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Atrial fibrillation: quick reference for emergency management

…2 An oral anticoagulant is recommended A DOAC is preferred to warfarin except in a mechanical valve prosthesis and in moderate to severe mitral stenosis…

Warfarin therapy

…from an anticoagulation clinic with dosing support, but whoever starts the drug is responsible for the first week. Indications A mechanical valve prosthesis — warfarin is…

Transcutaneous and transvenous pacing

…known thrombosis in the target vein. With a mechanical tricuspid prosthesis the lead must not be passed through the valve. The order of management in…

Complete Versus Culprit-Only Revascularization in Acute Coronary Syndrome

…and other mechanical complications. Shock occurs more often when the coronary artery is completely occluded and is particularly associated with MVD. Patients with ACS and…

The ischemic cascade

…the age adjusted maximum heart rate (MHR) is sufficient to provoke overt ischemic signs during stress testing (Bourque et al.). Thus, patients who undergo exercise…

🟠 Management of STEMI (ST-Elevation Acute Myocardial Infarction)

…or cardiac arrest mechanical complications of acute myocardial infarction. acute heart failure recurrent dynamic ST segment or T wave changes, particularly with intermittent ST segment…

NSTEMI: Risk Stratification and Timing of the Invasive Strategy

…low risk: patients with NSTE ACS may have substantial myocardial ischaemia, dynamic ECG abnormalities, myocardial necrosis, haemodynamic deterioration, heart failure, malignant arrhythmias, or mechanical complications…

STEMI: Primary PCI and System-of-Care Time Targets

…Assessment for high risk mechanical complications. Determination of symptom onset time and anticipated time to primary PCI. Patients with STEMI should be monitored in a…

Advanced cardiopulmonary resuscitation (CPR) - Advanced cardiovascular life support (ACLS)

…be established. Nasopharyngeal airways may cause complications in patients with skull fractures (risk of intracranial malposition of the tube) or coagulopathy (risk of bleeding). An…

Levosimendan (Simdax, Simendan) in acute heart failure

…in patients with unknown etiology for acute severe heart failure. A recent echocardiographic examination should be available or performed urgently to evaluate ventricular and valvular…

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