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Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

Echocardiography Myocardial ischemia and infarction Definition and pathophysiology Post infarction mechanical complications are structural disruptions of acutely infarcted myocardium occurring most often during the first…

Post-Infarction Pericarditis and Dressler Syndrome

…may lead to cardiac tamponade or indicate another post AMI complication, including subacute rupture. Evaluation and physical examination The diagnosis of pericarditis is clinical and…

Care after return of spontaneous circulation (ROSC)

…transferred to such centers. Post cardiac arrest syndrome (PCAS) Post cardiac arrest syndrome (PCAS) emerges after ROSC or initiation of ECMO. The syndrome was first…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…the 99th percentile upper reference limit (URL). The injury is considered acute if there is a documented rise and/or fall of cTn values. However…

🟠 Vernakalant (Brinavess)

…conversion of recent onset atrial fibrillation to sinus rhythm. Vernakalant is used in the following settings: Non surgery patients: atrial fibrillation ≤7 days duration. Post…

ACE Inhibitor Cough and Angioedema: Practical Management

…and post myocardial infarction (MI) care. Despite their proven morbidity and mortality benefits, their use is limited by specific adverse effects. Most of these adverse…

De-escalation and Shortened Dual Antiplatelet Therapy in Patients at High Bleeding Risk

…PCI), or medical management. The standard post ACS regimen is DAPT for 12 months, generally consisting of low dose aspirin and a potent P2Y12 inhibitor…

Assessment of the pupillary reflex in cardiac arrest

…are indicative of cerebral anoxia or brain death and constitute an adverse prognostic sign. Notably, the presence of dilated, nonreactive pupils 48 hours post cardiac…

Leg ulcers — wound debridement and compression therapy

…may be falsely normal because of medial sclerosis — in that case add toe pressure measurement. Absolute: ABI < 0.5 or toe pressure < 30…

Cardiac Rehabilitation After Myocardial Infarction

…appropriate recreational or sporting activity Limit recurrent myocardial infarction, cardiovascular morbidity, and mortality The modern concept of rehabilitation has evolved from early post infarction physical…

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