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Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…jugular venous distension in the days after MI should prompt immediate consideration of a mechanical complication. Clinical deterioration may be abrupt or progressive, and cardiogenic…

Indications, Contraindications, and Preparations for Exercise Stress Testing

…risk of complications calls for careful consideration of contraindications. Contraindications may be absolute or relative. Briefly, exercise stress testing must not be performed in the…

Obesity and Cardiovascular Disease: Assessment and Treatment

…symptoms suggestive of sleep disordered breathing Hypoventilation Peripheral oedema or venous disease Reduced mobility Osteoarthritis and low back pain Symptoms of type 2 diabetes or…

Cardiac tamponade causing cardiac arrest

…atria and the ventricles (particularly the former). Even small pressure elevations on the right side can compromise venous return to the right ventricle. Therefore, in…

Arterial line

…test is still used in many units to assess the collateral circulation, but the test does not reliably predict ischaemic complications and should not decide…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…of contractile myocardium, with reduced cardiac output and systemic hypoperfusion. LV failure may produce elevated filling pressures, pulmonary venous hypertension, and pulmonary congestion. Hemodynamic deterioration…

Status epilepticus: quick reference for emergency treatment

…2,3]. Respiratory complications occur, but untreated convulsive status itself carries a considerable risk of hypoxia and respiratory failure. In placebo controlled trials, respiratory depression…

Cardiac thromboembolism: cardiac sources of embolism

…Echocardiography for the investigation of cardiac embolic sources The aim of echocardiography is to investigate if there are sources of emboli in the heart and…

Central venous catheter

…a central venous catheter insertion is decided before the needle goes in: the choice of site, the use of ultrasound throughout the puncture, and maintaining…

Peripheral venous cannula and intraosseous access

…Children in an emergency, where peripheral venous access often takes too long. Intraosseous access accepts all drugs, fluids and blood products that can be given…

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