ASMIHA

Evolution of antithrombotic tx
Dual antitrombotic tx especially after stent implantation: Aspirin n Clopidogrel Disadvantages: increase the ris of bleeding if the CA!" has to be done# Sudden removal $ill cause inade%uate protection of thrombosis complication

&he role of oral lumbrocinase of Coronary heart disease

'umbro inase treatment for ( days) can ignificantly improve the fibrinolytic system#

*ptimal medical therapy for heart failure patient#

+or H+,-E+: ! bloc er .lead to substantil improvement in E+/ n ACE inh .modest effect in '0 remodelling/) ASA1# If not improve) $e can use spironolactone Digoxin and diuretics still have a place in H+, -E+ patients) also in H+,1E+ $ith A+

Management of cardiac arrythmia in emergency unit

0& usually responds to amiodarone or lidocaine S0& usually responds to adenosine n CC! !radyarrythmias 2 3st line: atropine) Second line: epinephrine n dopamine# Atropine $ould not be very effective in complete A0 bloc

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