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Dual Antiplatelet Therapy Duration After Acute Coronary Syndromes and Elective Percutaneous Coronary Intervention

…months , irrespective of stent type. The preferred regimen is aspirin plus a potent P2Y12 inhibitor, usually prasugrel or ticagrelor. In patients undergoing PCI for ACS…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…records are incomplete. A full device check should be available within the recommended interval before elective surgery. In the absence of malfunction, a pacemaker should…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…Diagnostics Non invasive assessment of ischaemia and viability Objective evidence of ischaemia is important before elective CTO PCI. Demonstration of both significant myocardial ischaemia and…

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

…multivessel disease is present in approximately 80% of patients. Evaluation and clinical assessment Clinical factors influencing treatment selection The following characteristics favour CABG when clinically…

Antibiotic dosing in renal impairment: quick reference

…Oral vancomycin (only for C. difficile) is likewise dosed independently of renal function. Require drug concentration monitoring Drug Comment : : Vancomycin (intravenous) Loading dose by weight…

The ECG in assessment of myocardial reperfusion

ECG Myocardial ischemia and infarction The ECG in the assessment of myocardial reperfusion The ECG is an invaluable tool to assess whether an occlusion has…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…left ventricular hypertrophy. Among patients with NSTE ACS undergoing angiography, approximately 10% have no critical epicardial stenosis. In some of these patients, microvascular obstruction or…

🟠 Adjusted aortic root dimension

…help determine expected normal values based on body surface area (BSA), aiding in the diagnosis of aortic root dilation. Key Formulas BSA Calculation (Mosteller formula): [ …

Cardiac amyloidosis

…neprilysin inhibitors (ARNIs), or a reduced requirement for antihypertensives, should prompt clinical suspicion [1]. Cardiac Signs and Symptoms Patients often present with symptoms of predominant…

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