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Dix–Hallpike test and Epley manoeuvre

Procedurer Benign paroxysmal positional vertigo is the commonest cause of vertigo in primary care and one of the few diagnoses that can be cured on…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…hypotension and bradycardia. However, some patients exhibit a primary cardioinhibitory response with pronounced bradycardia. Most cardioinhibitory events are due to sinus bradycardia, though transient atrioventricular…

Immediate Management of Type A and Type B Aortic Dissection

…disruption of the adventitia can result in rupture. An alternative proposed mechanism is primary rupture of the vasa vasorum, followed by disruption of the intima…

Short Synacthen test

…Addisonian crisis, hydrocortisone must be given immediately — the test must never delay treatment. Indications Suspected primary adrenal insufficiency (Addison's disease): fatigue, weight loss, hyperpigmentation…

Primary Aldosteronism: Screening and Management

…balance. The principal sporadic subtypes are: Aldosterone producing adrenal adenoma Bilateral adrenal hyperplasia Primary or unilateral adrenal hyperplasia Rare aldosterone producing adrenal carcinoma Less commonly…

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

…previous angina. Patients should be advised to seek emergency medical assistance rather than self presenting to an emergency department or contacting primary care first. If…

Aspirin in Primary Prevention: Current Recommendations

…include: Approximately 11% reduction in cardiovascular events in a meta analysis of primary prevention trials involving individuals with an estimated 10 year cardiovascular risk of…

Risk Factor Modification: The Evidence Base for Primary Prevention

Cardiology Clinical medicine Definition and Scope Primary prevention aims to prevent the clinical manifestation of cardiovascular disease (CVD) in individuals without established clinical CVD. It…

🟠 Mitral valve

Mitral valve regurgitation Primary parameters Mild regurgiation Moderate regurgitation Severe regurgitation Vena contracta (cm) < 0,3 0,3 0,69 0,69 EROA (cm²…

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