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Traumatic cardiac arrest

…treated successfully in many instances. Cardiac tamponade : Tamponade in trauma patients is due to blood accumulation in the pericardial sack. This impairs atrial and ventricular…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…Wait 10 minutes — insufficient waiting time is the commonest reason for the patient finding the procedure painful. Test with a needle tip before you start…

De-escalation and Shortened Dual Antiplatelet Therapy in Patients at High Bleeding Risk

…and under representation of patients with STEMI or other very high risk features. Noninferiority studies designed mainly around bleeding outcomes may not reliably exclude clinically…

Right Ventricular Infarction: Recognition and Haemodynamic Management

…in association with an inferior left ventricular infarction. At least minor right ventricular necrosis is found in approximately one third of patients with inferior infarction…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…Thus, a patient may have acute myocardial injury without having an infarction. The degree of troponin elevation does not by itself establish the mechanism. Increased…

Complications of Coronary Angiography and Vascular Access Management

…preferred for coronary angiography and PCI because it is associated with fewer vascular and bleeding complications than femoral access. In patients with acute coronary syndrome…

🟠 Prasugrel (Effient, Efient, Prasita)

…Contraindicated in patients with severe hepatic impairment (Child Pugh Class C). Pediatric population Safety and efficacy in children under 18 years have not been established…

Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…This has resulted in an increased prevalence of congenital heart disease in the general population, such that most clinicians will regularly encounter patients with CHD…

🟠 ATRIA (Anticoagulation and Risk Factors in Atrial Fibrillation) Bleeding Risk Score

…B, Lane DA, Lip GYH. Comparison of bleeding risk scores in patients with atrial fibrillation: insights from the AFFIRM trial. J Intern Med . 2018;283…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…A substantial proportion present with NSTEMI, although STEMI occurs in approximately one third. Patients with MINOCA related STEMI generally do not have a prodrome before…

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