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Refractory Angina: Options When Standard Therapy Fails

Cardiology Myocardial ischemia and infarction Definition and Pathophysiology Refractory angina is a chronic syndrome of persistent ischaemic symptoms despite the exhaustion of conventional therapeutic options…

Chronic Heart Failure With Reduced Ejection Fraction: Four-Pillar Therapy

…myocarditis, arrhythmias, thyroid disease, iron deficiency and anaemia, kidney dysfunction, sleep disordered breathing, cancer related disease and cardiac amyloidosis among the relevant clinical settings or…

Paracentesis

…paracentesis: Tense ascites with abdominal discomfort, early satiety or respiratory compromise. Diuretic refractory or diuretic intolerant ascites, as recurrent treatment. Contraindications There are in practice…

Status epilepticus: quick reference for emergency treatment

…Give a full loading dose of an intravenous antiseizure drug If the seizure continues after adequate step 1 and step 2 Refractory status: contact anaesthesia…

ACE Inhibitor Cough and Angioedema: Practical Management

…syndrome" has emerged, emphasizing the putative role of sensitized sensory nerve endings and afferent neural pathways in causing chronic refractory cough, akin to chronic neuropathic…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…no imaging evidence of RV dysfunction. Catastrophic or “supermassive” PE refers to refractory cardiogenic shock or the need for ongoing cardiopulmonary resuscitation. Mechanical circulatory support…

Cardiac amyloidosis

…10]. Refractory atrial arrhythmias resistant to antiarrhythmic drugs or repeated ablation procedures should raise suspicion, especially in patients in their mid 60s or older [10…

Aberrant ventricular conduction (aberrancy, aberration)

…will be blocked at that point. The length of the refractory period (see Basic Cardiac Electrophysiology) varies with heart rate. The length is shortened as…

Assessment of Pacemaker Malfunction

…Figure 4. Intermittent failure to capture. Figure 5. Failure to capture during the refractory period. Figure 6. Tachyarrhythmia with ventricular pacing. Failure to capture Definition…

Anaphylaxis: quick reference for emergency management

…intravenous access, fluid and early contact with anaesthesia or intensive care Refractory anaphylaxis Persisting airway, respiratory or circulatory compromise despite two adequate intramuscular doses of…

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