Her history of asthma is a contraindication to the prescription of a beta-blocker. NICE therefore recommend a rate-limiting calcium channel blocker. Consideration should also be given to antithrombotic therapy. Atrial fibrillation: rate control and maintenance of sinus rhythm The Royal …
Please see the note below and provided link – there are now specific guidelines relating to the use of oxygen in emergency situations. Acute coronary syndrome: management NICE produced guidelines in 2010 on the management of unstable angina and non-ST …
In cardiac tamponade there is characteristically no Y descent on the JVP. The other four features are seen in both cardiac tamponade and constrictive pericarditis Cardiac tamponade Features dyspnoea raised JVP, with an absent Y descent – this is due …
Prosthetic heart valves – mechanical valves last longer and tend to be given to younger patients Prosthetic heart valves The most common valves which need replacing are the aortic and mitral valve. There are two main options for replacement: biological …
NICE NSTEMI/unstable angina guidelines are based on 6-month mortality risk: if > 1.5% clopidogrel for 12 months if > 3% angiography within 96 hours The 6 month mortality may be calculated using a validated risk model such as GRACE. Acute …
Inferior MI – right coronary artery lesion ECG: coronary territories The table below shows the correlation between ECG changes and coronary territories: ECG changes Coronary artery Anteroseptal V1-V4 Left anterior descending Inferior II, III, aVF Right coronary Anterolateral V4-6, I, …
Calcium channel blockers are now preferred to thiazides in the treatment of hypertension The 2011 NICE guidelines reflected the changing evidence base supporting the use …
Atrial fibrillation: rate control – beta blockers preferable to digoxin A number of factors including age and symptoms would favour a rate control strategy. The NICE guidelines suggest either a beta-blocker or a rate limiting calcium channel blocker (i.e. Not …
Hypertension – NICE now recommend ambulatory blood pressure monitoring to aid diagnosis The 2011 NICE guidelines recognise that in the past there was overtreatment of ‘white coat’ hypertension. The use of ambulatory blood pressure monitoring (ABPM) aims to reduce this. …
Young man with AF, no TIA or risk factors, no treatment is now preferred to aspirinThe European Society of Cardiology guidelines suggest that ‘no treatment is preferred to aspirin’ forlow risk patients such as this man.Atrial fibrillation: anticoagulationThe European Society …