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High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…assessment is required. Patients with NSTE ACS should be admitted for management of acute ischaemia. Those with possible ACS, a non diagnostic ECG, and normal…

Paracentesis

…commonest error in paracentesis is not performing it. Every patient admitted with ascites should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…procedures likely to generate EMI. Assess pacing dependence Determining pacing dependence is central to planning. If EMI causes oversensing and pacing inhibition, a patient who…

Approach to patients with chest pain: differential diagnoses, management & ECG

…delaying time to treatment. History taking, physical examination, ECG and laboratory tests are the cornerstones of management of patients with chest pain. A 12 lead…

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

… switching from a potent P2Y12 inhibitor to clopidogrel; reducing the dose of prasugrel; extending DAPT beyond 12 months in carefully selected patients with high ischemic…

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