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High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…but not high sensitivity, assays detect troponin in approximately 20–50%. Their greater analytical sensitivity improves diagnostic accuracy and negative predictive value in patients with…

De-escalation and Shortened Dual Antiplatelet Therapy in Patients at High Bleeding Risk

…Shortening therapy to one to three months is an option when bleeding risk is very high. Prasugrel or ticagrelor may be considered after complex interventions…

🟠 Lipid lowering therapy after ACS

…mg/dL) to reduce cardiovascular risk. 1. Assess Prior Treatment • No prior treatment, low dose, or low intensity lipid lowering therapy: • Start high potency, high…

🟠 Hydralazine

…<4 hours. Delivery IV or IM. Dose Injections • IV: 10–40 mg every 4–6 hours • IM: 10–20 mg every 4–6 hours. Infusion…

ApoB and Non-HDL Cholesterol in Cardiovascular Risk Assessment

…with apoB. Discordantly high apoB is especially associated with metabolic syndrome and mildly elevated triglycerides, even when LDL C is normal or low. Clinical Significance…

Mitral regurgitation

…or its connected myocardium may also result in mitral prolapse. Extensive myocardial infarction may lead to papillary muscle rupture. The risk of rupture is greater…

Alcohol withdrawal and delirium tremens: quick reference

…develop despite a measurable or high blood alcohol concentration, particularly in patients with marked tolerance. The most important measures in severe or complicated withdrawal are…

Blood pressure

…Normal 120–129 and/or 80–84 High normal 130–139 and/or 85–89 Grade 1 hypertension 140–159 and/or 90–99 Grade…

Exercise stress test on cycle ergometer

…false positives; at a high probability a negative test adds little. Imaging (coronary CT angiography, myocardial perfusion scintigraphy, stress echocardiography) has greater diagnostic accuracy. Contraindications…

Injection technique — intramuscular, subcutaneous and intradermal

…see the table), a syringe of the correct size, a sharps bin. For vaccination: adrenaline 1 mg/mL, an antihistamine, oxygen, and the ability to…

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