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The 3-phase model of sudden cardiac arrest

…In out of hospital cardiac arrest (OHCA), the delay from collapse to defibrillation is substantially longer. The median time to arrival of the EMS is…

Complications of Coronary Angiography and Vascular Access Management

…and scope Coronary angiography is an invasive fluoroscopic procedure in which contrast media are injected selectively into the epicardial coronary arteries through a catheter advanced…

Acute kidney injury: quick reference for management

…KDIGO Acute kidney injury is present when at least one of the following criteria is met [1]: A rise in creatinine of at least 26…

Immediate Management of Type A and Type B Aortic Dissection

…penetrating atherosclerotic ulcer, aortic pseudoaneurysm and traumatic aortic injury. In classic dissection, an intimal tear permits blood to enter the diseased aortic media. Blood then…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…associated with worse outcomes. The risk of death at 1 year is increased in comparison with patients with preserved renal function, although the association may…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…medial thinning, destruction of muscular and elastic tissue, fragmentation of the internal elastic lamina, and superimposed platelet and fibrin rich thrombus. Lesions preferentially occur at…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…greater risk of progression or rupture than asymptomatic lesions. Predisposing conditions Aortic dissection and its variants are associated with conditions that cause medial degeneration or…

No-Reflow Phenomenon During Percutaneous Coronary Intervention: Prevention and Treatment

…or myocardial injury. Antithrombotic therapy may reduce embolization of thrombotic or atheroembolic material, but pharmacological and mechanical strategies directed specifically at reperfusion injury have not…

ST-Elevation Myocardial Infarction (STEMI): Pathophysiology, Diagnosis, and Management

…by the gradual accumulation of inert cholesterol debris, modern vascular biology has redefined atherosclerosis as a dynamic, immune mediated fibroproliferative response to endothelial injury [2]…

Leg ulcers — wound debridement and compression therapy

…and in patients with diabetes or renal failure the index may be falsely normal because of medial sclerosis — in that case add toe pressure measurement…

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