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

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

…salicylate poisoning, intubation with an inadequate minute ventilation can rapidly worsen the acidaemia and increase the entry of salicylate into the central nervous system. Discuss…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…40 years with recurrent syncope of unknown etiology. This test should be performed under continuous ECG and blood pressure monitoring and must be avoided in…

Edrophonium test

…is an alternative premedication. Peripheral venous cannula, saline flush. ECG monitoring, pulse oximetry and blood pressure measurement throughout the test. Oxygen, suction, a bag 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

…end stage renal disease, may produce elevated troponin concentrations. The probability of MI increases continuously as the absolute hs cTn concentration rises. Early absolute changes…

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