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Pleural aspiration and chest drain

…or when the volume limit is reached. Indications Diagnostic aspiration: a new pleural effusion of unclear cause. An effusion not confidently explained by heart failure…

Diuretic Strategy and Decongestion in Heart Failure

…important. Cardiorenal syndrome may develop during acute decompensated heart failure, but worsening renal function does not necessarily indicate reduced cardiac output or impaired renal perfusion…

Levosimendan (Simdax, Simendan) in acute heart failure

…in the Treatment of Cardiogenic Shock. N Engl J Med 2021; 385:516 525 Indications Severe left ventricular failure, acute or chronic. Severe biventricular failure…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…or only mildly elevated, particularly early in the disease or after treatment. During exertion, however, the limited diastolic reserve becomes evident, with a rise in…

Chronic Heart Failure With Reduced Ejection Fraction: Four-Pillar Therapy

…HFrEF. Advanced or refractory heart failure should be considered when there is recurrent clinical deterioration despite careful follow up and appropriate therapy. In this setting…

Opioids in acute pain: quick reference for dosing and conversion

…among the common opioids in renal failure Ketobemidone IV 2.5–5 mg Oral bioavailability about 35 per cent Paracetamol PO or IV 1 g…

Delirium in older adults: quick reference

…use drugs only in severe agitation or marked distress. Delirium is an acute neuropsychiatric syndrome and a clinical diagnosis, often described as acute brain failure…

Echocardiography in cardiomyopathies: an overview

…hypertension, valvular disease or congenital heart disease. Cardiomyopathy leads to impaired cardiac function and heart failure. There are six main types of cardiomyopathy: Hypertrophic cardiomyopathy…

Heart failure: Causes, types, diagnosis, treatments & management

…heart failure with mid range ejection fraction) are relatively new entities and there are currently no effective treatments that modify the natural course in these…

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