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Assessment of the pupillary reflex in cardiac arrest

…dilated, light unresponsive pupils are indicative of cerebral anoxia or brain death and constitute an adverse prognostic sign. Notably, the presence of dilated, nonreactive pupils…

Interpretation of ECG after ROSC (Return of Spontaneous Circulation)

…show any benefit of urgent angiography. ST elevation in acute transmural myocardial ischemia is discussed in the chapter ST elevations in ischemia and differential diagnoses…

Management of bradycardia (bradyarrhythmia)

…incidental and asymptomatic finding. The absence of symptoms indicates that the bradycardia is compensated by an increase in stroke volume. Symptomatic bradycardia may present with…

🟠 Management of STEMI (ST-Elevation Acute Myocardial Infarction)

…is indicated in patients with symptoms suggestive of acute myocardial infarction and at least one of the following criteria present: haemodynamic instability or cardiogenic shock…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…the presence of CRT, the type and location of surgery, and the anticipated current pathway. In a pacing dependent patient, inhibition of pacemaker output may…

Causes of sudden cardiac arrest

…heart failure or after myocardial infarction). Ventricular arrhythmias are easier to induce in the presence of arrhythmogenic substrates. A substrate is defined as a physiological…

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…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…supply and demand, without the presence of acute atherothrombosis. Type 3 MI: Describes cardiac death in patients with symptoms suggestive of myocardial ischaemia and presumed…

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…

Pre-test Probability and Selection of Non-invasive Testing in Stable Angina

…Symptoms and clinical context The assessment begins with the clinical presentation, including the character and stability of chest discomfort, associated dyspnoea, and the presence of…

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