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Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…lesions are: Ventricular septal rupture (VSR), producing an acute left to right shunt. Ventricular free wall rupture, producing haemopericardium and cardiac tamponade. Papillary muscle rupture…

Physics of ultrasound

…2, the two sound waves have different amplitudes and different frequencies. If the right sound wave in Figure 2 was recorded during a second, then…

Terminology of sudden cardiac arrest and resuscitation

…aortic P right atrium Cerebral perfusion pressure (CerPP) : The pressure that drives cerebral blood flow. CerPP is determined by intracranial pressure (ICP) and mean arterial…

The ischemic cascade

…Myocardial perfusion imaging techniques, such as SPECT and PET, can detect perfusion abnormalities early in this sequence, before mechanical dysfunction ( i.e. left ventricular systolic…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

…0 3.0 A mechanical valve may require a higher target Doses in venous thromboembolism Treatment doses in deep vein thrombosis and pulmonary embolism differ…

Arterial line

…pulsatile blood appears in the hub: lower the angle to close to the plane of the skin and advance a further 1–2 mm so…

Atrial fibrillation: quick reference for emergency management

…2 An oral anticoagulant is recommended A DOAC is preferred to warfarin except in a mechanical valve prosthesis and in moderate to severe mitral stenosis…

Edrophonium test

…Mechanical obstruction of the bowel or the urinary tract. Marked bradycardia, sick sinus syndrome or high grade AV block without pacemaker protection. Asthma and other…

Warfarin therapy

…the drug is responsible for the first week. Indications A mechanical valve prosthesis — warfarin is mandatory, and direct oral anticoagulants (DOACs) are contraindicated. Antiphospholipid syndrome…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…Mechanical circulatory support, including extracorporeal membrane oxygenation (ECMO), may be required in this setting. Clinical presentation and symptoms The clinical presentation reflects the severity of…

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