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

…septal rupture VSR typically causes: Recurrent chest pain. Dyspnoea. Hypotension. Rapid development of biventricular failure. Pulmonary oedema. Cardiogenic shock. The shunt may initially be tolerated…

Post-Infarction Pericarditis and Dressler Syndrome

…complicated by constriction, symptoms and signs of right sided heart failure may predominate. Pericardial effusions associated with post infarction pericarditis are commonly mild. A rapidly…

Care after return of spontaneous circulation (ROSC)

CPR Post resuscitation care Victims of out of hospital cardiac arrest (OHCA) who achieve ROSC in the emergency room (ER) are transferred to the intensive…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…cardiac conditions (such as renal failure). To establish a diagnosis of MI, acute myocardial injury must be coupled with clinical evidence of acute myocardial ischaemia…

🟠 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

…medicine, widely utilized for the management of hypertension, chronic ischemic heart disease, heart failure with reduced ejection fraction (HFrEF), and post myocardial infarction (MI) care…

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

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

Assessment of the pupillary reflex in cardiac arrest

…reflex upon hospital admission post cardiac arrest serves as an unfavorable prognostic indicator, its standalone utility in guiding decisions, such as termination of cardiopulmonary resuscitation…

Leg ulcers — wound debridement and compression therapy

…0.5 or toe pressure < 30 mmHg. Decompensated heart failure — compression of both legs acutely increases preload. Untreated deep vein thrombosis in the acute…

Cardiac Rehabilitation After Myocardial Infarction

…The post infarction patient may experience: Reduced exercise tolerance Physical deconditioning Activity related anxiety Depression or psychological distress Loss of confidence in resuming normal activity…

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