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Cardiac tamponade causing cardiac arrest

…compressions. For traumatic tamponades, thoracotomy remains the primary therapeutic intervention. Ideally, it should be performed within 15 minutes of the onset of collapse. Pericardiocentesis , performed…

Digoxin: Dosing, Therapeutic Range and Toxicity Management

…heart failure armamentarium. Its use has declined over time due to the advent of more efficacious agents with wider therapeutic to toxic windows, and its…

Warfarin therapy

Procedurer Warfarin has a narrow therapeutic index, a half life of several days and more than a hundred clinically relevant interactions. What determines whether the…

Aspirin in Primary Prevention: Current Recommendations

Cardiology Pharmacology & dosing Definition and therapeutic rationale Aspirin, or acetylsalicylic acid, is an antiplatelet drug that irreversibly inhibits cyclooxygenase and thereby suppresses thromboxane A2 synthesis…

Hypertension: Initial Combination Therapy and Drug Selection

Cardiology Pharmacology & dosing Definition and Therapeutic Rationale Hypertension is a major risk factor for atherosclerotic cardiovascular disease and contributes to microvascular and macrovascular complications. It…

Inclisiran and Emerging Lipid-Lowering Agents

…Pharmacology & dosing Definition and therapeutic rationale Inclisiran is a liver directed small interfering RNA (siRNA) designed to reduce production of proprotein convertase subtilisin/kexin type…

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

Myocardial ischemia and infarction Definition and therapeutic rationale Multivessel coronary artery disease (CAD) refers to clinically significant atherosclerotic disease affecting two or more major epicardial…

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

…The central therapeutic aim is symptom control rather than modification of long term cardiovascular outcomes. With the important exception of beta blockers in selected patients…

LDL Cholesterol Targets Across Cardiovascular Risk Categories

…variable rather than a therapeutic objective. LDL C as the primary treatment target Current lipid management frameworks place LDL C at the centre of treatment…

Refractory Angina: Options When Standard Therapy Fails

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

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