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- Foot cold, pallor, loss of sensation, angiography abrupt cutoff of flow, extensive atherosclerotic stenoses - critical limb ischemia, revascularization
- Intravenous idarucizumab rapidly reverses anticoagulant effect of dabigatran
- STEMI, cardiogenic shock, emergent revascularization versus initial medical stabilization no difference of mortality at 30 days, reduction of mortality with early revascularization at 6 months (SHOCK trail)
- Screening men >65 years old is associated with reduction in abdominal aortic aneurysm related deaths compared with unscreened males of similar ages
- Palpable thrill at fourth left intercostal space+loud, high-frequency holosystolic murmur at left lower sternal border that does not change with valsalva - VSD
- Acute uncomplicated type B (distal) aortic dissection can most often be safely managed with initial pharmacologic therapy alone
- Low BP, low cardiac output, high PCWP, high pulmonary artery pressure (cardiogenic shock) dopamine is first line of choice, followed by norepinephrine, then dobutamine
- HTN not controlled with amlodipine 10 mg, hydrochlorothiazide 25 mg, lisinopril 40 mg - add spironolactone 12.5 mg daily