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Diuretic Strategy and Decongestion in Heart Failure

…Hemodynamic phenotypes Initial assessment should distinguish congestion from hypoperfusion. This distinction provides a practical framework for selecting treatment: Clinical state Principal management approach Congestion without…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…patient with an initial STEMI pattern has myocardial infarction as the final diagnosis. The underlying process usually involves acute thrombotic obstruction of an epicardial coronary…

🟠 Prasugrel (Effient, Efient, Prasita)

…liver function classified as Child Pugh Class C. Dosage Adults Initial dose : A single loading dose of 60 mg. Maintenance dose : 10 mg once daily…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…failure, and end stage renal disease, may produce elevated troponin concentrations. The probability of MI increases continuously as the absolute hs cTn concentration rises. Early…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…presence of non obstructive epicardial arteries does not exclude a coronary cause of symptoms. CCS is a clinical syndrome rather than a permanently stable state…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

Critical care Myocardial ischemia and infarction Definition and Pathophysiology Cardiogenic shock is a state of inadequate tissue and end organ perfusion caused by cardiac insufficiency…

Upper gastrointestinal bleeding: quick reference

…Give small boluses, for example 250 to 500 mL, with immediate reassessment of the blood pressure, pulse, peripheral perfusion, mental state and chest findings. Avoid

Hyponatraemia: quick reference for work-up and correction

…can be repeated, usually up to a total of three boluses, if severe symptoms persist and the initial rise is insufficient [3,6]. European protocols…

Massive haemorrhage and transfusion: quick reference

…help using the words massive haemorrhage , and state the patient's location and identity, the presumed cause of bleeding, and how the products are to…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…often ICU Usually outpatient Initial treatment Carefully titrated intravenous therapy when indicated Oral treatment and prompt follow up Main risk of management Overtreatment may impair…

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