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Cardiac thromboembolism: cardiac sources of embolism

…transported from the venous circulation to the arterial circulation, e.g via a persistent foramen ovale (PFO), which enables blood flow from the right to…

🟠 Calculating Shunt Fraction (Qp/Qs) Using Echocardiography

…as atrial septal defects (ASD), ventricular septal defects (VSD), and patent ductus arteriosus (PDA). Echocardiography provides a non invasive, accessible method to calculate this ratio…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…diagnostic angiography. Collateral vessels may maintain distal perfusion and permit visualization of the vessel beyond the occlusion when the patent donor artery is injected. The…

The ECG in assessment of myocardial reperfusion

…the ST segment is normalized within one hour, and this confirms that the coronary artery flow is patent. The rapid ST segment return is explained…

Nasogastric tube

…the tube is safe. A misplaced tube in the airway produces no reliable symptoms in a patient with an impaired cough reflex, and the first…

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…

Exercise stress testing in special patient populations

…stabilized. This usually takes 2 to 3 days and the patient must not have experienced chest pain during the last 12 hours before exercise. Patients…

Poisoning: quick reference for antidotes and initial management

Akutsjukvård Lathundar Basic principle Manage the patient, not the list of poisons. Stabilisation according to ABCDE, the plasma glucose, a blood gas and an ECG…

Pulmonary embolism: quick reference for risk stratification and treatment

…Clinical probability in the stable patient The Wells criteria for pulmonary embolism: Criterion Points : : Clinical signs of deep vein thrombosis 3 Pulmonary embolism is the…

Atrial fibrillation: quick reference for emergency management

…but must not delay cardioversion in an unstable patient. Rate control in the stable patient Drug Situation Comment : : : Beta blocker (metoprolol) First choice in most…

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