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Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

…a distinct class of inodilator. It enhances myocardial contractility and induces peripheral vasodilation through cardiac myofilament calcium sensitisation. This process is achieved via calcium dependent…

Right Ventricular Infarction: Recognition and Haemodynamic Management

…Clinical evidence of low cardiac output or shock RVI may produce severe venous congestion even when the left sided filling pressure is normal or only…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…Use of cannabis, electronic cigarettes or other inhaled products. Readiness to attempt cessation. Depression, schizophrenia, schizoaffective disorder, HIV infection or other circumstances that may affect…

Poisoning: quick reference for antidotes and initial management

…increase the entry of salicylate into the central nervous system. Discuss the case early with the poison control centre and with anaesthesia or intensive care…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…possible or known plaques, or stenosis. Diagnostics Electrocardiogram and Cardiac Monitoring An ECG should be performed if there is suspicion of syncope due to an…

Edrophonium test

…indication and contraindications, attach ECG monitoring and insert a venous cannula. 2. Document the baseline status of the chosen finding — measurement, photograph or video. 3…

Cardiovascular Prevention in the Very Elderly

…and quality of life may be equally important therapeutic objectives. Evidence from randomized trials is often less applicable to very frail or multimorbid patients because…

Vasospastic (Prinzmetal) Angina: Provocation Testing and Treatment

…lesions that do not produce physiologically significant flow limitation. The mechanisms are incompletely defined. Proposed contributors include hypercontractility or hypersensitivity of coronary vascular smooth muscle…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…surgery, particularly electrosurgery. EMI may produce inappropriate sensing, activation of rate responsive functions, device resetting, inhibition of pacing, inappropriate ICD therapy, or, less commonly, device…

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

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

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