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Opioids in acute pain: quick reference for dosing and conversion

…not according to total body weight Concomitant benzodiazepine A markedly increased risk of respiratory depression. Avoid the combination, or reduce both Red flags and pitfalls…

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

…cysts and tumors of the pericardium, as well as congenital malformations leading to an incomplete or absent pericardium. In case of suspicion of pericardial disease…

Opioid therapy in severe pain

…to taper off, not to increase the dose. Contraindications Ongoing respiratory depression, or untreated severe respiratory failure without the possibility of monitoring. Paralytic ileus and…

Complete Versus Culprit-Only Revascularization in Acute Coronary Syndrome

…objective, particularly in patients with left ventricular dysfunction and/or MVD. Nevertheless, the optimal extent and timing of intervention depend on the clinical setting, haemodynamic…

Familial and Genetic Screening in Premature Cardiovascular Disease

…result from: Incomplete penetrance of a variant inherited from a parent. A de novo variant. Less commonly, autosomal recessive inheritance. X linked or other non…

Left Bundle Branch Block: ECG criteria and clinical implications

…130 msec in females , along with slurring or notching of the mid QRS in at least two left facing leads [7]. These stricter parameters correlate…

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

…tomography (OCT) can reveal lesions that are not apparent on conventional angiography. Coronary vasomotor disorders may involve epicardial spasm or abnormalities of the coronary microcirculation…

Refractory Angina: Options When Standard Therapy Fails

…pathophysiology of refractory angina is heterogeneous. In obstructive CAD, symptoms may result from extensive or diffuse epicardial disease, chronic total occlusion, incomplete revascularization, or coronary…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…multivessel disease, bifurcation lesions, treatment of acute myocardial infarction Procedural and mechanical Stent underexpansion, incomplete wall apposition, residual inflow or outflow disease, edge dissection, overlapping…

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