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Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…which includes forms that are caused by pre excitation. Myocardial perfusion scintigraphy. Contraindications Asthma and COPD. Adenosine has caused mild to moderate exacerbation of asthma…

Invasive Coronary Angiography: Indications and Vascular Access

…and lesion haziness raise suspicion of thrombus, although haziness is not specific. Intravascular imaging can identify plaque disruption, thrombus and other structural features that may…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…or other vascular beds. Malignant hypertension represents an extreme form in which acute microvascular injury occurs, classically involving fibrinoid necrosis of small arteries in the…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…symptoms having all of the traditional aggravating and relieving characteristics of angina; many patients report less characteristic symptoms, while others present primarily with exertional dyspnoea…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…peripheral artery disease (PAD), and other manifestations of systemic atherosclerosis. The principal clinical concern is cerebral embolism or haemodynamic compromise leading to transient ischaemic attack…

Dilated Cardiomyopathy (DCM): Definition, Types, Diagnostics & Treatment

…recessive, X linked recessive, and mitochondrial forms occur, albeit less frequently (McNally et al). Screening of family members is justified, including a 12 lead ECG…

Secondary Hypertension: When and How to Investigate

…for many secondary forms. Primary hyperaldosteronism is identified as the most frequent cause, comprising approximately 20–25% of secondary hypertension cases. Coarctation of the aorta…

Primary Aldosteronism: Screening and Management

…potassium, and resistant to suppression by sodium loading. It is the most common form of secondary hypertension. Aldosterone acts principally through the mineralocorticoid receptor (MR)…

ST-Elevation Myocardial Infarction (STEMI): Pathophysiology, Diagnosis, and Management

…into characteristic foam cells. The accumulation of these foam cells forms the earliest macroscopically visible lesion of atherosclerosis: the fatty streak [5] . Ruptured atherosclerotic lesion…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…that of other forms of acute tubular necrosis, although the complication remains associated with post procedural morbidity and mortality. Pathophysiology The precise mechanism of contrast…

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