100 Questions in Cardiology by Diana Holdright, Hugh Montgomery

By Diana Holdright, Hugh Montgomery

(BMJ Books) UCL Hospitals, London, united kingdom. greater than a hundred questions are spoke back via top cardiologists. useful advisor to administration of advanced events. For practitioners and citizens. Softcover.

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Management of 18: 394–413. stable angina pectoris. Eur Heart J 1997;1 4 Petticrew M, Sculpher M, Kelland J et al. Effective management of 7: 109–16. stable angina. Qual Health Care 1998;7 100 Questions in Cardiology 37 20 What is the role of troponin T in the diagnosis and risk stratification of acute coronary syndromes? David J Brull A significant proportion of patients presenting to accident and emergency departments complain of chest pain. Early risk stratification is vital with the primary aim being to identify lifethreatening conditions such as acute coronary syndromes (ACS) and ensure their appropriate management, especially since the majority of patients have either non-cardiac chest pain or stable angina and are at low risk.

G. g. 5mg) will lower the blood pressure smoothly in most patients. There is less experience with newer antihypertensive agents. Nifedipine given via the sublingual route may produce a rapid and unpredictable reduction in BP and should be avoided. Similarly, angiotensin-converting enzyme inhibitors should also be avoided because of the risk of first dose hypotension. Older drugs such as hydralazine (25–50mg 8 hourly), or methyldopa (10–20mg 8 hourly) have been used successfully and are an alternative in individuals in whom ␤adrenoceptor blockers are contraindicated.

99: 2798–805. Circulation 1999;9 2 Di Carli MF, Asgrzadie F, Schelbert H et al. Quantitative relation between myocardial viability and improvement in heart failure symptoms after revascularisation in patients with ischaemic cardio92: 3436–44. myopathy. Circulation 1995;9 3 Senior R, Kaul S, Lahiri A. Myocardial viability on echocardiography predicts long-term survival after revascularisation in patients with 33: 1848–54. ischaemic congestive heart failure. J Am Coll Cardiol 1999;3 4 Baumgartner H, Porenta G, Lau Y-K et al.

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