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Exercise stress test on cycle ergometer

…Comment : : Left main stenosis Known — perform the test only on a clear indication and with full preparedness Moderate to severe aortic stenosis without symptoms Individual…

Epidemiological aspects of cardiac arrest

…in cardiac arrest Survival in OHCA Yan et al performed a meta analysis and systematic review of 141 studies on the survival in treated OHCA…

Spirometry

…is performed on the usual medication — note this in the report. Record the height without shoes, the weight, the age, the sex and the ancestry…

In-Stent Restenosis: Mechanisms and Treatment

…frequent cause of PCI failure, despite its substantially lower incidence with drug eluting stents (DES) than with bare metal stents (BMS). Clinical ISR is generally…

Sepsis and septic shock: quick reference for the first hour

…for the doctor on call faced with suspected sepsis in adults: rapid recognition, microbiological sampling, empirical intravenous antibiotics, fluid, a vasopressor and early source control…

Acute stroke and thrombolysis: quick reference

…The local stroke protocol and immediate contact with the on call stroke consultant or the thrombectomy centre take precedence where there is a discrepancy or…

Inpatient insulin therapy: quick reference

…including while fasting. Many with type 2 Mealtime insulin (rapid acting) Covers the carbohydrate in the meal Anyone who is eating Correction dose (rapid acting…

Cardiac arrest in intoxication (poisoning)

…Note: activated charcoal is ineffective against alcohols, lithium, and heavy metals. Enhance elimination Induce diuresis through urine alkalinization, contingent upon renal elimination of the toxicant…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…often have severe multivessel coronary disease and progressive, “piece meal” necrosis extending beyond the original infarct zone. Coronary Occlusion and Myocardial Injury STEMI generally results…

Introduction to Coronary Artery Disease (Ischemic Heart Disease)

…a meal; that thus excited, it is accompanied with a sensation, which threatens instant death if the motion is persisted in; and, that on stopping…

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