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Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…Children, pregnant women and patients with advanced renal failure, marked heart failure or circulatory shock require a specific protocol and early specialist involvement. DKA and…

Delirium in older adults: quick reference

…surgery or several concurrent factors. A diagnosis of delirium is therefore the beginning of the investigation, not the end. In a frail older patient an…

Care after return of spontaneous circulation (ROSC)

…with the intent to perform PCI. The decision to transfer the patient to the ICU or CCU depends on the system of care and patient…

Left Main Coronary Artery Disease: Revascularisation Strategy

…are not restricted to patients with symptoms. Current guidance supports revascularisation for significant left main stenosis irrespective of symptomatic status or the documented ischaemic burden…

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]…

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…

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…

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

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

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…

Management of bradycardia (bradyarrhythmia)

…and presence of high risk arrhythmias on ECG guides the management of non acute or asymptomatic bradyarrhythmia. In patients presenting with intermittent symptoms of bradycardia…

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