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ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…entity requiring immediate reperfusion therapy. The pathophysiology of myocardial infarction injury involves the overlapping of vulnerable plaque and thrombogenic blood, which are critical determinants for…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…The principal pathophysiological determinant of early adverse outcome is acute RV failure. In acute PE, obstruction of pulmonary blood flow increases RV pressure load and…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…vascular beds. Malignant hypertension represents an extreme form in which acute microvascular injury occurs, classically involving fibrinoid necrosis of small arteries in the kidneys, retina…

Diuretic Strategy and Decongestion in Heart Failure

…diastolic dysfunction, or both. The clinical consequences of extracellular volume expansion include elevated cardiac filling pressures, pulmonary congestion, systemic venous hypertension, and peripheral interstitial edema…

Urinary alkalinisation

…sampling. Urinary catheter with hourly urine output measurement — the treatment cannot be guided without reliable measurement of urine output. Baseline tests: blood gas with electrolytes…

Preeclampsia and Hypertensive Pregnancy Disorders as Future Cardiovascular Risk

…blood pressure levels that might otherwise be considered only moderately elevated. The syndrome can produce widespread maternal complications, including pulmonary oedema, renal insufficiency, hepatic injury…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…zone. Coronary Occlusion and Myocardial Injury STEMI generally results from abrupt reduction in coronary blood flow caused by thrombotic occlusion of a previously atherosclerotic artery…

Hypertensive crisis: drugs and doses

…left ventricular failure with pulmonary oedema, acute aortic syndrome, acute kidney injury, microangiopathic haemolysis, and severe pre eclampsia or eclampsia. The blood pressure is often…

Oxygen therapy

…hyperoxia increases the risk of pulmonary toxicity. Keep the saturation in the lower part of the target range. Paraquat poisoning — oxygen worsens the lung injury…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…features of acute coronary syndrome. The physical examination should include: Assessment of all major peripheral pulses. Blood pressure measurement in both arms. Cardiac auscultation. Pulmonary…

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