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🟠 Calculating Shunt Fraction (Qp/Qs) Using Echocardiography

…SV}} ] Interpretation : Qp/Qs 1.5 : Significant left to right shunt (e.g., large ASD/VSD). Qp/Qs < 0.7 : Significant right to left…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…of acute aortic syndromes, IMH for approximately 10%–20%, and PAU for about 5%; reported proportions vary by population and region. Intramural haematoma IMH is…

Pre-test Probability and Selection of Non-invasive Testing in Stable Angina

…the clinical value of any diagnostic test depends not only on its sensitivity and specificity but also on disease prevalence in the population being tested…

Management of bradycardia (bradyarrhythmia)

…reversible causes should be pursued (Table 2). Figure 1. Management of acute bradycardia in the emergency setting. Parameter Assessment A Airway Voice Breath sounds B…

Opioid therapy in severe pain

…and an undiluted syringe of 10 mg/mL makes small adjustments impossible. Procedure Intravenous titration in acute severe pain Practical points during titration: Give the…

Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…most common class of major congenital malformations. CHD occurs in approximately 1% of live births, and 10% of aborted fetuses, with no significant geographical variations…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…with reported prevalence ranging from 18% to 52%. They frequently occur in patients with severe coronary artery disease, defined in the source material as stenosis…

Heart Failure with Preserved Ejection Fraction (HFpEF)

…clinical syndrome characterized by the cardinal symptoms and signs of heart failure (HF) in the presence of a left ventricular ejection fraction (LVEF) of ≥50…

Abdominal Aortic Aneurysm: Screening and Surveillance

…4 cm may enlarge by approximately 1.5–2 mm per year, whereas larger aneurysms generally expand more rapidly. Rapid enlargement is defined in the…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…acute heart failure in which an ischaemic or cardiometabolic cause is suspected. Selected asymptomatic individuals in whom coronary disease is detected incidentally or during cardiovascular…

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