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Cardiac amyloidosis

…of Cardiac Amyloidosis Demographic and Clinical Context Cardiac amyloidosis should be suspected in patients older than 65 years presenting with heart failure and increased left…

Short Synacthen test

…the day of the test can therefore be given dexamethasone. That is the practical key: the patient does not have to be left unprotected for…

Diuretic Strategy and Decongestion in Heart Failure

…the full range of left ventricular ejection fraction and may result from systolic dysfunction, diastolic dysfunction, or both. The clinical consequences of extracellular volume expansion…

Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC, ARVD)

…endocardium. As the fibrofatty replacement progresses, the ventricular wall becomes thinner and the ventricle begins to dilate. Approximately 50% of cases exhibit biventricular cardiomyopathy, although…

Levosimendan (Simdax, Simendan) in acute heart failure

…transient ischemic attack or stroke, and initiation of renal replacement therapy. The study found no significant differences between the two treatment groups with respect to…

Peripheral venous cannula and intraosseous access

…a large bore cannula in a suitable vein). Standby access in a patient at risk of rapid deterioration. Intraosseous access: Cardiac arrest where venous access…

Urinary alkalinisation

…hydrogen ions instead of potassium, and the urine stays acidic however much bicarbonate is given. Potassium replacement is not the management of a side effect…

Corticosteroids: quick reference for dose equivalents and stress dosing

Endokrinologi & metabolism Farmakologi & dosering Lathundar Two situations are often confused: replacement therapy in adrenal insufficiency (which must be increased under stress) and pharmacological anti inflammatory…

Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

Cardiology Substance : Adenosine Brand names : Adenocor Mechanism of action Adenosine works by slowing down the impulse transmission through the atrioventricular (AV) node, thereby interfering with…

Cardiac arrest in hyperthermia and malignant hyperthermia

…Electrolyte replacement. Large infusions of fluids are typically needed. Table 1. Grading of hyperthermia. Body temperature should decrease at a rate of 0.1°C/min…

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