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No-Reflow Phenomenon During Percutaneous Coronary Intervention: Prevention and Treatment

…exceeding those seen with native vessel PCI. Mechanisms The principal mechanism is distal embolization of atheromatous and thrombotic material. Plaque or thrombus may be dislodged…

Blood gas interpretation: quick reference for acid-base disorders

…pH 7.45 is alkalaemia. A normal pH does not exclude an acid base disorder 2 Which process explains the pH? A low pH with…

Familial and Genetic Screening in Premature Cardiovascular Disease

…scope Familial and genetic screening in cardiovascular medicine is the systematic assessment of relatives and other individuals who may carry an inherited predisposition to cardiovascular…

Primary Aldosteronism: Screening and Management

…neurons and other tissues. This distribution helps explain why PA produces cardiovascular injury beyond its effects on blood pressure and potassium balance. The principal sporadic…

🟠 Aspirin (Acetylsalicylic acid)

…NSAIDs). Other contraindications: Hemophilia. Thrombocytopenia. Active gastric or duodenal ulcers. Liver cirrhosis. Severe heart failure. Doses 100 mg/day during the third trimester of pregnancy…

Chest Pain in the Emergency Department: Diagnostic Pathways

…Other cardiopulmonary causes , including myopericardial disease, pulmonary embolism, aortic emergencies, and pneumothorax. Non cardiopulmonary causes , including gastrointestinal, musculoskeletal, and anxiety related disorders. The immediate objective…

Secondary Hypertension: When and How to Investigate

…Cure is not universal, however. Delayed recognition may permit vascular remodelling and renal impairment to develop, leaving persistent hypertension despite correction of the initiating disorder…

Invasive Coronary Angiography: Indications and Vascular Access

…measurements permit assessment of the physiological significance of selected stenoses using fractional flow reserve (FFR) and instantaneous wave free ratio (iFR). Other invasive techniques can…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…such as amyloidosis or sarcoidosis Other cardiac procedures Chemotherapeutic agents Catheter ablation Critical illness Defibrillator shocks Strenuous exercise Cardiac contusion The diagnosis should therefore distinguish…

Assessment of Pacemaker Malfunction

…may not be visible on surface ECG. Oversensing may also occur when electrical events in one chamber is sensed by the lead in the other…

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