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Opioids in acute pain: quick reference for dosing and conversion

…tolerance is incomplete: reduce the calculated equianalgesic dose by 25–50 per cent and titrate. At a high dose, in old age or in renal…

Quiz: ECG in athletes

…in V6 with QRS duration <120 ms) D: Profound sinus bradycardia (<30 beats/min or sinus pauses ≥3 s) Explanation: Incomplete Right Bundle Branch Block…

Pericardial Effusion & Cardiac tamponade

…leading to an incomplete or absent pericardium. In case of suspicion of pericardial disease, it is important to conduct a careful investigation as several conditions…

Opioid therapy in severe pain

…concentration, clearly labelled. A laxative and an antiemetic prescribed at the same time as the opioid — not afterwards. A current creatinine with the eGFR, the…

Complete Versus Culprit-Only Revascularization in Acute Coronary Syndrome

…therapy. Anatomical and functional completeness are not synonymous. Anatomically incomplete revascularization may nevertheless be functionally complete if all lesions causing ischaemia have been treated. Conversely…

Familial and Genetic Screening in Premature Cardiovascular Disease

…example, heterozygous carriers in a clearly recessive cardiomyopathy may not require the same follow up as individuals at risk in an autosomal dominant family, whereas…

Left Bundle Branch Block: ECG criteria and clinical implications

…the case of incomplete LBBB [7]. In more severe forms, LBBB is associated with the following: Myocardial Infarction : LBBB can develop as a complication of…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…myocardial, or systemic, and treatment is inappropriate or incomplete if the mechanism is not established. Myocarditis and takotsubo syndrome can produce myocardial injury and troponin…

Refractory Angina: Options When Standard Therapy Fails

…Neuromodulation of cardiac pain signalling. Experimental angiogenic or regenerative strategies. The syndrome is clinically important not only because of persistent symptoms, but also because quality…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…always be specified. Coronary arterial thrombi are predominantly platelet rich because they form under high shear conditions. Disruption of an atherosclerotic plaque or injury associated…

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