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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

…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

…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

…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

…70% of older adults presenting with myocardial infarction, stroke, acute aortic syndromes, or heart failure have preexisting hypertension. The relationship between blood pressure and outcome…

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

…pressure, or discomfort An accelerating pattern of angina, with increasing frequency or severity Symptoms that awaken the patient from sleep Clinical assessment must be integrated…

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