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Diuretic Strategy and Decongestion in Heart Failure

…are elevated. Consequently, congestion may occur across the full range of left ventricular ejection fraction and may result from systolic dysfunction, diastolic dysfunction, or both…

Physiological Assessment of Coronary Stenoses and Revascularization Decisions

…In parallel, large outcome trials have clarified, and in some cases substantially narrowed, the role of revascularization itself in stable coronary artery disease, while a…

Gynaecological examination and cervical smear

…up to and including the age of 70, and the last sample is in practice taken some time between the ages of 64 and 70…

Short and long-term prognostication in cardiac arrest

…degree of hypoxia in all neurons. There is one fundamental difference between neurons and myocardium in the setting of hypoxia. Myocardium ceases contracting immediately when…

Ectopic atrial rhythm (EAT), atrial tachycardia (AT) & multifocal atrial tachycardia (MAT)

…cases, the arrhythmia is self limiting; however, it may recur and, in some instances, persist for extended durations. As for any long standing tachycardia, there…

Heart Failure With Mildly Reduced Ejection Fraction

…of completely discrete diseases. Heart failure extends across the full range of LVEF, and echocardiographic measurement is subject to meaningful variability. HFmrEF may therefore represent…

Warfarin therapy

…aortic valve 2.5–3.5 Some centres use 2.0–3.0 with a modern bileaflet prosthesis and no risk factors Mechanical mitral valve…

Neutropenic fever: quick reference for emergency management

…3 degrees as the threshold [4,5]. Some Swedish and local care programmes use 38.5 degrees instead. Follow the local definition where one exists…

Cardiovascular Risk in Inflammatory and Autoimmune Disease

…SLE and type 1 diabetes. Traditional factors such as smoking, family history of premature coronary disease, hypertension and hypercholesterolaemia did not fully explain the excess…

Post-Infarction Pericarditis and Dressler Syndrome

…rub is detected varies among clinical descriptions. It may be present intermittently during the illness and, in some series, is reported in up to approximately…

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