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ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…portion of the chest or the epigastrium and occasionally radiates to the arms. Less common sites of radiation include the abdomen, back, lower jaw, and…

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

…other procedural intervention. The clinical importance of the finding is related to the extent of myocardium at risk. Occlusion or impaired perfusion in a vessel…

Immediate Management of Type A and Type B Aortic Dissection

…of acute aortic syndrome (AAS), alongside intramural haematoma, penetrating atherosclerotic ulcer, aortic pseudoaneurysm and traumatic aortic injury. In classic dissection, an intimal tear permits blood…

Diagnostic Criteria for Acute Myocardial Infarction: Cardiac troponins, ECG & Symptoms

…downstream, causing microvascular embolization (i.e occluding smaller vessels downstream). The thrombosis causes occlusion of the artery; blood flow may be partially or completely obstructed…

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

…from the vessel lumen by a fibrous cap. The LRNC is a highly toxic, pro thrombotic milieu composed of extracellular cholesterol crystals, apoptotic and necrotic…

Acute kidney injury: quick reference for management

…Definition and staging according to KDIGO Acute kidney injury is present when at least one of the following criteria is met [1]: A rise in…

Complications of Coronary Angiography and Vascular Access Management

…has demonstrated lower rates of access site bleeding, surgical repair, and blood transfusion with radial access. Radial access has also been associated with lower overall…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…effects of contrast exposure and other ischaemic or nephrotoxic stresses. The kidney is particularly vulnerable to toxic injury because of its high blood flow and…

Care after return of spontaneous circulation (ROSC)

…and weeks. It reduces cardiac output and lower blood pressure. Cardiogenic shock may develop as a result of stunning. The systemic response to reperfusion and…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…in hypertensive encephalopathy and should prompt consideration of stroke. Acute ischemic or intracerebral haemorrhage may coexist with severe hypertension. The decision to lower BP in…

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