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

…in clinical practice and it is fundamental to be able to differentiate benign from serious etiologies. Therefore, when encountering a patient with chest pain the…

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

…to clopidogrel; reducing the dose of prasugrel; extending DAPT beyond 12 months in carefully selected patients with high ischemic risk and low bleeding risk. These…

Gynaecological examination and cervical smear

…are no absolute contraindications, but refrain or adapt in: The patient does not consent — the examination must then not be carried out. Vaginismus or marked…

Exercise stress testing in special patient populations

…Exercise stress testing in patients with previous acute coronary syndromes (myocardial infarction), women, elderly and revascularized individuals Clinicians should be familiar with the special challenges…

Pediatric aspects of ECG leads & anatomy

…proximally on the upper arm. Placement of chest (precordial) electrodes are not changed but additional leads may be attached in children under the age of…

Arterial line

…cap. Lidocaine 10 mg/mL for local anaesthesia in the awake patient — the anaesthetic also improves the chance of success by counteracting vascular spasm. Pressure…

Atrial fibrillation: quick reference for emergency management

…to the local protocol. An anticoagulant is given as soon as possible, but must not delay cardioversion in an unstable patient. Rate control in the…

Cardiac amyloidosis

…ejection fraction (HFpEF) at hospitalization warrants evaluation [5]. Heightened awareness is essential in patients with severe aortic stenosis, particularly the low flow, low gradient phenotype…

Invasive Coronary Angiography: Indications and Vascular Access

…stenoses. Myocardial ischaemia may occur despite the absence of significant epicardial obstruction. In patients with anginal symptoms and unobstructed or non obstructive coronary arteries, possible…

Cardiac arrest in hypothermia (accidental hypothermia)

…emphasizing concurrent rapid rewarming of the patient. Consider extracorporeal membrane oxygenation (ECMO) in unstable patients. The administration of medications (such as amiodarone and epinephrine) and…

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