…ACS Classification The clinical spectrum of Acute Coronary Syndromes encompasses Unstable Angina (UA), Non ST Elevation Myocardial Infarction (NSTEMI), and ST Elevation Myocardial Infarction (STEMI…

…NSTE ACS (Non ST Elevation Acute Coronary Syndromes) . This chapter deals with the pathophysiology, definition, criteria and management of patients with NSTEMI and unstable angina…

…5–7.5 cmH₂O Increase in steps of 2.5 to 10–12.5 cmH₂O according to tolerance and effect SpO₂ 94–98% COPD exacerbation…

…low density lipoprotein (VLDL) Chylomicrons and other triglyceride rich particles Thus, non HDL C provides a broader estimate of atherogenic cholesterol than LDL C alone…

…or diffuse epicardial disease. Concordantly normal FFR and CFR are associated with an excellent prognosis, whereas discordant measurements require interpretation in the context of the…

…Definition and clinical concept Myocardial infarction with non obstructive coronary arteries (MINOCA) describes a clinical presentation in which the patient has symptoms suggestive of acute…

…normal or non obstructive coronary anatomy does not necessarily exclude an ischaemic mechanism. Clinical assessment and estimation of pre test probability Symptoms and clinical context…

ECG Introduction The traditional classification of acute coronary syndromes (ACS) into ST segment elevation myocardial infarction (STEMI), non STEMI (NSTEMI), and unstable angina (UA) has…

Cardiology Pharmacology & dosing Definition and pharmacological basis Ezetimibe is a non statin lipid lowering agent that inhibits the Niemann–Pick C1 like 1 (NPC1L1) transporter…

…symptoms causing impaired quality of life. Women with suspected angina are more likely than men to have non anginal symptoms such as dyspnoea and fatigue…

…NSTE ACS low enough that non invasive evaluation is more appropriate? The presence of extensive comorbidity may alter the balance between procedural risk and benefit…

…In contrast, coronary CT angiography (CCTA) can characterize both calcified and non calcified plaque and can assess stenosis. A major limitation is that CAC does…

…ultrasound imaging: The ultrasound image displays non existing structures. The ultrasound image does not display existing structures. The ultrasound image misrepresents the echogenicity of structures…

…of myocardial perfusion imaging Myocardial perfusion imaging (MPI) is a non invasive technique for detecting and quantifying coronary artery disease (CAD). It offers visual and…

…®, Rogitine ® Indications Hypertensive crisis. Mechanism of action Phentolamine is a non selective alpha adrenergic blocker. Phentolamine reduces blood pressure while increasing catecholamine activity…

…a lower suspicion of obstructive disease. Patients with no plaque or stenosis on CCTA should be reassured, and non atherosclerotic causes of symptoms should be…

…non fasting. The presence of ASCVD, peripheral arterial disease or aortic disease. Secondary causes, particularly diabetes, thyroid disease, kidney disease, alcohol excess, dietary factors and…

…7. Start non pharmacological treatment immediately , in parallel with the investigation. 8. Document the diagnosis and communicate it at every handover. Recognise it Core criteria…

…of normal weight, and individual assessment. See the separate quick reference for dosing in impaired renal function. Respiratory tract Diagnosis Agent Dose Duration : : : : Pneumonia, non…

…Prophylaxis against recurrence of cerebrovascular disease: 75–80 mg tablet once daily. Warnings and precautions Use Aspirin with caution in the following cases: Concurrent anticoagulant…

…A maintenance dose of 10 mg is not recommended due to higher exposure to the active metabolite and increased bleeding risk compared to patients weighing…

…doses of more than 5 mg/kg should not be given within 24 hours. If conversion to sinus rhythm is not successful, blood pressure and…

…SCORE2 and SCORE2 OP estimates can be used to classify 10 year risk as follows: Risk category 10 year risk of fatal or non fatal…

…the ACS syndrome and the haemodynamic consequences of the culprit lesion. Patients may present with ST segment elevation myocardial infarction (STEMI), non ST elevation ACS…

…of foods habitually consumed rather than isolated nutrients considered independently. For cardiometabolic health, the most favourable patterns generally contain more minimally processed, fibre rich and…

…electrocardiogram (ECG) and the presence of troponin elevation, ACS are classified into unstable angina (UA), non ST segment elevation myocardial infarction (NSTEMI), and ST segment…

…disruption of an atherosclerotic plaque followed by platelet activation and coagulation, with formation of an intraluminal thrombus. The clinical spectrum includes unstable angina, non ST…

…infarction. The location of the thrombus in the artery: a proximally located thrombus will cut off blood flow to more branches, and thus more myocardium…

…isolates microvascular resistance. Only indices that detect microvascular disease as an independent cause of ischemia, including with non obstructive epicardial arteries (ANOCA/INOCA); CFR has…

…pads if the patient is unstable or at marked risk of arrhythmia. 4. Take a full blood count, electrolytes, creatinine, glucose, high sensitivity troponin and…

…done without losing time. 7. Perform urgent CT of the brain and CT angiography from the aortic arch to the vertex. 8. Contact the thrombectomy…

…the higher pressure, or the non dominant arm if the values are equal. Check against a manual measurement and document the difference. Programme measurements every…

…Mild allergic reaction Skin or mucosa only, stable breathing and circulation Observation, a non sedating antihistamine for symptoms Anaphylaxis Objective airway, respiratory or circulatory compromise…

…of myocardial infarction and stroke. Indications Intermittent claudication, rest pain in the foot or leg, or a non healing distal ulcer. Before compression treatment of…

…anaesthetic also improves the chance of success by counteracting vascular spasm. Pressure monitoring set: stiff, short tubing, a transducer, and a flush system with physiological…

Referensvärden A diagnosis of hypertension is not made on a single reading. It requires repeated measurements on at least two occasions, and preferably confirmation by…

…Plasma and platelets: in ongoing bleeding with coagulopathy, or as part of balanced transfusion in massive haemorrhage. Transfusion thresholds in the stable, non bleeding patient…

…despite maximal oxygen or non invasive ventilation. Inadequate ventilation with a rising pCO₂ and respiratory acidosis, or a markedly increased work of breathing with impending…

…Contraindications The laryngeal mask is a compromise and does not protect the airway completely. Relative contraindications: A high risk of aspiration: a non fasted patient…

…or non diagnostic CT. Suspected neuroborreliosis, neurosyphilis or another CNS infection. Suspected inflammatory disease: multiple sclerosis, Guillain–Barré syndrome, autoimmune encephalitis. Meningeal carcinomatosis and CNS…

…are introduced, although the effect on 24 hour mortality is uncertain and the evidence for non traumatic bleeding is weaker [2,3,4]. Do the…

…depression, or untreated severe respiratory failure without the possibility of monitoring. Paralytic ileus and suspected obstructive ileus (an opioid can be given for the pain…

…return of spontaneous circulation , whether the arrest occurred in or out of hospital and whatever the initial rhythm. It applies to both shockable and non…

…the last dose, the renal function and the severity of the bleeding 7 Manage antiplatelet drugs according to their indication. Do not routinely stop aspirin…

…cornerstone of LQTS management involves lifestyle modifications, pharmacotherapy, and, in high risk cases, device implantation. Beta blockers, particularly non selective agents like nadolol and propranolol…

…cornerstone of LQTS management involves lifestyle modifications, pharmacotherapy, and, in high risk cases, device implantation. Beta blockers, particularly non selective agents like nadolol and propranolol…

…Ibutilide, Sotalol Class IV Non dihydropyridine L type Ca 2+ channel blockers Diltiazem, Verapamil Singh–Vaughan Williams classification of antiarrhythmic drugs. Bold text indicates agents…

…non cardiac causes of symptoms like dyspnea or failure to thrive. Limitations and Considerations Technical Challenges : Poor acoustic windows or suboptimal Doppler alignment may skew…

…Interpretation of CHADS VA score References Lip GY, Nieuwlaat R, Pisters R, Lane DA, Crijns HJ. Refining clinical risk stratification for predicting stroke and thromboembolism…

…Non Invasiveness: The calculation relies on readily available clinical parameters, eliminating the need for more invasive and costly direct measurements of GFR. Limitations of MDRD…

…2031 7. The TIMI risk score for unstable angina/non ST elevation MI: A method for prognostication and therapeutic decision making E M Antman, M…

…2031 7. The TIMI risk score for unstable angina/non ST elevation MI: A method for prognostication and therapeutic decision making E M Antman, M…

…multiple modifiable and non modifiable risk factors converge. The electrophysiological mechanism underlying TdP involves prolonged ventricular repolarisation, which allows for the recovery of time dependent…

…Nevertheless, the clinical importance of non fatal gastrointestinal and intracranial haemorrhage is substantial, particularly because the absolute cardiovascular benefit is small in many primary prevention…

…Inhibition of ACL reduces hepatic cholesterol synthesis and produces reductions in LDL C, non high density lipoprotein cholesterol, apolipoprotein B and high sensitivity C reactive…

…descriptor is diagnostic. The severity of pain also has limited discriminatory value. Features suggesting myocardial ischaemia Ischaemic discomfort commonly: Is substernal and diffuse. Is described…

…angina, angina or ischaemia with non obstructive coronary arteries (ANOCA/INOCA), post ACS or post revascularization states, and heart failure of ischaemic or cardiometabolic origin…

…In the setting of acute coronary syndrome (ACS), DAPT is used to reduce recurrent myocardial infarction, stent thrombosis and other ischemic events after coronary angiography…

…present [5]. Distinguishing Features: Pleuritic pain suggests pulmonary infarction, and a history of pain exacerbation with inspiration, along with a pleural friction rub, helps differentiate…

…anticipated need for non cardiac surgery, procedural complexity, and the relative merits of PCI and coronary artery bypass grafting (CABG). Definition and Pathophysiology From balloon…