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Cardiac Rehabilitation After Myocardial Infarction

…post infarction physical activity programmes into a structured centre of secondary cardiovascular prevention in which exercise, lifestyle intervention, education, and guideline directed medical therapy are…

Isoprenaline and Dopamine Infusions for Bradycardia

…toxins (alcohol, cocaine, cancer therapies), or physical reactions (radiation therapy), frequently involves the conduction system. In these conditions, involvement of the AVN and the conduction…

Antianginal Therapy: Beta-Blockers, Calcium Channel Blockers, Nitrates, and Ranolazine

…valvular disease. Risk factor modification, physical activity, dietary and lifestyle measures, high intensity statin therapy, and appropriate antithrombotic treatment form the broader management framework. Response…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…neurovascular and brain imaging. Evaluation and Physical Examination Clinical history and examination are the initial components of assessment. The history should include: previous TIA or…

Refractory Angina: Options When Standard Therapy Fails

…to established reversible myocardial ischaemia in either of two settings: Obstructive coronary artery disease (CAD) that cannot be controlled despite escalation of antianginal medical therapy…

Chronic Heart Failure With Reduced Ejection Fraction: Four-Pillar Therapy

…HFrEF. Advanced or refractory heart failure should be considered when there is recurrent clinical deterioration despite careful follow up and appropriate therapy. In this setting…

Management and treatment of AV block (atrioventricular blocks)

…the acute setting, whereas long term management only includes pacemaker therapy. Treatment of AV block in the acute setting Treatment in the acute setting is…

ACE Inhibitors: Initiation, Titration and Creatinine Monitoring

…underlying conditions for which ACE inhibitors are prescribed. Evaluation and Physical Examination Prior to initiating an ACE inhibitor, it is essential to evaluate the patient…

Sotalol: Initiation, QT Monitoring and Renal Dosing

…baseline physical examination of patients prior to sotalol initiation. Diagnostics Electrocardiography (ECG) Electrocardiographic monitoring is central to the safe initiation and maintenance of sotalol therapy…

ACE Inhibitor Cough and Angioedema: Practical Management

…dependent. Similarly, angioedema occurring in the setting of ACE inhibitor therapy is bradykinin mediated rather than mast cell mediated, distinguishing it from classic allergic reactions…

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