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Digoxin: Dosing, Therapeutic Range and Toxicity Management

…time due to the advent of more efficacious agents with wider therapeutic to toxic windows, and its routine use in adult patients is generally discouraged…

Warfarin therapy

…5–3.5 Some centres use 2.0–3.0 with a modern bileaflet prosthesis and no risk factors Mechanical mitral valve 2.5–3…

Aspirin in Primary Prevention: Current Recommendations

…A2 promotes vasoconstriction and platelet aggregation. Because aspirin affects only one pathway of platelet activation, its antiplatelet effect is relatively limited compared with agents that…

Hypertension: Initial Combination Therapy and Drug Selection

…receive both lifestyle and antihypertensive drug therapy. For grade 1 hypertension, pharmacological treatment has demonstrated cardiovascular benefit, although in younger individuals with low short term…

Inclisiran and Emerging Lipid-Lowering Agents

…barriers associated with more frequent injectable therapy, although the clinical importance of improved adherence remains dependent on sustained follow up and administration. Clinical indications and…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…less durable relief of angina in some patients and a greater likelihood of repeat PCI. Multivessel disease in ACS is associated with an adverse prognosis…

Antianginal Therapy: Beta-Blockers, Calcium Channel Blockers, Nitrates, and Ranolazine

…and combinations are frequently required. The central therapeutic aim is symptom control rather than modification of long term cardiovascular outcomes. With the important exception of…

LDL Cholesterol Targets Across Cardiovascular Risk Categories

…C may paradoxically be associated with increased risk, and HDL C should therefore be interpreted as a risk assessment variable rather than a therapeutic objective…

Refractory Angina: Options When Standard Therapy Fails

…symptoms despite the exhaustion of conventional therapeutic options. It is defined by symptoms lasting more than 3 months and attributable to established reversible myocardial ischaemia…

Colchicine and Anti-inflammatory Therapy in Coronary Disease

…The interleukin 1β pathway, with downstream effects involving interleukin 6 and C reactive protein, has been a major therapeutic target. This concept is clinically…

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