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Ismail Sooltan
Ismail Sooltan

Public Documents 2
Medical management strategy for Wellens' syndrome type B presentation in the elderly
Ismail Sooltan
Sudantha Bulugahapitiya

Ismail Sooltan

and 1 more

October 02, 2023
Abstract Wellens’ syndrome is predefined electrocardiographic (ECG) criteria associated with critical, proximal left anterior descending (LAD) coronary artery stenosis. Wellens’ syndrome represents a pre-infarction state. Patients are therefore at high risk of an extensive anterior myocardial infarction. It is critical for physicians to identify the subtle ECG signs for Wellens’ syndrome when managing patients with acute cardiac sounding chest pain.This case describes a 94-year-old female who presented to the Same Day Emergency Centre with bilateral jaw pain and mild chest discomfort. Her admission Troponin T was normal, but the 12-lead electrocardiogram on revealed a Wellens’ pattern B. The patient was treated conservatively for acute coronary care syndrome and was discharged in good condition.Keywords : Electrocardiography, Cardiology, Geriatric medicine, Wellens’ syndrome, Acute coronary syndrome
A review of potential cardiac drug-drug interactions amongst patients presenting with...
Ismail Sooltan
Firuza Dzhakhangirli

Ismail Sooltan

and 2 more

January 18, 2023
Drug-drug interactions inducing adverse drug reactions remain a significant, avoidable health risk to cystic fibrosis (CF) patients. With increasingly complex CF exacerbation treatment regimens being used, the risk of clinically important drug-drug interactions has in turn increased. Cardiovascular medications have reportedly been commonly implicated in severe CF exacerbation drug-drug related reactions. Therefore, knowledge of these potential drug-drug interactions is essential for improvement of medication safety and preventing patient harm. Drug-drug interactions can be classified into either pharmacokinetic or pharmacodynamic. This article, using the British National Formulary, details the drug-drug interactions between commonly prescribed CF exacerbation medications and cardiac medications. For each respective drug-drug interaction, the potential consequence, management strategy and interaction severity have been described.

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