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Pulmonary Embolism (PE)

…A substantial reduction in pulmonary perfusion and the subsequent reduction in left ventricular preload lead to a cascade of hemodynamic alterations which may culminate in…

CPAP and non-invasive ventilation (NIV)

…dioxide retention for the latter. The treatment is also time limited by its very nature: a patient who has not responded within a couple of…

Atrial fibrillation: quick reference for emergency management

…of the following: A systolic blood pressure < 90 mmHg caused by the arrhythmia. Ongoing myocardial ischaemia with chest pain and ECG changes. Acute pulmonary…

P-wave, PR interval, PR segment: physiology, criteria & ECG findings

…commonly a consequence of increased resistance to empty blood into the right ventricle. This may be due to pulmonary valve stenosis, increased pulmonary artery pressure…

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…

Stress Echocardiography: Protocols and Interpretation

…treatment LV function requires evaluation in the setting of suspected ischaemia or previous infarction Dyspnoea requires assessment of dynamic LV function, valve disease, pulmonary pressure…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

…3.0 A mechanical valve may require a higher target Doses in venous thromboembolism Treatment doses in deep vein thrombosis and pulmonary embolism differ from…

Oxygen therapy

…simple mask, a mask with a reservoir, a Venturi mask with a set of valves, and a high flow nasal cannula where available. Bag mask…

Left atrial enlargement (P mitrale) & right atrial enlargement (P pulmonale) on ECG

…commonly a consequence of increased resistance to empty blood into the right ventricle. This may be due to pulmonary valve stenosis, increased pulmonary artery pressure…

Blood pressure

…with the same risk as manifest hypertension. Non dipping: a nocturnal fall in pressure of < 10% of the daytime value; an independent risk marker…

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