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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…

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

…by systemic risk factors such as hypertension, hyperglycemia, smoking, and turbulent hemodynamic shear stress. This dysfunction compromises the endothelial barrier, upregulating the expression of vascular…

Pericarditis, myocarditis & perimyocarditis: ECG, criteria & treatment

…refers to inflammation of the myocardial (muscle) tissue. However, it is often difficult to differentiate pericarditis and myocarditis, and they tend to accompany each other…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…local revascularization must be accompanied by systemic treatment aimed at stabilizing the broader atherosclerotic disease. Pathophysiology Mechanisms of acute coronary syndrome The major mechanisms producing…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…and oxygenation Evidence of systemic congestion or acute RV failure Syncope or altered clinical status Comorbid cardiopulmonary disease, active cancer, and other conditions incorporated into…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…inflammation and other systemic influences. The severity of myocardial injury is determined not only by the epicardial obstruction but also by the vulnerability of the…

Abscess incision and drainage

…somewhere that makes incision in the emergency department the wrong move — in the hand, in the medial triangle of the face or perianally. Indications Fluctuant…

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…

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…

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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