60+ träffar

ArticleCardiology
Secondary Hypertension: When and How to Investigate

…referred to a specialized centre because the work up may require expertise and technologies unavailable in primary care. Before investigating secondary causes, pseudo resistance must…

ArticleReferensvärden
Circulatory and haemodynamic parameters

Referensvärden Haemodynamic measurements become interpretable only when related to one another. A low blood pressure may be due to low flow, low vascular tone or…

ArticleKunskapsbas
🟠 Hydralazine

Hydralazine Hydralazine is not preferred for hypertensive emergencies due to the high risk of reflex sympathetic stimulation. Drug Hydralazine Brand names Apresoline ®, Bidil ®…

ArticleEchocardiography
Aortic stenosis

…As the valve area becomes smaller, the transvalvular resistance increases, making it more difficult to eject blood into the aorta. In the early stages of…

ArticleCardiology
Pulmonary Embolism (PE)

…Pathophysiology of pulmonary embolism (PE). Hemodynamic effects Pulmonary embolism leads to increased resistance in the main pulmonary artery, and thereby increased afterload on the right…

ArticleProcedurer
Arterial line

…are routinely missed. The third thing to know by heart is that an arterial line must never be confused with a venous access. Indications Continuous…

ArticleCardiology
Hypertensive emergency (crisis)

…total peripheral resistance, decreases systemic blood pressure, and decreases afterload. Nicardipine has antianginal and antihypertensive effects. Time to onset of action 5 to 15 minutes…

ArticleProcedurer
Urinary catheterisation

…but the meatus can be hard to find in older women. Two things separate the safe catheterisation from the harmful one: never forcing against resistance…

ArticleCardiology
Resistant Hypertension: Evaluation and Treatment

…pseudo resistance, secondary hypertension, treatment related contributors, and excess cardiovascular risk. The European definition requires failure to reduce office systolic and diastolic blood pressure to…

ArticleEchocardiography
Left ventricular diastolic function

…overcoming the aortic resistance, which is typically 110 mmHg or more. It is straightforward to understand why systolic function is fundamental to global cardiac function…

ArticleProcedurer
Skin biopsy — punch, shave and excision

…Place the punch perpendicular to the skin and rotate under even pressure until the resistance gives way — the dermis has then been passed and you…

ArticleEchocardiography
Relaxation of the left ventricle

…). Afterload Afterload is the resistance that the left ventricle must overcome to eject blood into the aorta. Afterload affects myocardial muscle fibers during systole and…

ArticleEchocardiography
Tachycardia induced cardiomyopathy

…venous pressure, pulmonary capillary wedge pressure and systemic vascular resistance increases. Harmful neurohormonal pathways are activated, similar to those seen in heart failure. A thorough…

ArticleMyocardial ischemia and infarction
Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…therapy Nonadherence or discontinuation of clopidogrel or DAPT, reduced clopidogrel bioavailability, hyporesponsiveness or resistance to aspirin or clopidogrel Anatomic Long lesions, small vessels, multivessel disease…

ArticleProcedurer
Laryngeal mask and difficult airway

…movement until a clear resistance is felt — the tip of the cuff then lies at the oesophageal inlet. 6. Inflate the cuff to a seal…

ArticleProcedurer
Wound suturing

…A wound that has not been irrigated clean, has not been inspected to its depth, and has not been assessed for tendon and nerve injury…

ArticleKunskapsbas
🟠 Clevidipine

…effect on myocardial contractility or conduction. Clevidipine reduces mean arterial blood pressure (MAP) by decreasing systemic vascular resistance (SVR). Clevidipine does not reduce cardiac filling…

ArticleKunskapsbas
🟠 Mean arterial pressure (MAP) calculator

…Hemodynamic determinants of MAP Hemodynamically, MAP is influenced by cardiac output (CO) and systemic vascular resistance (SVR), as described by the relationship: MAP = (CO…

ArticleKunskapsbas
🟠 Nicardipine

…total peripheral resistance, decreases systemic blood pressure, and decreases afterload. Nicardipine has antianginal and antihypertensive effects. Time to onset of action 5 to 15 minutes…

ArticleCardiology
Chronic Kidney Disease as a Cardiovascular Risk Factor

…in which adiposity, insulin resistance, diabetes, hypertension, CKD and CVD reinforce one another. Dysfunctional adipose tissue contributes to inflammatory and metabolic abnormalities, while CKD promotes…

ArticleCardiology
Dietary Patterns and Cardiovascular Outcomes

…These combined effects may improve inflammation, insulin resistance, glucose metabolism, hypertension, atherogenic dyslipidaemia, endothelial biology and platelet related pathways. The source material also describes possible…

ArticleCardiology
Diuretic Strategy and Decongestion in Heart Failure

…myocardial wall stress and subendocardial ischemia. Neurohormonal activation and vascular and renal abnormalities contribute to sodium and water retention. The interaction between cardiac and renal…

ArticleConduction defects
Overview of atrioventricular (AV) blocks

…and third degree AV blocks. Readers already familiar with the basics of AV blocks can proceed directly to the subsequent chapters, which provide detailed discussions…

ArticleProcedurer
Bone marrow aspiration and biopsy

…with the stylet in place perpendicular to the bone surface, angled slightly anteriorly and medially. Rotate under steady pressure until the resistance suddenly gives way —…

ArticleProcedurer
Exercise stress test on cycle ergometer

…Acute aortic dissection. Physical inability to perform the test safely. Relative: Condition Comment : : Left main stenosis Known — perform the test only on a clear indication…

ArticleProcedurer
Nasogastric tube

…The resistance at the posterior pharyngeal wall after about 10–15 cm is expected. 5. Ask the patient to flex the head forward and swallow…

ArticleCardiology
Alcohol and Cardiovascular Disease

…impair left ventricular ejection fraction. Enlargement of the left ventricle predisposes to atrial and ventricular arrhythmias. In advanced alcohol related cardiomyopathy, dilation may involve all…

ArticleProcedurer
Joint aspiration

…slightly caudally, parallel to the posterior surface of the patella. The shoulder The patient sits with the arm hanging relaxed and slightly internally rotated. The…

ArticleCardiology
Primary Aldosteronism: Screening and Management

…increased, relatively autonomous from angiotensin II and plasma potassium, and resistant to suppression by sodium loading. It is the most common form of secondary hypertension…