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Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…days and resolution within about 1 week in the usual course. Severe AKI requiring dialysis is uncommon except in the presence of substantial pre existing…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…pre existing diabetes, previous myocardial infarction, or heart failure. Mechanical disruption must be considered whenever abrupt circulatory collapse occurs after STEMI. Rupture may involve the…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…ischaemia and whether infarction has occurred The extent and degree of myocardial involvement The anatomical territory, including anterior, inferoposterolateral or right ventricular involvement Pre existing…

Atrial Fibrillation in the Critically Ill Patient

…syndromes (ACS) and is also a common tachyarrhythmia requiring treatment in decompensated heart failure (DHF). In the critically ill patient, AF may be pre existing…

Atropine: Dosing in Bradycardia and Its Limitations

…failure. The pathophysiology of these events may stem from reversible causes, including hypovolemia, hypoxia, cardiac tamponade, tension pneumothorax, preexisting acidosis, drug overdose, hypothermia, and hyperkalemia…

ECG changes caused by antiarrhythmic drugs, beta blockers & calcium channel blockers

…syndrome) and other conditions involving an accessory pathway. Paroxysmal atrial fibrillation in patients with severe symptoms, provided that first line therapies have failed and the…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…or other atherosclerotic disease; diabetes and other cardiovascular risk factors; smoking, hypertension, hypercholesterolaemia, and sedentary behaviour; family history, particularly in the broader assessment of peripheral…

Hypertensive crisis: drugs and doses

…principle, not a universal target. Chronic hypertension shifts autoregulation in the brain and kidneys towards higher pressures. Too rapid a normalisation can therefore cause cerebral…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…intoxication, or other sympathomimetic exposure, including methamphetamine. Abrupt withdrawal of antihypertensive medication, particularly clonidine, can also precipitate a hypertensive crisis. Pregnancy Hypertensive emergencies in pre

Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…complexes due to bundle branch blocks or other conduction defects. However, in rare instances, it may be due to pre excited atrial fibrillation (i.e…

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