Articles & courses

Articles
Diuretic Strategy and Decongestion in Heart Failure

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

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…may worsen the obstruction. Furthermore, cardiomyocyte swelling, interstitial edema, and tissue inflammation promote extravascular compression, exacerbating myocardial injury. Clinical Presentation and Symptoms In up to…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…interstitial oedema and tissue inflammation produce extravascular compression. In the most severe form, termed no reflow, structural and functional microvascular impairment persists despite restoration of…

Anticoagulation Strategies in Atrial Fibrillation

…understanding of the underlying pathophysiology, which is classically framed by Virchow’s triad: blood stasis, endothelial dysfunction, and hypercoagulability [1] [2] . Mechanical stasis in AF…

Non-ST Elevation Acute Myocardial Infarction (NSTEMI) and Unstable Angina

…core and a highly inflamed fibrous cap measuring less than 65 micrometers in thickness. Macrophage derived matrix metalloproteinases (MMPs) degrade the interstitial collagen of the…

Hypoglycaemia: quick reference for emergency management

…the sample and send a venous plasma glucose, but do not delay treatment of a neurologically compromised patient. Continuous glucose monitoring reflects interstitial glucose and…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…Sustained hypoperfusion reduces oxygen and nutrient delivery and, when severe or prolonged, produces multiorgan dysfunction and death. In the setting of ST elevation myocardial infarction…

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

…interstitial collagen types I and III, elastin, and proteoglycans [6] . This matrix forms a fibrous cap that sequesters the highly thrombogenic lipid core from the…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…except in the presence of substantial pre existing CKD, particularly when congestive heart failure or other causes of ischaemic AKI coexist. Risk assessment Patient related…

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