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Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…including transitions between stable angina, angina or ischaemia with non obstructive coronary arteries (ANOCA/INOCA), post ACS or post revascularization states, and heart failure of…

Sinus node dysfunction (SND) and sick sinus syndrome (SSS)

…the four abovementioned conditions. The majority of patients will experience symptoms, although some cases are asymptomatic. Symptomatic patients typically experience fatigue, dizziness, dyspnea, presyncope/syncope…

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

…fatigue and oedema. This definition does not depend on left ventricular ejection fraction (LVEF). Heart failure with reduced ejection fraction (HFrEF) is defined by the…

Heart Failure With Mildly Reduced Ejection Fraction

…regarded as a series of completely discrete diseases. Heart failure extends across the full range of LVEF, and echocardiographic measurement is subject to meaningful variability…

Ivabradine: Indications, Dosing and Heart-Rate Targets

…sinus rate. Its principal therapeutic distinction from beta blockers is that it lowers heart rate without directly reducing myocardial contractility or altering vascular tone. Accordingly…

Diuretic Strategy and Decongestion in Heart Failure

…between cardiac and renal dysfunction is particularly important. Cardiorenal syndrome may develop during acute decompensated heart failure, but worsening renal function does not necessarily indicate…

Evaluation of exercise stress test: ECG, symptoms, blood pressure, heart rate, performance

…subjective physical sensations experienced during exercise, including increased heart rate, increased respiratory rate and depth, increased sweating, and muscle fatigue. Although this is a subjective…

Cardiac Tamponade: Recognition and Pericardiocentesis

…medicine Procedurer Definition and Pathophysiology Cardiac tamponade is a life threatening clinical syndrome in which increased intrapericardial pressure compresses the heart and impairs ventricular filling…

Acute exacerbation of COPD: quick reference

…sufficient explanation for all acute dyspnoea in a patient with COPD. Pneumonia, heart failure, pulmonary embolism, pneumothorax and acute coronary syndrome must be actively considered …

Dix–Hallpike test and Epley manoeuvre

…turning over in bed, lying down, standing up, tilting the head backwards. A symptom free interval between attacks, with possible residual unsteadiness. No hearing loss…

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