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Complications of Coronary Angiography and Vascular Access Management

…contrast media are injected selectively into the epicardial coronary arteries through a catheter advanced from a peripheral artery to the aortic root and coronary ostia…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

Cardiology Clinical medicine Definition and pathophysiology Peripheral artery disease (PAD) is a clinical disorder caused by stenosis or occlusion of the aorta or arteries supplying…

Ankle-brachial index (ABI)

…up 0.41–0.90 Peripheral arterial disease, mild to moderate Secondary prevention, walking exercise ≤ 0.40 Severe ischaemia Urgent vascular surgical assessment Exercise ABI…

🟠 Nicardipine

…channel blocker (CCB). Nicardipine inhibits the influx of extracellular calcium in the myocardial and peripheral vascular smooth muscle cell membranes, thus inhibiting the contraction of…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…left ventricular dysfunction, peripheral vascular disease and other manifestations of diffuse atherosclerosis. Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are revascularization procedures…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…CEA), coronary artery bypass grafting (CABG), or major non cardiac surgery. The vascular examination should include: palpation of peripheral pulses; auscultation for carotid, femoral, and…

Acute Limb Ischaemia: Recognition and Urgent Management

…exceed available blood flow. The resulting ischaemia threatens skeletal muscle and peripheral nerves and may progress rapidly to irreversible tissue injury. Skeletal muscle and nerves…

Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

…induces peripheral vasodilation through cardiac myofilament calcium sensitisation. This process is achieved via calcium dependent binding to troponin C during systole. Simultaneously, levosimendan activates vascular…

Type 2 Diabetes and Cardiovascular Risk Management

…atrial fibrillation (AF), aortic disease, and peripheral artery disease (PAD). Diabetes also substantially increases the risk of chronic kidney disease (CKD), which itself promotes cardiovascular…

Wound suturing

…contaminated wounds where a long time has passed since the injury (see below). Be particularly cautious with impaired healing: peripheral vascular disease, diabetes with neuropathy…

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