October 2025

10 Early Warning Signs of Heart Disease You Should Never Ignore.

Heart disease remains one of the leading causes of death worldwide — and often, it doesn’t appear suddenly. It develops silently over years, showing subtle symptoms that are easy to overlook. Recognizing these early warning signs can help you take timely action, seek medical advice, and prevent serious complications like heart attack or stroke. Below […]

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Drugs Choice by Comorbidity. You Must know

Condition Preferred Drugs Avoid / Contraindicated Comments Pregnancy / Pre-eclampsia Labetalol, Methyldopa, Nifedipine ER, Hydralazine (IV) ACEi, ARB, Aliskiren, Diuretics (if not required) Labetalol = first-line Chronic Kidney Disease (CKD) ACEi / ARB ± Loop diuretic; Add CCB NSAIDs, Aliskiren (with ACEi/ARB), high-dose K⁺ sparing Monitor creatinine and potassium Asthma / COPD ARB, ACEi, CCB,

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Hypertension Treatment Guide by Comorbid Condition (ESC 2024/2025)

Drug Class / Salt Examples CKD / Renal Disease CLD / Liver Disease Asthma / COPD Pregnancy Heart Failure (HFrEF) Diabetes Mellitus Special Notes / Comments ACE Inhibitors (Enalapril, Lisinopril, Ramipril, Perindopril) ✅ Preferred – renoprotective ⚠️ Use low dose; monitor LFTs ✅ Safe ❌ Contraindicated (fetotoxic) ✅ First-line ✅ Reduces microalbuminuria Stop if creatinine

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Blood pressure

🌡️ A Shocking Truth: 1 in 3 Adults Has High Blood Pressure!

Did you know that one in every three adults worldwide suffers from high blood pressure (hypertension)?It’s a truly alarming fact and what makes it even more dangerous is that it’s known as a “Silent Killer.”That’s because most people don’t feel any symptoms until serious damage has already occurred to the heart, brain, or kidneys. 💖

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PIMS Hospital exam preparation

PIMS Exam preparation Guide/Tips, Syllabus & strategy

🧠 PIMS Exam Preparation Guide — Tips, Syllabus & Strategy Planning to take the PIMS Exam? Whether it’s for FCPS, specialty registration, or internal hospital recruitment at PIMS (Pakistan Institute of Medical Sciences), this guide gives you a complete roadmap. Read on for syllabus breakdowns, study strategies, resources, and sample schedule. What Is the PIMS

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