PE and heart rate

Various pages have been updated to re-emphasise that heart rate is only > 100 bpm in about 40% of patients, so it is not a good screening variable. Increasing heart rate, however, is a good indicator of poorer prognosis.Yamashita, Y., Morimoto, T., Takase, T., et al., (2023). Impact of Heart Rate at Diagnosis on Clinical … Read more

Nitrates are not contra-indicated in RV infarction

The Management of ACS page has been updated to more clearly emphasise that nitrates are not contra-indicated in RV infarction, but some caution may be required due to potential hypotension.Wilkinson-Stokes, M., Betson, J., & Sawyer, S. (2022). Adverse events from nitrate administration during right ventricular myocardial infarction: a systematic review and meta-analysis. Emerg Med J. … Read more

ASD audio

An audio clip of an ASD has been added to the Acyanotic lesions with left to right shunt page.