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Atrial Fibrillation in the Critically Ill Patient

…may contribute to vascular dementia, and thromboembolism may affect organs other than the brain. Patients with AF in the setting of ACS have more comorbidities…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…MINOCA when they are established as the explanation for the presentation. Clinical presentation and symptoms Patients typically present with symptoms suggestive of ACS and troponin…

Cryotherapy of skin lesions

…in the freeze. Contraindications Absolute: Suspected melanoma or any other pigmented lesion of uncertain diagnosis. A lesion in which histology is needed for management. Cryoglobulinaemia…

Pacemaker-mediated tachycardia (PMT): ECG and management

…the ventricles with the same rate. This occurs if ventricular stimulation is set to be triggered by the atrial impulse. Another cause of pacemaker mediated…

Unstable Angina: Definition and Contemporary Management

…Initial assessment should establish whether the presentation represents ACS and whether the patient is clinically unstable. Particular attention is required for evidence of: Ongoing or…

Acute Limb Ischaemia: Recognition and Urgent Management

…collateral circulation is adequate. For example, a patient with acute graft occlusion may report an abrupt reduction in walking distance before claudication, accompanied by moderate…

Clinical application of ECG in chest pain & acute myocardial infarction

…10€) and may reduce morbidity and mortality substantially in patients with acute coronary syndromes. Importantly, the ECG findings dictate the management of acute coronary syndromes…

Acute coronary syndrome: quick reference for loading doses and time targets

…unstable angina. Management begins in parallel with the diagnostic work up. Obtain an interpretable 12 lead ECG within 10 minutes of first medical contact, attach…

Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…Generally, adenosine is considered safe for patients with narrow complex tachycardia (NCT). Adenosine typically causes a short lasting second or third degree AV block which…

Preeclampsia and Hypertensive Pregnancy Disorders as Future Cardiovascular Risk

…twice the normal level Neurological symptoms are particularly important because of the increased risk of cerebrovascular complications. Seizures in a patient with preeclampsia indicate eclampsia…

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