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Drug-Eluting Coronary Stents: Evolution, Evidence and Stent Choice

…and lower thrombogenicity. Stent thrombosis Early metallic stents reduced acute closure but introduced the risk of thrombosis related to the intravascular foreign body. First generation…

Cardiac arrest due to anaphylaxis

…wheezing, or coughing before cardiac arrest also speak for anaphylaxis (airway obstruction caused by a foreign body is an important differential). Treatment of anaphylaxis and…

Bone marrow aspiration and biopsy

…made is unusable, no matter how well the puncture went. Indications Unexplained cytopenia in one or more cell lines. Suspected acute leukaemia, myelodysplastic syndrome or…

Dix–Hallpike test and Epley manoeuvre

…with possible residual unsteadiness. No hearing loss, tinnitus or neurological deficits. In horizontal positional vertigo (lateral semicircular canal) the supine roll test is used for…

Edrophonium test

…Indications Clinically suspected myasthenia gravis in a patient with clear, objectively verifiable fatigable symptoms. Assessment of whether residual weakness in a patient with known myasthenia…

Urinary catheterisation

…or a large residual volume. A need for accurate measurement of urine output in a critically ill patient. Perioperatively and postoperatively in longer procedures and…

Cardiac Rehabilitation After Myocardial Infarction

…The modern concept of rehabilitation has evolved from early post infarction physical activity programmes into a structured centre of secondary cardiovascular prevention in which exercise…

Colchicine and Anti-inflammatory Therapy in Coronary Disease

…In patients with previous myocardial infarction and residual inflammation, defined by hsCRP ≥2 mg/L, it produced a modest reduction in a composite of cardiovascular…

Complete Versus Culprit-Only Revascularization in Acute Coronary Syndrome

Myocardial ischemia and infarction Definition and pathophysiology In acute coronary syndrome (ACS) with multivessel coronary artery disease (MVD), revascularization may be directed exclusively at the…

Ezetimibe: Place in Therapy and Expected LDL-C Reduction

…Definition and pharmacological basis Ezetimibe is a non statin lipid lowering agent that inhibits the Niemann–Pick C1 like 1 (NPC1L1) transporter in the intestine…

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