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A New Approach to Acute Coronary Syndromes: Occlusion MI (OMI) vs. Non-Occlusion MI (NOMI)

…to standard STEMI criteria. Observational data suggest that up to 30% of patients initially classified as NSTEMI have an unrecognized OMI, with comparable infarct size…

ApoB and Non-HDL Cholesterol in Cardiovascular Risk Assessment

…closely associated with cardiovascular risk than LDL C in many studies, although the relative advantage of apoB over non HDL C or standard lipid testing…

Cardiac arrest during pregnancy and childbirth

…as standard, and defibrillation energy levels should remain consistent with those used for non pregnant adults. The fetus is not harmed by defibrillation, amiodarone, or…

Acute stroke and thrombolysis: quick reference

…CT angiography The standard investigation in acute stroke to identify large vessel occlusion, dissection or other vascular pathology CT perfusion Used with an unclear time…

Refractory Angina: Options When Standard Therapy Fails

…CABG), or percutaneous coronary intervention (PCI), including attempted recanalization of a chronic total coronary occlusion. Angina or ischaemia with non obstructive coronary arteries (ANOCA/INOCA)…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…physiological or systemic stressors, with treatment directed at the precipitating condition. Myocardial and non ischaemic mimics Takotsubo syndrome, myocarditis, and cardiomyopathies may present with symptoms…

Interpretation of ECG after ROSC (Return of Spontaneous Circulation)

…Non specific ST depressions, T wave inversions (negative T waves) do not affect the management of cardiac arrest. Recurrent VT or VF after ROSC in…

Opioid therapy in severe pain

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

De-escalation and Shortened Dual Antiplatelet Therapy in Patients at High Bleeding Risk

…in ischemic events or stent thrombosis. Stable coronary disease and elective PCI For chronic coronary syndromes treated with elective PCI, the standard DAPT duration is…

Empirical antibiotic therapy: quick reference for common infections

…IV Standard dose after stabilisation or piperacillin–tazobactam 4 g × 4 IV plus gentamicin 5–7 mg/kg IV as a single dose Urosepsis with…

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