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Immediate Management of Type A and Type B Aortic Dissection

…form of acute aortic syndrome (AAS), alongside intramural haematoma, penetrating atherosclerotic ulcer, aortic pseudoaneurysm and traumatic aortic injury. In classic dissection, an intimal tear permits…

Upper gastrointestinal bleeding: quick reference

…first minute. Peptic ulcer remains the commonest cause of upper gastrointestinal bleeding, but the differential diagnosis includes oesophagitis, gastritis, a Mallory Weiss tear, a Dieulafoy…

The chain of survival in sudden cardiac arrest

…cardiac arrest team (CAT) and intensive care units and other units caring for resuscitated patients. Figure 1. The chain of survival in out of hospital…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…other electronic equipment may also interfere with device function. The clinical consequences depend on the device, the patient's dependence on pacing, the presence of…

Arrhythmias before and during cardiac arrest

…In out of hospital cardiac arrest (OHCA) the initial rhythm is recorded by the EMS (emergency medical service) team upon their arrival at the scene…

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…

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…

Complete Versus Culprit-Only Revascularization in Acute Coronary Syndrome

…dedicated multidisciplinary Shock Team. Evaluation and physical examination Assessment should establish: The ACS presentation and its urgency. The presence or absence of haemodynamic instability or…

Other ECG changes in ischemia and infarction

…ischemia. Inverted U waves are even more typical of ischemia (but the sensitivity is low). U wave changes always accompany other ischemic ST T changes…

Acute exacerbation of COPD: quick reference

…Lathundar Key messages Two things set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and the blood…

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