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Diuretic Strategy and Decongestion in Heart Failure

…treated initially with diuretics, whereas norepinephrine and/or inotropes are reserved for low output and hemodynamic instability. Evaluation and physical examination The objective of decongestion…

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

…myocardial injury , demonstrated by a rise and/or fall in cTn with at least one value above the 99th percentile URL; and Clinical evidence of…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…with detectable troponin. High sensitivity assays may therefore identify a continuum of myocardial injury ranging from minor or reversible injury to extensive necrosis. Causes of…

STEMI: Primary PCI and System-of-Care Time Targets

…reperfusion injury are complementary objectives of initial STEMI management. The principal acute complications fall into two broad categories: Electrical complications , particularly ventricular arrhythmias. Mechanical or…

Complications of Coronary Angiography and Vascular Access Management

…failure, and heart failure have been identified as important risk factors. Severe atherosclerosis of the axillary or subclavian arteries may increase the risk of embolization…

Immediate Management of Type A and Type B Aortic Dissection

…anatomically according to involvement of the ascending aorta: Stanford type A: involves the ascending aorta, with or without extension into the arch or descending aorta…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…myocarditis) or non cardiac conditions (such as renal failure). To establish a diagnosis of MI, acute myocardial injury must be coupled with clinical evidence of…

The 3-phase model of sudden cardiac arrest

…energy source in all cells]). The heart consumes approximately 30 kilograms of ATP per day (Neubauer et al), which is about 100 times its weight…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…concentration of filtered substances along the nephron as water is reabsorbed. Nephrotoxic injury may involve the tubules, interstitium, renal vasculature or collecting system. With iodinated…

Cardiovascular effects of COVID-19 (Coronavirus Disease 2019)

…as compared with 4.5% among patients without evidence of myocardial injury (normal troponin I levels). Hence, troponin I was a strong predictor of survival…

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