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Principles of myocardial perfusion imaging (SPECT, PET), coronary blood flow and flow reserve (CFR)

…in coronary perfusion pressure, typically within a range of 50 120 mmHg. This process is primarily mediated by local metabolic mechanisms, which adjust vascular tone…

Capnography (end-tidal carbon dioxide measurement, ETCO2) during cardiac arrest

…before the next inspiration. Phase 0 : Indicates the beginning of the next inspiration. Normal ETCO 2 : 38 mmHg (5 kPa) or 5%. Monitoring ETCO 2…

Hypoglycaemia: quick reference for emergency management

…checked with a capillary or venous measurement [5]. Treatment The awake patient who can swallow safely Give 15 to 20 g of rapid acting carbohydrate…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…Current diagnostic criteria According to the international consensus report of 2024, the diagnosis of DKA requires three components: diabetes or hyperglycaemia, ketosis and metabolic acidosis…

Corticosteroids: quick reference for dose equivalents and stress dosing

…apply to the anti inflammatory effect. They say nothing about the mineralocorticoid effect or about suppression of the HPA axis, where a long half life…

Inpatient insulin therapy: quick reference

Endokrinologi & metabolism Lathundar An inpatient has a different insulin sensitivity from at home: less food, more stress, often corticosteroids, often impaired renal function. Prescribe basal…

Sepsis and septic shock: quick reference for the first hour

…A systolic blood pressure of 100 mmHg or less, a MAP below 65 mmHg, delayed capillary refill, cold or mottled skin Metabolism and perfusion A…

Hypertriglyceridaemia: Management and Cardiovascular Risk

…Endocrinology & metabolism Definition and pathophysiology Hypertriglyceridaemia (HTG) is defined by an increased concentration of circulating triglycerides. Both fasting and non fasting measurements provide prognostic information…

Primary Aldosteronism: Screening and Management

Cardiology Endocrinology & metabolism Definition and pathophysiology Primary aldosteronism (PA), also termed primary hyperaldosteronism or Conn syndrome, comprises disorders in which aldosterone secretion is inappropriately increased…

Secondary Hypertension: When and How to Investigate

…as blood pressure ≥140/90 mmHg. Screening is particularly pertinent in the presence of hypokalaemia or treatment resistance. Hypokalaemia should not be permitted when assessing…

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