…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…again after 10 to 15 minutes and repeat treatment until the patient has recovered. 7. Follow up with a meal or with continued glucose administration…

…focus on identifying factors that trigger ventricular arrhythmias (VA), such as electrolyte imbalances (e.g., hypokalaemia), bradycardia, ischaemia, coronary spasm, thrombosis, fever, acute starvation, and…

…waist circumference, waist to hip ratio, or dual X ray absorptiometry are recommended to more accurately diagnose clinical obesity and assess cardiovascular risk. 4 Furthermore…

…A recent meta analysis showed that survival to hospital discharge is 8.8% and survival to 30 days is 10.7% in out of hospital…

…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

…factors, including rest or medication. Time of day and temporal pattern. Change in frequency, severity, or exercise threshold. Potential anginal equivalents include: Dyspnoea on exertion…

…for the 5 serious etiologies Family history (focus on ischemic heart disease, aortic dissection, pulmonary embolism, pneumothorax). Hypertension. Smoking. Dyslipidemia (hyperlipidemia). Obesity and/or diabetes…

…down dissection flaps, counteracted elastic recoil, reduced emergency vessel closure and decreased the need for emergency CABG. Metal only stents, now termed BMS, reduced restenosis…

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

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

…intracranial bleeding. In another meta analysis, major bleeding increased by approximately 50%, intracranial bleeding by approximately 32%, and major gastrointestinal bleeding by approximately 52%. There…

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

…serious poisoning with agents that undergo enterohepatic or enteroenteric recirculation, including carbamazepine, theophylline and quinine. Repeated dosing may also be appropriate after large ingestions of…

…are elevated. Consequently, congestion may occur across the full range of left ventricular ejection fraction and may result from systolic dysfunction, diastolic dysfunction, or both…

…in this setting. The duration of therapy requires an individualized balance between: Ischaemic risk, including recurrent myocardial infarction and stent thrombosis. Bleeding risk, particularly major…

…whether dysfunctional myocardium or myocardium supplied by a diseased vessel, is viable and could benefit from revascularization. Evaluating the success of revascularization : Myocardial perfusion imaging…