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Injection technique — intramuscular, subcutaneous and intradermal

…Preparation and equipment Hand disinfection; gloves where there is a risk of blood contact. An alcohol or chlorhexidine swab. Let the skin dry completely before…

Left Main Coronary Artery Disease: Revascularisation Strategy

…defined as a diameter reduction of at least 50%. Severe proximal disease of both the proximal left anterior descending and proximal left circumflex arteries may…

Assessing left ventricular systolic function

…left ventricular function (systolic function). It should be noted, however, that three dimensional (3D) echocardiography offers greater precision in the calculation of ejection fraction, and…

Overview of the ECG Waves, Deflections, Intervals, Durations

…left ventricle is usually considerably larger than the right ventricle, the QRS complex is actually a reflection of the electrical potentials generated by the left…

The ECG in assessment of myocardial reperfusion

…are robust indicators of successful reperfusion (patent artery). This is also associated with better prognosis, return of R wave amplitudes, and improved left ventricular function…

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…

Sinus bradycardia: definitions, ECG, causes and management

…high vagal tone. These individuals have developed a highly efficient left ventricle, capable of generating sufficient cardiac output at low heart rates. During vasovagal syncope…

ACE Inhibitors: Initiation, Titration and Creatinine Monitoring

…setting of acute heart failure, N terminal pro B type natriuretic peptide (NT proBNP) values, potassium concentrations, and estimated glomerular filtration rate (eGFR) should be…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…to BNP and NT proBNP in heart failure (HF). The biologically active natriuretic peptides promote vasodilation, renal sodium and water excretion, and reduction of cardiac…

Spontaneous Coronary Artery Dissection

…prompt consideration of systemic arteriopathy rather than being regarded solely as an isolated coronary event. SCAD predominantly affects the left sided coronary circulation and may…

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