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Immediate Management of Type A and Type B Aortic Dissection

…which involves the arch without involvement of the ascending aorta or represents retrograde extension from the descending aorta into the arch that stops before reaching…

Diuretic Strategy and Decongestion in Heart Failure

…of the heart to provide blood flow appropriate to tissue requirements unless filling pressures are elevated. Consequently, congestion may occur across the full range of…

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

…myocardial injury may occur without myocardial ischaemia. Non ischaemic myocardial injury may accompany numerous cardiac and systemic disorders, including: Cardiac causes Systemic causes Heart failure…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…myocardial injury and type 2 infarction is particularly important. Type 2 infarction requires clinical evidence of ischaemia; an elevated and dynamically changing troponin concentration without…

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

…of initial STEMI management. The principal acute complications fall into two broad categories: Electrical complications , particularly ventricular arrhythmias. Mechanical or pump failure complications , including heart…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…Universal Definition of Myocardial Infarction Consensus Documents, with the Fourth Universal Definition published in 2018. A fundamental prerequisite for diagnosing any MI is myocardial injury…

ST elevation myocardial infarction (STEMI) without ST elevations on 12-lead ECG

…most common of these are hypotension, low cardiac output and sensitivity to drugs that reduce preload. Posterolateral (posterior, inferobasal) STEMI (STE ACS) The heart is…

Cardiovascular effects of COVID-19 (Coronavirus Disease 2019)

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

Atropine: Dosing in Bradycardia and Its Limitations

…of rhythm disturbances characterized by an inappropriately slow heart rate. Within the context of acute coronary syndromes, particularly ST elevation myocardial infarction (STEMI), ischemic injury…

Dix–Hallpike test and Epley manoeuvre

…Gufoni manoeuvre for treatment. Contraindications Absolute: Unstable cervical spine injury, recent cervical spine surgery, atlantoaxial instability, severe rheumatoid arthritis of the neck. Symptomatic carotid stenosis…

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