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Hypertension: Initial Combination Therapy and Drug Selection

…classes. By acting on more than one pathophysiological pathway, combinations generally lower blood pressure more effectively than simply increasing the dose of a single drug…

Atrial fibrillation: quick reference for emergency management

…and does the patient need an anticoagulant? The unstable patient Immediate electrical cardioversion, without delay, in any of the following: A systolic blood pressure <…

PCSK9 Inhibitors: Indications, Efficacy and Access

…received approval. In chronic coronary syndrome, the recommended LDL C objective is: LDL C <1.4 mmol/L (<55 mg/dL) , and A reduction of…

Exercise Electrocardiographic Testing: Indications, Limitations and Interpretation

…most consistent contemporary role is therefore the assessment of functional capacity, symptoms, haemodynamic responses, arrhythmias and prognosis, with diagnostic interpretation reserved for appropriately selected patients…

🟠 Management of STEMI (ST-Elevation Acute Myocardial Infarction)

…I B Consider connecting leads V7, V8 and V9 in patients with high suspicion of posterior acute myocardial infarction (e.g due to reciprocal ST…

Neutropenic fever: quick reference for emergency management

…the patient's own clinic delay empirical antibiotics [1]. A practical target: give the first dose of broad spectrum antibiotics within 60 minutes of triage…

Colchicine and Anti-inflammatory Therapy in Coronary Disease

…myocardial infarction COLCOT The COLCOT trial enrolled 4745 patients within 30 days of myocardial infarction. Participants received colchicine 0.5 mg once daily or placebo…

Extracorporeal cardiopulmonary resuscitation (ECPR)

…compared to conventional CPR in patients with refractory out of hospital cardiac arrest. Patients aged 18 to 70, who received bystander CPR and initially presented…

Levosimendan (Simdax, Simendan) in acute heart failure

…Hypotension can be counteracted with simultaneous administration of norepinephrine. All patients with severe acute heart failure who receive levosimendan should be monitored invasively (e.g…

Supraventricular and intraventricular conduction defects in myocardial ischemia and infarction

…infarction the prevalence of right and left bundle branch block on arrival ECG is 6% and 7%, respectively. A proportion of these patients have a…

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