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Anaphylaxis: quick reference for emergency management

…exposure sudden hypotension or severe bronchospasm during anaesthesia, a drug infusion or the administration of contrast medium Skin symptoms are absent in approximately 10 to…

Spontaneous Coronary Artery Dissection

…influences, including oestrogen and progesterone related structural changes in the coronary media. The early postpartum period, when marked hormonal changes occur. Hypertension and oestrogen exposure…

Non-ST Elevation Acute Myocardial Infarction (NSTEMI) and Unstable Angina

…plaque to a highly thrombogenic surface occurs via three primary mechanisms: Plaque Rupture: Accounting for 60 70% of ACS presentations, plaque rupture typically occurs in…

Vasospastic (Prinzmetal) Angina: Provocation Testing and Treatment

…causes transmural ischaemia. The resulting abnormalities in left ventricular function may lead to myocardial infarction, ventricular tachycardia, ventricular fibrillation, or sudden cardiac death. Spasm may…

Management of bradycardia (bradyarrhythmia)

…intolerance to sudden cardiac arrest. The most common acute symptoms are dizziness (pre syncope), hypotension (chock), syncope, chest pain, heart failure and cardiac arrest. In…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…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…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…and terminology Contrast associated acute kidney injury is an acute deterioration in renal function occurring after exposure to iodinated contrast media, particularly during cardiovascular angiography…

Risk Factor Modification: The Evidence Base for Primary Prevention

…is therefore directed at identifying individuals at increased risk and reducing exposure to established, modifiable determinants of cardiovascular disease. The principal targets include blood pressure…

Gynaecological examination and cervical smear

…to improve outcomes and is not part of the screening programme — screening consists of the smear, not of the examination itself. Cervical cancer screening in…

Arterial Hypertension: Definition, Diagnosis and Out-of-Office Measurement

…during diastole. It corresponds to disappearance of Korotkoff sounds; if sounds persist, the fourth Korotkoff sound is used. Office blood pressure: blood pressure measured in…

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