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Aspirin in Primary Prevention: Current Recommendations

…limited compared with agents that inhibit other platelet pathways. The distinction between primary and secondary prevention is fundamental: Primary prevention refers to individuals without established…

Primary Aldosteronism: Screening and Management

…with cardiac hypertrophy, myocardial fibrosis, diastolic dysfunction and heart failure. Compared with patients with primary hypertension matched for age, sex and blood pressure, affected patients…

Dix–Hallpike test and Epley manoeuvre

Procedurer Benign paroxysmal positional vertigo is the commonest cause of vertigo in primary care and one of the few diagnoses that can be cured on…

Myocardial Ischemia & infarction: Cellular changes, ECG and symptoms

…ECG signs and development of infarction Like all other cells in the human body, cardiac myocytes use ATP (adenosine triphosphate) as the primary energy source…

LDL Cholesterol Targets Across Cardiovascular Risk Categories

…captures triglyceride rich lipoproteins in addition to LDL and other apoB containing particles. Cardiovascular risk categories Primary prevention For adults aged 40–75 years without…

Secondary Hypertension: When and How to Investigate

…unavailable in primary care. Before investigating secondary causes, pseudo resistance must be excluded. This includes: Poor adherence to antihypertensive treatment White coat hypertension Other contributors…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…with avoidance of second hand smoke and, where possible, other inhaled nicotine products. In cardiovascular medicine, the objective is not merely to reduce cigarette consumption…

Approach to patients with chest pain: differential diagnoses, management & ECG

…one of the most common symptoms in the emergency department, as well as in primary health care. The cause (etiology) of chest pain varies according…

Acute coronary syndrome: quick reference for loading doses and time targets

…in persisting STEMI. 12 to 48 hours: primary PCI should be considered even if symptoms have subsided, particularly with continuing ischaemia, heart failure, electrical instability…

Liver parameters

…tumour, primary biliary cholangitis, drugs Mixed Both raised Drug induced liver injury is the commonest cause Isolated bilirubin Unconjugated, the others normal Gilbert's syndrome…

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