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ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…every patient with an initial STEMI pattern has myocardial infarction as the final diagnosis. The underlying process usually involves acute thrombotic obstruction of an epicardial…

Secondary Hypertension: When and How to Investigate

…detection of prescribed medications in blood or urine samples. In patients with an estimated glomerular filtration rate below 30 mL/min/1.73 m2, an…

Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

…identify specific hemodynamic profiles: the presence of hypotension, end organ hypoperfusion, shock states, and pulmonary congestion. In pregnant patients presenting with suspected acute heart failure…

Acquired QT Prolongation and Drug-Induced Arrhythmia

…with a two to three fold higher risk for TdP. Conversely, TdP rarely occurs when the QTc is < 500 ms. Before an episode of…

Preeclampsia and Hypertensive Pregnancy Disorders as Future Cardiovascular Risk

…twice the normal level Neurological symptoms are particularly important because of the increased risk of cerebrovascular complications. Seizures in a patient with preeclampsia indicate eclampsia…

Sotalol: Initiation, QT Monitoring and Renal Dosing

…pediatric patients, and young adults with congenital heart disease. Initiation Strategies Because of its ability to significantly prolong the QT interval and cause torsades de…

Atrial Fibrillation in the Critically Ill Patient

…In the critically ill patient, AF may be pre existing, newly detected for the first time, or newly developed during management of an acute illness…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…glomerular filtration rate Reported estimates include a rate of approximately 0–2% in patients with an eGFR of 30–44 mL/min/1.73 m2…

Lipid-Lowering Therapy: Statins as First-Line Treatment

…doubling the dose produces an additional reduction of approximately 6%. Clinical indications and treatment goals Established atherosclerotic cardiovascular disease Patients with established ASCVD are at…

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