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I did not think it was due to ACS, but we ordered an ED ECG immediately: What do you think? But in this case the clinical scenario is not right for acute ACS with OMI, and there is very high voltage, and the patient is very young, (though beware of young patients , even 29 year olds!! There is profound "inferior" ST Depression.
There have been documented cases of overdose, and of note, there is no known antidote. ACS chemical neuroscience molecule spotlight on Contrave. ACS Chem Neurosci. At times, patients may also be taking other diabetes medications such as sulfonylureas or insulin, which could precipitate worsening persistent hypoglycemia.
SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Opioids do not cause ACS but they can exacerbate hypoxia in patients with ACS. Morphine sulphate is the commonest strong opioid to start with.
4,5 Of particular concern is the Sudanese conflict, which began in April 2023, and which has caused the largest internal displacement of a population in documented history. link] Hummell AC, Cummings M. About three-quarters of the countries in sub-Saharan Africa serve as origin or destination points for refugees. 2022;37(1):41-49.
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