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Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…equivalent or exertional dyspnoea. Patients may continue to have lifestyle limiting symptoms despite guideline directed medical therapy (GDMT), prompting consideration of revascularization. The likelihood that…

Acute coronary syndrome: quick reference for loading doses and time targets

…begins in parallel with the diagnostic work up. Obtain an interpretable 12 lead ECG within 10 minutes of first medical contact, attach continuous rhythm monitoring…

ACE Inhibitor Cough and Angioedema: Practical Management

…lacking; the diagnosis is suspected when alternative etiologies are excluded by diagnostic testing or failed therapeutic trials. If alternative causes of cough are suspected, specific…

Foreign body in the ear and nose

…The urgency varies: Object Urgency : : Button battery Immediately — leakage of fluid causes a chemical burn Two or more magnets (including in different nostrils) Immediately — pressure…

Laryngeal mask and difficult airway

…kills because the tube would not pass, but because the team keeps trying to intubate instead of changing the plan. The aim is always oxygenation…

Colchicine and Anti-inflammatory Therapy in Coronary Disease

…because of fatal infections and high cost. Low dose methotrexate did not reduce cardiovascular outcomes, and several other agents, including pexelizumab, losmapimod and darapladib, failed…

Periprocedural Myocardial Infarction After PCI and CABG

…the adequacy of collateral circulation. Abrupt loss of flow may cause rapid deterioration when a large myocardial territory is jeopardized. Cardiovascular collapse after failed PCI…

Assessment of the pupillary reflex in cardiac arrest

…demonstrated a sensitivity of 72.2% for predicting an unfavorable neurological outcome, indicating that the test failed to identify 27.8% of individuals with poor…

Arterial line

…arrhythmia, intra aortic balloon pump. Assessment of stroke volume variation as part of fluid management. Contraindications Infection, burn or trauma over the insertion site. Insufficient…

ECG changes caused by antiarrhythmic drugs, beta blockers & calcium channel blockers

…symptoms and other therapies have failed. Patients with structural heart disease or reduced left ventricular function are not eligible. Effects of propafenone and flecainide on…

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