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Secondary Hypertension: When and How to Investigate

…is associated with a greater likelihood of cure. When to investigate General indications Patients with suggestive signs, symptoms, or medical histories should undergo appropriate screening…

Atropine: Dosing in Bradycardia and Its Limitations

…hypothermia, and hyperkalemia. Clinical Presentation and Symptoms The clinical manifestation of bradycardia depends on the adequacy of cardiac output. Isolated sinus bradycardia that is unaccompanied…

Atrial fibrillation: ECG, classification, causes, risk factors & management

…scarce). Indeed, the strongest risk factor for developing atrial fibrillation is age. Other significant risk factors are as follows: male sex, hypertension, left ventricular hypertrophy…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

… symptoms suggesting current or recent cerebral ischaemia; known CAD, PAD, or other atherosclerotic disease; diabetes and other cardiovascular risk factors; smoking, hypertension, hypercholesterolaemia, and sedentary…

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

…syndrome (ACS), DAPT is used to reduce recurrent myocardial infarction, stent thrombosis and other ischemic events after coronary angiography, percutaneous coronary intervention (PCI), or medical…

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

…99th percentile URL; and Clinical evidence of acute myocardial ischaemia , demonstrated by at least one of the following: Symptoms of myocardial ischaemia. New ischaemic ECG…

Differential Diagnosis of Chest Pain: A Clinical Overview

…2. Musculoskeletal Conditions Examples: Costochondritis and general musculoskeletal pain are common causes of chest pain [2]. Pain Characteristics: Pain reproduced with palpation is often indicative…

Foreign body in the ear and nose

…in general practice or in the emergency department with simple equipment. Two principles determine the outcome: the first attempt is the best attempt , and a…

Aspirin in Primary Prevention: Current Recommendations

…with stroke risk factors, but this benefit was accompanied by increased serious gastrointestinal bleeding and a non significant increase in cerebral haemorrhage. Bleeding outcomes The…

CME: How dietary fat affects coronary arteries, LDL cholesterol and body weight

…that high cholesterol levels caused coronary artery disease and atherosclerosis in general. This required thousands of observational studies, genetic studies and randomized controlled clinical trials…

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