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A Novel Familial Cardiac Arrhythmia Syndrome Identified Using ECG

…clinical presentation. Patients present with syncope, early onset of atrial fibrillation, ventricular arrhythmias and sudden cardiac arrest. Given the prevalence of atrial arrhythmias, ventricular arrhythmias…

Hypertension: Initial Combination Therapy and Drug Selection

…treatment inertia, in which patients remain on an inadequate single drug regimen for prolonged periods. The evidence supports improved blood pressure control and adherence, although…

Pulmonary Hypertension: Classification and Treatment Principles

…used in therapeutic studies of pulmonary arterial hypertension (PAH). The threshold is not absolute: patient phenotype, risk factors for heart failure with preserved ejection fraction…

Cardiac arrest in hypothermia (accidental hypothermia)

…Hypothermia and Asphyxia in Avalanche Incidents Hypothermia coupled with asphyxia is commonly observed in victims of avalanche incidents. Typically, by the time emergency services arriv

Cardiac arrest during sepsis

…J, Toivio T, et al. Does appropriate treatment of the primary underlying cause of PEA during resuscitation improve patients' survival? Resuscitation 2012; 83:81922. Mroczek…

Physiological Assessment of Coronary Stenoses and Revascularization Decisions

…evidence base of any physiological index; lesion specific and largely independent of resting hemodynamics; guideline reference standard. Requires pressure wire + vasodilator (cost, time, patient discomfort)…

Coronary Artery Calcium Scoring: Prognostic Use in Practice

…Calcified plaque is generally less likely to rupture than non calcified, lipid rich plaque. CAC nevertheless serves as a marker of the broader atherosclerotic process…

Massive haemorrhage and transfusion: quick reference

…athletic patients. Beta blockade, a pacemaker and autonomic neuropathy can at the same time mask the expected tachycardia. Aids to assessment The shock index is…

Chronic Heart Failure With Reduced Ejection Fraction: Four-Pillar Therapy

…Functional limitation is commonly described using the New York Heart Association (NYHA) classification. The source material specifically frames many pharmacological recommendations for patients with symptomatic…

Arterial Hypertension: Definition, Diagnosis and Out-of-Office Measurement

…a validated and calibrated device using a consistent method for the individual patient. The recommended procedure is as follows: The patient should remain seated comfortably…

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