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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…

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

…a window of opportunity for reperfusion. In addition, some patients present with severe LMCA stenosis exacerbated by other conditions, and these must also be recognized…

Cryotherapy of skin lesions

…margin must be included in the freeze. Contraindications Absolute: Suspected melanoma or any other pigmented lesion of uncertain diagnosis. A lesion in which histology is…

Hypertensive crisis: drugs and doses

…organ damage. Isolated malignant retinopathy without other acute organ damage can often be treated more cautiously with oral drugs under careful observation [3,4]. A…

Cardiac tumors

…are malignant. • Secondary cardiac tumours have spread to the heart by metastasis or invasion from surrounding tissue. Differential Diagnostics There are several differential diagnoses in…

Coronary Anomalies and Myocardial Bridging

…other angiographic descriptions report rates of approximately 5–10%, while fewer than 5% of otherwise normal angiograms demonstrate bridging. The wide range reflects differences in…

NSTEMI: Risk Stratification and Timing of the Invasive Strategy

…not routinely undergo immediate angiography. A selective or delayed approach is recommended in this setting unless other findings justify urgent intervention. Risk scores Several risk…

Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC, ARVD)

…or cardiac arrest–particularly during physical activity–in a young adult with T wave inversions in V1–V4, or other ECG changes (see below) should…

Cardiac Tamponade: Recognition and Pericardiocentesis

…associations include: Idiopathic or viral pericarditis Malignant pericardial disease Tuberculosis Purulent or bacterial pericarditis Trauma Cardiac surgery and other iatrogenic cardiovascular procedures Acute aortic disease…

Brugada Syndrome: Diagnosis & SCD Prevention

…current ($I {Na}$) and are identified in 20% to 30% of probands [7] . Historically, expanded genetic panels implicated over 20 other genes (e.g.…

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