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Acute kidney injury: quick reference for management

…output can change before creatinine but is not a pure marker of filtration. Oliguria may be due to hypovolaemia, shock, obstruction or advanced renal injury…

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…

Reduction of dislocations

…of avascular necrosis of the femoral head and of vascular injury; always an orthopaedic surgeon, and usually general anaesthesia. An open dislocation. Inadequate analgesia or…

Complications of Coronary Angiography and Vascular Access Management

…been identified as important risk factors. Severe atherosclerosis of the axillary or subclavian arteries may increase the risk of embolization. Risk assessment should be individualized…

Immediate Management of Type A and Type B Aortic Dissection

…aorta. Type III: originates in the descending aorta, usually just distal to the left subclavian artery. Type IIIa: remains confined to the descending thoracic aorta…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…be obtained or become abnormal, in the presence of symptoms suggestive of ischaemia and presumed new ischaemic ECG changes. The distinction between myocardial injury and…

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…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…to tubular injury, making attribution to contrast alone difficult. In patients with normal renal function, the occurrence of contrast induced AKI is negligible or very…

Cardiovascular effects of COVID-19 (Coronavirus Disease 2019)

…al, JAMA Cardiology (2020). Guo et al reported that 27.8% (52 of 187 patients) had myocardial injury, defined as elevated troponin T levels (TnT)…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…fall of cTn values. However, myocardial injury alone is an entity in itself and may arise from non ischaemic cardiac conditions (such as myocarditis) or…

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