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Standard Transthoracic Echocardiogram: Complete Imaging Protocol

…Rock : Within the same imaging plane, the transducer changes orientation either toward or away from the orientation marker. Angle : The transducer is kept at the…

Refractory Angina: Options When Standard Therapy Fails

…venous haemodynamics. Neuromodulation of cardiac pain signalling. Experimental angiogenic or regenerative strategies. The syndrome is clinically important not only because of persistent symptoms, but also…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…the surface ECG as ST segment displacement. When the ischaemic vector is directed away from the standard anterior leads, posterior infarction may manifest as reciprocal…

Opioid therapy in severe pain

…abandoned — when a fixed dose is given without assessment, when a modified release preparation is started in an opioid naive patient, or when a conversion…

Interpretation of ECG after ROSC (Return of Spontaneous Circulation)

CPR A standard 12 lead ECG should be recorded in all patients after return of spontaneous circulation (ROSC). The purpose of a 12 lead ECG…

The Cabrera format of the 12-lead ECG and inverted lead aVR

ECG Introduction to ECG interpretation Standard display of ECG leads in the 12 lead ECG Numerous conditions that can be diagnosed using the 12 lead…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

…Doses in atrial fibrillation Drug Standard dose Reduced dose and criterion : : : Apixaban 5 mg twice daily 2.5 mg twice daily if at least two…

Pleural aspiration and chest drain

…before the puncture markedly reduces the risk of pneumothorax and is now the standard — puncture on the basis of percussion and a chest radiograph alone…

Complications of Coronary Angiography and Vascular Access Management

…ostia. It remains the reference standard for defining the extent of coronary artery disease because it provides anatomical information while permitting functional assessment and, when…

De-escalation and Shortened Dual Antiplatelet Therapy in Patients at High Bleeding Risk

…percutaneous coronary intervention (PCI), or medical management. The standard post ACS regimen is DAPT for 12 months, generally consisting of low dose aspirin and a…

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