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Primary Aldosteronism: Screening and Management

…macrophages, neurons and other tissues. This distribution helps explain why PA produces cardiovascular injury beyond its effects on blood pressure and potassium balance. The principal…

STEMI: Primary PCI and System-of-Care Time Targets

…after onset: routine primary PCI should be considered in otherwise stable patients. More than 48 hours after onset: routine PCI of an occluded infarct related…

Aspirin in Primary Prevention: Current Recommendations

…the clinical importance of non fatal gastrointestinal and intracranial haemorrhage is substantial, particularly because the absolute cardiovascular benefit is small in many primary prevention populations…

Risk Factor Modification: The Evidence Base for Primary Prevention

…reduction in risk across a large population may prevent more events than a major reduction in risk among a small number of high risk individuals…

🟠 Mitral valve

…publication of the American Society of Echocardiography 30 (4), pp. 303–371. DOI: 10.1016/j.echo.2017.01.007. Mitral valve stenosis Primary parameters…

🟠 Tricuspid valve

…weak, slow deceleration variable dense, steep deceleration, early termination of diastolic flow Jet width colour Doppler small,, < 10 mm length, narrow origin variable large…

Ambulatory blood pressure monitoring and Holter ECG

Procedurer Two recordings that are performed in primary care but interpreted as specialist investigations. Both fail more often for practical than for medical reasons: the…

Dix–Hallpike test and Epley manoeuvre

…to a hanging head. Frenzel goggles or video Frenzel if available — small beats of nystagmus can otherwise be hard to see, particularly when the patient…

🟠 Prasugrel (Effient, Efient, Prasita)

…primary or delayed percutaneous coronary intervention (PCI). Contraindications Prasugrel should not be used in the following situations: Hypersensitivity to the active substance or any of…

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