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Adenosine: Administration Technique, Dose Escalation and Precautions

…degradation to inosine, phosphorylation to AMP, and reuptake into cells through a nucleoside transport system. Because of these highly efficient elimination pathways, adenosine has an…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…acute coronary syndromes. The LMCA supplies a large myocardial territory through the left anterior descending (LAD) and left circumflex (LCx) arteries (Figure 1). Acute obstruction…

Dix–Hallpike test and Epley manoeuvre

…drugs . The diagnosis rests on the history, a positive Dix–Hallpike test and the absence of other neurological findings. The treatment is a repositioning manoeuvre…

Coronary Anomalies and Myocardial Bridging

…The intramyocardial segment is termed the tunnelled artery. The left anterior descending artery (LAD) is most commonly involved. The reported prevalence depends substantially on the…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…left ventricular dysfunction, peripheral vascular disease and other manifestations of diffuse atherosclerosis. Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are revascularization procedures…

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

…different types of dilated cardiomyopathy. Other causes of ventricular dilation ( e.g ischemic cardiomyopathy) must be excluded before establishing a diagnosis of DCM. Patient characteristics…

Bone marrow aspiration and biopsy

…Previous pelvic irradiation on the intended side (yields fibrotic, unrepresentative marrow — choose the other side). A patient who cannot lie still — plan for sedation rather…

ECG parameters

…women ≥ 1.5 mm Other leads ≥ 1.0 mm V7–V9 (posterior) ≥ 0.5 mm V3R–V4R (right ventricle) ≥ 0.5 mm (≥ 1.0 mm…

Urinary alkalinisation

…is disputed and practice differs between units. Poisoning with other weak acids where the poison control centre recommends it, for example certain phenoxy acid herbicides…

🟠 ATRIA (Anticoagulation and Risk Factors in Atrial Fibrillation) Bleeding Risk Score

…8% Interpretation of ATRIA risk score. Comparison with other bleeding risk models Several bleeding risk assessment tools exist for patients with AF, including HAS BLED…

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