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Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…conceptual framework Acute coronary occlusion is the abrupt or progressive reduction of coronary blood flow sufficient to produce myocardial ischaemia and, when prolonged or severe…

Acute exacerbation of COPD: quick reference

…risk of hypercapnia has been assessed. 3. Take an arterial blood gas in respiratory compromise, low saturation, suspected carbon dioxide retention, reduced consciousness, or when…

Complications of Coronary Angiography and Vascular Access Management

…institutional practice. Complications are more frequent during PCI than during purely diagnostic angiography. Elective PCI has reported mortality of 0.1–0.3%, large myocardial…

Incretins in Cardiometabolic Medicine: Leveraging GLP-1, GIP, and Glucagon Receptor Agonism for Cardiovascular Risk Reduction

…lowering alone. Meta analyses have shown that the risk reduction in MACE is largely independent of baseline HbA1c or the magnitude of HbA1c reduction. 7…

Alcohol withdrawal and delirium tremens: quick reference

…to 72 hours Increasing autonomic hyperactivity and risk of complicated withdrawal 48 to 96 hours Delirium tremens with disorientation, fluctuating attention, agitation or, more rarely…

Anaphylaxis: quick reference for emergency management

Akutsjukvård Lathundar Basic principle Anaphylaxis is a rapidly developing systemic hypersensitivity reaction that can cause life threatening compromise of the airway, breathing or circulation. Skin…

Statin Intolerance and Statin-Associated Muscle Symptoms

…therefore appropriate. Drug interactions are particularly important. Inhibition of cytochrome P 450 3A4 or 2C9 can increase statin concentrations. Relevant interacting agents include amiodarone, macrolide…

Foreign body in the ear and nose

…than a routine referral being made. Two or more magnets constitute the same kind of urgency by a different mechanism. They attract one another through…

Blood pressure

…acute renal failure, pre eclampsia) — intravenous treatment with a controlled reduction, as a rule no more than 25% during the first hour. The exception is…

Lipid-Lowering Therapy: Statins as First-Line Treatment

… and A reduction of at least 50% from baseline. In patients who experience a recurrent atherothrombotic or cardiovascular event within 2 years while receiving maximally…

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