…to identify cases with ST segment elevations, which demand urgent coronary angiography with the intent to perform PCI. The decision to transfer the patient to…

Critical care Myocardial ischemia and infarction Definition and Pathophysiology Cardiogenic shock is a state of inadequate tissue and end organ perfusion caused by cardiac insufficiency…

…with suspected acute heart failure, urgent hospital admission and referral to an expert centre with advanced heart failure care capabilities, including mechanical circulatory support and…

…Benign paroxysmal positional vertigo is the commonest cause of vertigo in primary care and one of the few diagnoses that can be cured on the…

…and is linked to substantial mortality, even though incidence and prognosis vary widely between patient groups and care settings [2]. Practical first actions Do the…

…need for a vasopressor), obstructive shock or cardiac arrest with suspected pulmonary embolism. Urgent bedside echocardiography, looking for right ventricular strain. If CT pulmonary angiography…

Lungmedicin Akutsjukvård Lathundar Key messages Two things set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and…

…intensive care and neurology; intubate as needed and start anaesthetic treatment with EEG After clinical cessation of the seizure Assess the recovery of consciousness. Urgent…

…benzodiazepine) is considered. IIa C Cardiac arrest Management Recommendation Level of evidence Urgent angiography is indicated in patients exhibiting ST segment elevation. I B TTM…

…Contact intensive care in circulatory compromise, serious arrhythmia, marked QRS widening, a sine wave pattern, or a need for repeated calcium treatment. Urgent investigations As…

…Consequently, posterior infarction should not be regarded as an isolated electrocardiographic pattern in every case; it may represent the posterior component of a broader infarct…

…limb salvage. Evaluation and physical examination ALI requires immediate clinical assessment by a vascular specialist or urgent transfer to a facility with vascular expertise. The…

…elevation myocardial infarction (STEMI). Stable patients with ROSC presenting with ST elevations should undergo urgent coronary angiography with the intent of performing PCI. The COACT…

…severe acute or chronic heart failure. Consider urgent angiography in patients with unknown etiology for acute severe heart failure. A recent echocardiographic examination should be…

…done without losing time. 7. Perform urgent CT of the brain and CT angiography from the aortic arch to the vertex. 8. Contact the thrombectomy…

…in older textbooks. Indications Cardiac tamponade — the only absolute indication, and always urgent. A large pericardial effusion with symptoms despite medical treatment. Diagnostic drainage in…

…defibrillation (unsynchronized shock) is reserved for ventricular fibrillation, where urgent reversion to sinus rhythm is required. The rationale for electrical therapy over drugs is that…

…and angiographic findings. OMI is defined by acute coronary artery occlusion causing transmural ischemia and requiring urgent reperfusion, even in the absence of classic ST…

…heart failure, electrical instability or a large area of myocardium at risk. Over 48 hours: urgent PCI is still indicated with continuing ischaemia, shock, serious…

…mild to moderate Secondary prevention, walking exercise ≤ 0.40 Severe ischaemia Urgent vascular surgical assessment Exercise ABI. With a normal or borderline resting ABI but…

…may indicate lesion expansion and involvement of the adventitia, requiring urgent imaging because of the risk of rupture. Type A IMH may cause: Aortic regurgitation…

…including extracorporeal membrane oxygenation (ECMO), may be required in this setting. Clinical presentation and symptoms The clinical presentation reflects the severity of RV pressure overload…

…injury, and death. The risk profile differs between diagnostic angiography and PCI, and is strongly influenced by the clinical setting, vascular access route, anticoagulation, renal…

…which could be as brief as 4–6 weeks. This made BMS attractive in patients requiring urgent non cardiac surgery, those with high bleeding risk…

…not routinely undergo immediate angiography. A selective or delayed approach is recommended in this setting unless other findings justify urgent intervention. Risk scores Several risk…

…assessed after initiation of medical treatment LV function requires evaluation in the setting of suspected ischaemia or previous infarction Dyspnoea requires assessment of dynamic LV…

…ST depressions, T wave changes) are typically concealed in the setting of LBBB. A patient with acute STEMI may therefore display a normal LBBB pattern…