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Secondary Hypertension: When and How to Investigate

…a greater likelihood of cure. When to investigate General indications Patients with suggestive signs, symptoms, or medical histories should undergo appropriate screening for secondary hypertension…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…accounting for approximately 80% of cases. Other causes include acute mechanical complications—particularly ventricular septal defect (VSD) and papillary muscle rupture with acute severe mitral…

Atrial Fibrillation in the Critically Ill Patient

Arrhythmias and arrhythmology Critical care Definition and pathophysiology Atrial fibrillation (AF) is the most frequent supraventricular arrhythmia in patients with acute coronary syndromes (ACS) and…

Central venous catheter

…parenteral nutrition. The need for several simultaneous, incompatible infusions. Haemodialysis, plasmapheresis or other extracorporeal therapy (requires a large bore dialysis catheter, not an ordinary triple…

Abscess incision and drainage

…pseudoaneurysm Surgeon, ultrasound first Other situations that argue for the operating theatre rather than the emergency room: a very large or deep abscess, a markedly…

Leg ulcers — wound debridement and compression therapy

…materials: two layer system, four layer system, short stretch bandage, zinc paste bandage (Unna boot), or a class 2–3 compression stocking. Tape measure for…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…vulnerable plaque” describes an atherosclerotic lesion thought to be susceptible to disruption and thrombosis. Typical features include a lipid rich core, a thin fibrous cap…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…less mobile. Echocardiography is the first place method for detecting vegetation in case of suspicion of endocarditis. Transthoracic echocardiography (TTE) has a sensitivity of about…

Isoprenaline and Dopamine Infusions for Bradycardia

…activity (PEA). Evaluation and Physical Examination The source material does not provide specific details regarding the physical examination maneuvers for patients with bradycardia. Diagnostics Electrocardiography…

STEMI: Primary PCI and System-of-Care Time Targets

…should be instructed in its appropriate use, although specific dosing instructions are not provided in the source material. Delayed help seeking is associated with older…

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