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ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…blocker exposure. The incidence of cardiogenic shock complicating STEMI has fallen with prompt reperfusion and reduction of infarct size. Earlier estimates approached 20%, whereas contemporary…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…and reduction of cardiac fibrosis through activation of the natriuretic peptide A receptor. NT proBNP is an inactive cleavage product and has no direct biologic…

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

…Symptoms related to fluid retention and worsening congestion The clinical course may be chronic and relatively stable or punctuated by episodes of worsening heart failure…

Cardiac Tamponade: Recognition and Pericardiocentesis

…even in the absence of pulmonary congestion. Patients may obtain relief by sitting forward. Other symptoms depend on the extent of reduction in cardiac output…

Diuretic Strategy and Decongestion in Heart Failure

…The clinical consequences of extracellular volume expansion include elevated cardiac filling pressures, pulmonary congestion, systemic venous hypertension, and peripheral interstitial edema. These abnormalities produce breathlessness…

Stress Echocardiography: Protocols and Interpretation

…stress generally indicates previous infarction. Extensive ischaemia may produce a reduction in global LVEF and transient LV cavity dilatation during stress. Stress echocardiography can also…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…number of cigarettes smoked does not produce a proportional reduction in cardiovascular harm. Complete cessation is therefore the preferred therapeutic endpoint. The cardiovascular benefits of…

Dietary Patterns and Cardiovascular Outcomes

…products and sweets. An umbrella review incorporating observational studies and randomized trials reported associations between greater adherence to a Mediterranean diet and lower risks of…

Ezetimibe: Place in Therapy and Expected LDL-C Reduction

…that of statins. Statins reduce hepatic cholesterol synthesis, whereas ezetimibe limits intestinal cholesterol uptake. Expected LDL C reduction Ezetimibe produces a modest LDL C reduction…

Ivabradine: Indications, Dosing and Heart-Rate Targets

…By inhibiting the intracellular portion of its transmembrane pore, ivabradine reduces the slope of diastolic depolarisation and produces a dose dependent reduction in sinus rate…

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