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Stroke Prevention in Atrial Fibrillation: Choosing Anticoagulation

…during management of another condition, or identified only by implanted or wearable devices as subclinical AF. Some patients have frequent symptomatic episodes, whereas others have…

Left Main Coronary Artery Disease: Revascularisation Strategy

…provide a specific examination profile or diagnostic physical signs for LMCAD. Diagnostic Assessment Coronary angiography Invasive coronary angiography defines: The presence and severity of left…

Chronic Kidney Disease as a Cardiovascular Risk Factor

…may produce cardiorenal syndrome. Worsening renal function in the presence of persistent congestion is particularly associated with elevated central venous pressure, which is transmitted to…

Digoxin: Dosing, Therapeutic Range and Toxicity Management

…Several underlying conditions increase a patient's sensitivity to digitalis related arrhythmias. The clinician must evaluate for the presence of worsening renal function, advanced age…

Acute Coronary Syndrome: Definitions and Initial Triage

…chronic coronary syndromes Chronic coronary syndromes (CCS) describe stable period clinical presentations arising from structural or functional abnormalities of the coronary arteries or coronary microcirculation…

Familial Hypercholesterolaemia: Diagnosis, Cascade Screening and Treatment

…The magnitude of untreated LDL C elevation. The presence and age of onset of premature CAD or other vascular disease. A history of myocardial infarction…

Invasive Coronary Angiography: Indications and Vascular Access

…and lesion haziness raise suspicion of thrombus, although haziness is not specific. Intravascular imaging can identify plaque disruption, thrombus and other structural features that may…

Principles and Preparations for Echocardiographic Examinations

…examination, other examinations (which are not included in the standard examination), may be warranted. For most pathological conditions, there are specific guidelines (see links below)…

Upper gastrointestinal bleeding: quick reference

…the last dose, the renal function and the severity of the bleeding 7 Manage antiplatelet drugs according to their indication. Do not routinely stop aspirin…

Anticoagulation Strategies in Atrial Fibrillation

…of other comorbidities, does not significantly increase stroke risk. Conversely, the 2023 ACC/AHA guidelines retain the "VASc" nomenclature but clarify that female sex functions…

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