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ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…inflammation and other systemic influences. The severity of myocardial injury is determined not only by the epicardial obstruction but also by the vulnerability of the…

Leg ulcers — wound debridement and compression therapy

…failure — compression of both legs acutely increases preload. Untreated deep vein thrombosis in the acute phase. Septic phlebitis, ongoing soft tissue infection with systemic involvement…

Immediate Management of Type A and Type B Aortic Dissection

…which involves the arch without involvement of the ascending aorta or represents retrograde extension from the descending aorta into the arch that stops before reaching…

Left Main Coronary Artery Disease: Revascularisation Strategy

…severity and location of stenosis Distal bifurcation involvement Coexisting multivessel disease The extent of jeopardized myocardium Left ventricular systolic function Diabetes and other comorbidities Anatomical…

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…

Acute exacerbation of COPD: quick reference

…a systemic corticosteroid if the exacerbation is more than mild. 6. Assess the indication for antibiotics on the basis of sputum purulence, the other cardinal…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…peripheral artery disease (PAD), and other manifestations of systemic atherosclerosis. The principal clinical concern is cerebral embolism or haemodynamic compromise leading to transient ischaemic attack…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…Other mechanisms include thrombosis, embolism, vasculitis, fibromuscular dysplasia, arterial entrapment, cystic adventitial disease and trauma. Atherosclerotic PAD is a manifestation of systemic arterial disease rather…

Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

…focal arterial lesions. Although epicardial coronary arteries are a major site of disease, atherosclerosis is systemic and may affect multiple arterial territories. The arterial wall…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…and oxygenation Evidence of systemic congestion or acute RV failure Syncope or altered clinical status Comorbid cardiopulmonary disease, active cancer, and other conditions incorporated into…

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