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Familial and Genetic Screening in Premature Cardiovascular Disease

…counselling and, where appropriate, molecular testing. The approach is particularly relevant to cardiomyopathies, channelopathies, heritable aortopathies, selected congenital heart diseases, pulmonary arterial hypertension and thromboembolic…

Injection technique — intramuscular, subcutaneous and intradermal

…response and more local reaction. Procedure Intramuscular — deltoid 1. Expose the whole shoulder; rolling up a sleeve creates a constriction that distorts the anatomy and…

Bempedoic Acid: Evidence and Clinical Use

Cardiology Pharmacology & dosing Definition and pharmacological rationale Bempedoic acid is an oral, small molecule lipid lowering agent used to reduce low density lipoprotein cholesterol (LDL…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

…with low molecular weight heparin is rarely needed with DOACs. Reversal in major bleeding Drug Reversal : : Warfarin Prothrombin complex concentrate (dose by INR and weight…

Intensive care parameters

…< 20 kPa (150 mmHg), and permissive hypercapnia as long as the pH stays above about 7.20. Different targets apply when the intracranial pressure…

Neutropenic fever: quick reference for emergency management

…5 Take cultures or molecular tests from the suspected focus, but avoid sampling that delays antibiotics 6 Take a targeted history and examine the patient…

Pulmonary embolism: quick reference for risk stratification and treatment

…local procedure. Low molecular weight heparin, not a DOAC Active cancer A DOAC or low molecular weight heparin. Consider the bleeding risk with gastrointestinal and…

Warfarin therapy

…dose in parallel. Procedure Initiation with a loading dose Used when a rapid effect is wanted and the patient is also receiving LMWH, for example…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…while nitrosative stress and abnormalities of cellular and molecular myocardial function may further impair contraction and relaxation. Structural and vascular consequences Common structural consequences include…

Pulmonary Hypertension: Classification and Treatment Principles

…plexogenic, and sometimes thrombotic changes that may result in near total obliteration of affected vessels. Genetic, molecular, and acquired factors may interact in its development…

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