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

…chemistry & laboratory medicine Emergency medicine Myocardial ischemia and infarction Definition and Pathophysiological Basis High sensitivity cardiac troponin (hs cTn) assays detect circulating troponin released from…

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

…a potent P2Y12 inhibitor to clopidogrel; reducing the dose of prasugrel; extending DAPT beyond 12 months in carefully selected patients with high ischemic risk and…

🟠 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

Hydralazine Hydralazine is not preferred for hypertensive emergencies due to the high risk of reflex sympathetic stimulation. Drug Hydralazine Brand names Apresoline ®, Bidil ®…

ApoB and Non-HDL Cholesterol in Cardiovascular Risk Assessment

…varies according to particle size and composition. As a result, apoB and cholesterol measures may be discordant. A patient may have: Relatively high apoB despite…

Mitral regurgitation

…regurgitation in high income countries is age related degeneration of the valvular apparatus. Age related degeneration affects 2% of the population and leads to gradual…

Alcohol withdrawal and delirium tremens: quick reference

…hyperactivity Up to 5 to 7 days, sometimes longer Persisting withdrawal, particularly after previous severe episodes, with concurrent physical illness or after prolonged very high…

Blood pressure

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

Exercise stress test on cycle ergometer

…recovery. A patient who stops at a low workload with a fall in blood pressure is a high risk patient even with normal ST segments…

Injection technique — intramuscular, subcutaneous and intradermal

…a sharps bin. For vaccination: adrenaline 1 mg/mL, an antihistamine, oxygen, and the ability to lay the patient down. Injection Needle Angle Maximum volume…

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