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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

…commensurate with the body’s requirements, or can do so only at the expense of abnormally high filling pressures. The resulting haemodynamic congestion produces a…

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

…seizure lasting at least 5 minutes, or repeated generalised tonic clonic seizures without the patient regaining consciousness between them. Five minutes is the practical threshold…

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

…A history of increasing frequency of hospitalizations and visits for heart failure without disease recognition in the 3 years preceding diagnosis is also a notable…

Aberrant ventricular conduction (aberrancy, aberration)

…long refractory periods and short RR intervals have shorter refractory periods. Aberrant conduction occurs when the length of the cardiac cycle is changed without a…

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

…Isolated urticaria, localised angio oedema or itching without compromise of the airway, breathing or circulation is usually an allergic reaction but not in itself anaphylaxis…

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