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Lumbar puncture

…must not be performed before lumbar puncture in suspected bacterial meningitis — not even with a reduced level of consciousness, focal neurological signs or seizures — because…

Abdominal Aortic Aneurysm: Screening and Surveillance

…screening may also be useful in patients with symptomatic or asymptomatic peripheral arterial disease, in whom AAA has been reported with a substantial cumulative incidence…

Differential Diagnosis of Chest Pain: A Clinical Overview

…elderly, or patients with diabetes [4]. Associated Findings: The sudden onset of symptoms coupled with diaphoresis should always raise concern for a cardiovascular cause [4]…

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

…is required. Patients with suggestive symptoms, signs or a medical history indicating possible secondary hypertension should undergo appropriate screening for an underlying secondary cause. Evaluation…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…hypertrophy, or echocardiographic evidence of impaired filling, make the diagnosis more likely. HFpEF and HFmrEF together account for approximately half of patients with symptomatic HF…

Microvascular Angina and INOCA: Diagnosis with CFR and IMR

…perception in patients without demonstrable ischaemia. The absence of obstructive disease therefore does not establish a benign diagnosis. ANOCA/INOCA is associated with recurrent symptoms…

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

…a few likely diagnoses. The table below shows a systematic history taking in patients presenting with chest pain (chest discomfort) or other symptoms suggestive of…

Immediate Management of Type A and Type B Aortic Dissection

…cause of acute chest pain but carries a particularly high mortality when diagnosis is delayed. The typical presentation is sudden onset, severe chest, back or…

Management of bradycardia (bradyarrhythmia)

…guides the management of non acute or asymptomatic bradyarrhythmia. In patients presenting with intermittent symptoms of bradycardia, it is fundamental to establish a temporal correlation…

Brugada Syndrome: Diagnosis & SCD Prevention

…been fraught with controversies, particularly regarding the risk stratification of asymptomatic patients, the prognostic utility of electrophysiological studies (EPS), and the transition from a purely…

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