrointestinal lavage is infrequently employed due to aspiration risks and inconclusive evidence. However, in cases of iron…

…after exposure to a known or probable allergen , even if skin symptoms are absent [1,4]. Typical warning symptoms are: hoarseness, stridor, swelling of the…

…occupational exposure to dust, gas or fumes. Preoperative assessment before thoracic or upper abdominal surgery in a patient with known lung disease. Follow up of…

…mg once daily. Rationale: Patients in this age group have higher bleeding risk and increased exposure to the active metabolite of prasugrel. Patients weighing <…

…E Exposure Identify signs of heart failure, hypoperfusion (assess skin temperature, color, sweat). Table 1. Initial evaluation of bradycardia according to ABCDE. Symptoms of bradycardia…

…smoking exposure, and physical inactivity. The interaction between these acquired risks and age related cardiovascular remodeling contributes to the high incidence and prevalence of coronary…

…Clinical assessment of the focus; check previous culture results, antibiotics, allergies, renal function, health care exposure and the risk of resistant organisms 0 to 60…

…single breath hold No intravenous line No premedication No special preparation Radiation exposure of approximately 1–1.5 mSv with contemporary techniques The total CAC…

…non atherosclerotic causes of symptoms should be considered. When plaque is present but stenosis is minimal or mild, symptoms are also unlikely to be caused…

…Often requires intravascular imaging to demonstrate an intramural haematoma or double lumen Type 1 is reported in fewer than one third of cases in the…

…the nocebo effect : negative expectations, contextual cues and attribution of pre existing symptoms to the medication. No single diagnostic test can distinguish a pharmacological SAMS…

…presumed to be immune mediated. Pericardial injury, necrosis, bleeding, or pleural incision may expose cardiac antigens and initiate an inflammatory response. The presence of antibodies…

…1. Expose the whole shoulder; rolling up a sleeve creates a constriction that distorts the anatomy and tempts the operator to inject too high. 2…