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Assessment of the pupillary reflex in cardiac arrest

…result, pupils often dilate widely within 30–120 seconds of cardiac arrest and light reactivity is lost when cerebral blood flow ceases. In other words…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…leads. Electrocautery is the most frequent source of EMI, although radiofrequency procedures, nerve stimulators, and other electronic equipment may also interfere with device function. The…

Causes of sudden cardiac arrest

…the result of a perfect storm scenario , where ischemia, hemodynamics, the autonomous nervous system, electrolyte concentrations, and other factors (potentially also genetic predisposition) interact to…

Classification of Acute Coronary Syndromes (ACS) & Acute Myocardial Infarction (AMI)

…partial occlusion of the artery (i.e. coronary blood flow is not completely obstructed). NSTE ACS typically presents with ST segment depressions and/or T…

NSTEMI: Risk Stratification and Timing of the Invasive Strategy

…The presence of extensive comorbidity may alter the balance between procedural risk and benefit. An early invasive strategy is not recommended when the risks of…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…on circulating thrombotic and fibrinolytic factors. Plaque erosion Plaque erosion is increasingly recognized and is present in at least one third of acute coronary syndromes…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…peripheral artery disease (PAD), and other manifestations of systemic atherosclerosis. The principal clinical concern is cerebral embolism or haemodynamic compromise leading to transient ischaemic attack…

Cardiovascular Risk Assessment with SCORE2 and SCORE2-OP

…adults with elevated blood pressure (BP), in whom absolute cardiovascular risk varies considerably according to age and the presence of concomitant risk factors. In contrast…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…small amount of serous fluid which acts as a lubricant that prevents friction during ventricular contraction and relaxation. Pericardial effusion is the presence of an…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…may present with chest pain, severe breathlessness, hypoxaemia, rales, or respiratory distress. In patients with HFpEF, acute hypertension is a frequent trigger of decompensation and…

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