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Spontaneous Coronary Artery Dissection

…oestrogen exposure. Emotional or chronic mental stress. Fibromuscular dysplasia (FMD), which may produce arterial wall abnormalities and intramural haematomas. Inherited connective tissue disorders, including Marfan…

🟠 Nitroprusside

…toxicity . Nitroprusside is metabolized to cyanide. Cyanid toxicity may be fatal (should be suspected if patient develops altered mental status and lactic acidosis). Fatal outcomes…

Sepsis and septic shock: quick reference for the first hour

…venous catheter Continuously Reassess the mental state, capillary refill, skin temperature, urine output, respiration, chest findings, MAP and the response to every intervention Within 60…

Upper gastrointestinal bleeding: quick reference

…Give small boluses, for example 250 to 500 mL, with immediate reassessment of the blood pressure, pulse, peripheral perfusion, mental state and chest findings. Avoid

Acquired QT Prolongation and Drug-Induced Arrhythmia

…high index of suspicion for drug induced arrhythmias in patients receiving agents known to alter the electrical properties of the heart (inducing QRS or QT…

Diuretic Strategy and Decongestion in Heart Failure

…myocardial wall stress and subendocardial ischemia. Neurohormonal activation and vascular and renal abnormalities contribute to sodium and water retention. The interaction between cardiac and renal…

Indications and contraindications for myocardial perfusion imaging

…or transient ischemic attack Mental impairment with limited ability to cooperate Resting hypertension with systolic or diastolic blood pressures 200/110 mmHg Uncorrected medical conditions…

Drug-Eluting Coronary Stents: Evolution, Evidence and Stent Choice

…intervention (PCI). They evolved from balloon angioplasty and bare metal stents (BMS) in response to restenosis caused principally by neointimal hyperplasia. Contemporary DES combine a…

In-Stent Restenosis: Mechanisms and Treatment

…DES) than with bare metal stents (BMS). Clinical ISR is generally defined by recurrent symptoms or ischaemic events attributable to renarrowing within the stented segment…

Physics of ultrasound

…e.g air, water, metal, or tissue and fluids in the human body. Sound waves arise when a sound source generates mechanical vibrations in the…

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