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Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

…is warranted. Diagnostics Hemodynamic and functional monitoring is central to the safe administration of these agents. Continuous blood pressure and rhythm monitoring are mandatory, particularly…

Right Ventricular Infarction: Recognition and Haemodynamic Management

…evidence of systemic venous congestion Blood pressure and evidence of hypotension Clinical evidence of low cardiac output or shock RVI may produce severe venous congestion…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…smoking and anticipated barriers to cessation. Exposure to second hand smoke. Use of cannabis, electronic cigarettes or other inhaled products. Readiness to attempt cessation. Depression…

Poisoning: quick reference for antidotes and initial management

…ECG monitoring. Fluid where hypovolaemia is likely, but avoid repeated blind boluses in cardiogenic toxic shock D Plasma glucose immediately. Assess the level of consciousness…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…branch block. Cardiac monitoring is indicated for patients with a high pretest probability of arrhythmia causing syncope. In hospital monitoring is reserved for those wit

Edrophonium test

…gaze palsy — that can be assessed before and during the window of effect. The muscarinic effect may at the same time produce marked bradycardia and…

Cardiovascular Prevention in the Very Elderly

…careful monitoring, and shared decision making. Definition and Pathophysiology Aging related cardiovascular vulnerability Normal aging produces structural and functional cardiovascular changes that increase susceptibility to…

Vasospastic (Prinzmetal) Angina: Provocation Testing and Treatment

…is myocardial ischaemia caused by transient abnormal vasoconstriction of one or more coronary arteries. Epicardial spasm produces a reversible functional occlusion and usually causes transmural…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…absence of malfunction, a pacemaker should have been checked within the preceding 12 months and an ICD within the preceding 6 months. Remote monitoring may…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…lead ECG Initial hs cTn measurement Continuous cardiac monitoring The source material does not provide a detailed list of physical examination findings or a specific…

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