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Deceased donor organ donation

…by Direct criteria: clinical neurological examination and, where needed, four vessel angiography Indirect criteria after circulatory arrest, following a five minute no touch period The…

Abscess incision and drainage

…abscess, a markedly unwell patient with fever and systemic upset, suspected necrotising soft tissue infection, a child who cannot tolerate the procedure while awake. Suspected…

Invasive Coronary Angiography: Indications and Vascular Access

…selective intracoronary contrast injection under fluoroscopy. The procedure is performed by advancing guidewires and diagnostic catheters from a percutaneous arterial access site to the aortic…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…Denotes myocardial infarction related to stent thrombosis following PCI. Type 4c MI: Denotes myocardial infarction related to restenosis following PCI. Both type 4b and 4c…

Periprocedural Myocardial Infarction After PCI and CABG

…elevation after revascularization is common and may reflect procedural myocardial injury rather than a clinically significant infarction. Mechanisms of injury Procedural injury may result from…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…of patients. Evaluation and clinical assessment Clinical factors influencing treatment selection The following characteristics favour CABG when clinically and anatomically appropriate: Diabetes mellitus, particularly with…

Gastric lavage and activated charcoal

…measure in decontamination, and gastric lavage is today a rare procedure reserved for very serious poisonings in which the patient reaches hospital early. The benefit…

Cardiac arrest in intoxication (poisoning)

…intubation, and prolonged ICU admissions. Pending the correct level of care, the following actions can be performed. CPR Initiate CPR in adherence to standard guidelines…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…99th percentile URL; and Clinical evidence of acute myocardial ischaemia , demonstrated by at least one of the following: Symptoms of myocardial ischaemia. New ischaemic ECG…

Refractory Angina: Options When Standard Therapy Fails

Cardiology Myocardial ischemia and infarction Definition and Pathophysiology Refractory angina is a chronic syndrome of persistent ischaemic symptoms despite the exhaustion of conventional therapeutic options…

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