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Opioids in acute pain: quick reference for dosing and conversion

…approximate. When switching between opioids, cross tolerance is incomplete: reduce the calculated equianalgesic dose by 25–50 per cent and titrate. At a high dose…

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

…often female than patients with atherosclerotic mediated myocardial infarction. A history of cigarette smoking may be present despite relatively few other conventional atherosclerotic risk factors…

Spontaneous Coronary Artery Dissection

Cardiology Myocardial ischemia and infarction Definition and pathophysiology Spontaneous coronary artery dissection (SCAD) is an acute coronary disorder caused by separation within the coronary arterial…

Vasospastic (Prinzmetal) Angina: Provocation Testing and Treatment

…incompletely defined. Proposed contributors include hypercontractility or hypersensitivity of coronary vascular smooth muscle to vasoconstrictor stimuli, including adrenergic agonists, leukotrienes, and serotonin. In patients with…

Quiz: ECG in athletes

…ms for females) C: Incomplete Right Bundle Branch Block (rSR' pattern in lead V1 and qRS pattern in V6 with QRS duration <120 ms) D…

Pericardial Effusion & Cardiac tamponade

…is recorded in all patients with suspected pericardial disease. In addition to echocardiography, ECG and clinical examination, blood tests and other radiological examinations are most…

Opioid therapy in severe pain

…started in an opioid naive patient, or when a conversion between drugs is made without reduction for incomplete cross tolerance. Indications Acute severe nociceptive pain…

Complete Versus Culprit-Only Revascularization in Acute Coronary Syndrome

…and other mechanical complications. Shock occurs more often when the coronary artery is completely occluded and is particularly associated with MVD. Patients with ACS and…

Familial and Genetic Screening in Premature Cardiovascular Disease

…However, other inheritance patterns, de novo variants, incomplete penetrance and variable phenotypic expression complicate risk prediction. Familial clustering may also reflect shared environmental or behavioural…

Left Bundle Branch Block: ECG criteria and clinical implications

…within the left bundle system in the case of incomplete LBBB [7]. In more severe forms, LBBB is associated with the following: Myocardial Infarction : LBBB…

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