Search Results
Results 201 - 250 of 396
< 1 2 3 4 5 6 7 8 >
Warren J W - - 1999
This is part of the series of practice guidelines commissioned by the Infectious Diseases Society of America (IDSA) through its Practice Guidelines Committee. The purpose of this guideline is to provide assistance to clinicians in the diagnosis and treatment of two specific types of urinary tract infections (UTIs): uncomplicated, acute, ...
Shingadia D - - 1999
Kawasaki disease (KD) has become the leading cause of acquired heart disease in developed countries. Conventional therapy for KD includes intravenous gammaglobulin (2 g/kg as a single dose over 12 hours) and aspirin (acetylsalicylic acid; high dose until the fourteenth day of illness then low dose). Therapy administered within the ...
Paciaroni M - - 1999
BACKGROUND AND PURPOSE: Carotid endarterectomy (CE) has been shown to be beneficial in patients with symptomatic high-grade (70% to 99%) internal carotid artery stenosis. To achieve this benefit, complications must be kept to a minimum. Complications not associated with the procedure itself, but related to medical conditions, have received little ...
Asamura H - - 1999
Cardiopulmonary complications developing after pneumonectomy are described. Arrhythmias are seen in about 25% of patients undergoing pneumonectomy, and supraventricular tachyarrhythmias are common. To date, the efficacy of medical prophylaxis has not yet been defined. Postpneumonectomy heart failure shares a common cause with postpneumonectomy edema. Cardiac herniation with subsequent torsion is ...
Masaki E - - 1999
Patients with severely impaired left ventricular function, an uncorrectable coronary artery disease, and a recent myocardial infarction are at high risk of cardiac complications after major noncardiac surgery. We present two patients with extensive three-vessel coronary artery disease who underwent intraperitoneal surgery under the support of intraaortic balloon pump (IABP). ...
Laupland K B - - 1999
Since its first description in Japan 30 years ago, Kawasaki disease has been reported worldwide. Although an infectious etiology is suspected based on the epidemiology and clinical features, a causative agent has not been identified. The majority of the morbidity and mortality associated with this condition is attributable to the ...
Siva S - - 1999
We present a case of splenic infarction in pregnancy, secondary to acute bacterial endocarditis. Left upper quadrant pain in pregnancy can be due to a variety of causes and in the septic or unwell patient, splenic infarct should be considered in the differential diagnosis. The diagnosis of splenic infarct should ...
Luepker R V - - 1999
Differences in the incidence, prevalence of and mortality from coronary heart disease (CHD) are observed between and within countries. These differences are believed to be related to differing levels of CHD risk factors and medical care. Medical care for acute myocardial infarction has changed significantly in the past decades, with ...
Khalid M. Atiq - - 1999
Three complications of acute myocardial infarction without myocardial rupture are directly associated to the function of the myocardium: papillary muscle dysfunction, congestive heart failure, and cardiogenic shock. In this article, the pathophysiological mechanism of each complication is discussed, and the contribution of echocardiography to diagnosis and management is reviewed.
Mohanty A - - 1999
Acquired fourth ventricular outlet obstruction, an uncommon entity, has been conventionally managed by ventriculoperitoneal shunt placements or excision of the obstructing membranes. The role of endoscopic third ventriculostomy is highlighted in the present communication. Three patients presenting with symptoms of raised intracranial pressure were diagnosed to have fourth ventricular outlet ...
Fareed J - - 1999
Physiologic regulation of fibrinolysis plays an important role in the control of hypercoagulable states and thrombogenesis. Both the hereditary and acquired conditions leading to fibrinolytic deficit result in thrombotic complications leading to arterial and venous occlusive disorders. Several changes in physiologic states such as pregnancy, old age, stress, obesity, and ...
Maley R A - - 1999
Every year, 540,000 patients enter a hospital for myocardial infarction. Of these, 4% to 13% will be misdiagnosed and 11%-25% of them may die as a result. Missed diagnoses are the most expensive claims against emergency department physicians and account for 20% of all losses paid by them. A sound ...
Badano L - - 1999
OBJECTIVE: This study sought to assess the impact of local implementation of clinical practice guidelines on the pattern of care and outcome in patients admitted to the Coronary Care Unit (CCU) with acute myocardial infarction. BACKGROUND: Development of clinical practice guidelines is among the most popular of the methods intended ...
Sue S R - - 1998
To the authors' knowledge, this case is unique to the emergency medicine literature. Although testicular infarction from epididymitis is rare, it should be considered as a complication of severe or unresolving epididymitis. These patients should be placed on broad spectrum antibiotics, i.e., quinolones; color flow Doppler of the testes should ...
Machiels J P - - 1998
A 39-year-old woman had alcoholic ketoacidosis complicated by reversible life-threatening myocardial dysfunction. This complication occurred a few hours after correction of acidosis in association with severe hypophosphatemia. A marked improvement in clinical, echocardiographic, and hemodynamic features was associated with the normalization of the serum phosphorus level. This case illustrates a ...
Boden W E - - 1998
BACKGROUND: Non-Q-wave myocardial infarction is usually managed according to an "invasive" strategy (i.e., one of routine coronary angiography followed by myocardial revascularization). METHODS: We randomly assigned 920 patients to either "invasive" management (462 patients) or "conservative" management, defined as medical therapy and noninvasive testing, with subsequent invasive management if indicated ...
Sutton D C - - 1998
Although multiple case reports have demonstrated the capability of transoesophageal echocardiography (TOE) to detect unsuspected cardiac pathology with important therapeutic implications, few studies have examined the effect of real-time interpretation of routine TOE on clinical management of a typical series of cardiac surgery patients. To assess the impact of intraoperative ...
Mahy I R - - 1998
The objective was to determine how patients are selected for invasive investigation after myocardial infarction in Scotland. Cardiologists in Scotland were surveyed by postal questionnaire asking them to detail their approach to four sample clinical scenarios. Complete responses were obtained from 82% of those surveyed. Substantial differences in practice were ...
Gersony W M - - 1998
Intravenous immunoglobulin is used to prevent coronary artery involvement in patients with acute Kawasaki disease. In this issue of the journal, Beiser et al provide a scoring system that is invoked 24 hours after gamma globulin therapy to predict risk for coronary involvement. This instrument would be useful for pediatric ...
Gobin Y P - - 1998
Carotid-cavernous and vertebral-venous fistulas are direct arteriovenous fistulas. Their symptoms range from benign to extremely severe ophthalmologic or neurologic complications. Mechanism of symptoms is mostly related to venous drainage. Therapy is widely indicated, as today's endovascular techniques--using mostly detachable balloons and coils--have a high success rate and very few complications.
van der Worp H B - - 1998
Neurological, cardiac, and systemic complications during the first days to weeks after ischaemic stroke can cause substantial morbidity and mortality. The reported 30-day case fatality rate for cerebral infarction varies between 10 and 17%. The incidence and effects of the various complications vary with time after stroke: transtentorial herniation and ...
O'Keefe J H JH - - 1998
The purpose of this study was to evaluate the outcomes of medical management compared with invasive management for patients with mild or moderate ischemia (non-high-risk) on stress tomographic myocardial perfusion scintigraphy. Of the 1,352 non-high-risk patients, 116 (9%) subsequently were referred for coronary angiography within the first 30 days after ...
Felz M W - - 1997
A left-sided pleural effusion is an infrequent clinical occurrence compared with bilateral or right-sided effusions. After coronary bypass surgery, a patient presented with dyspnea and an enlarging left pleural effusion erroneously attributed to congestive heart failure and refractory to medical management. Thoracentesis generated a clinical surprise, allowed specific therapy, and ...
Jaber B L - - 1997
Dilutional acidosis is a poorly recognized cause of metabolic acidosis. Indeed, the prevailing view has been that even massive expansion of the extracellular fluid volume with non-bicarbonate-containing solutions would not lead to clinically significant hypobicarbonatemia. We describe the development of marked dilutional acidosis as a complication of management of right ...
Songy K A KA - - 1997
A patient underwent a partial right hepatic lobectomy for adenocarcinoma of the colon metastatic to the liver. He was admitted to the surgical intensive care unit in stable condition. Six hours after surgery, the patient experienced sudden and sever hypotension, bradycardia, and systole. Differential diagnoses included acute myocardial infarction, hemorrhage ...
Bergelson B A - - 1997
Percutaneous coronary interventions have been performed for 20 years. Despite the success and progress of these interventions, abrupt vessel closure has been a dramatic adverse event of coronary interventions. Closure has frequently led to the major complications of death, myocardial infarction, and emergency coronary artery bypass. Because of the fear ...
Mintz E - - 1997
Myocardial infarction-remains one of the leading causes of death among adults in the United States despite the significant advances in therapy made during the past three decades. However, a significant reduction in mortality following acute myocardial infarction has been accomplished through an aggressive strategy directed toward early recognition and intervention. ...
Cheung R T - - 1997
Focal deficits, seizures and epilepsy, altered consciousness, and disturbed behaviours can complicate heart diseases and their medical treatment as well as cardiological procedures and cardiac surgery. Neurological complications of common cardiac conditions are discussed. These cardiac conditions are acute myocardial infarction and ischaemic heart disease, atrial fibrillation and cardiac arrhythmias, ...
Kazzaz Y - - 1997
BACKGROUND: The total expense associated with acute myocardial infarction in the United States is substantial because of the combination of high volume and high cost per case. The aim of this study was to identify potential cost-saving strategies for the management of acute myocardial infarction. METHODS: Information was gathered through ...
Nease B - - 1997
Assessment of large cardiac tumors requires careful definition of the extent, cell type, and degree of invasiveness to determine the best operative management. Preoperative magnetic resonance imaging and echocardiography were helpful, but limited in the assessment and management in the case of a 19-year-old pregnant woman with a large (9 ...
Cook G J - - 1997
Hepatic infarction is a serious complication of liver transplantation, causing significant morbidity and mortality and often requiring retransplantation. Real time ultrasonography with Doppler examination is often the first imaging modality employed to investigate post-operative complications. We report on the sonographic appearances of three patients in whom hepatic infarction followed transplantation ...
Caraballo V - - 1997
Significant medical complications after elective abortion are rare. However, complications do occur, and the emergency physician should always bear this in mind when evaluating a patient with significant illness who has recently undergone an elective abortion. Reported here is a case of postabortion endocarditis, manifesting as a septic coronary artery ...
Trzcieniecka-Green A - - 1996
The objective of this study was to assess the impact of group-based stress management training on emotional well-being, functional status, social activity and chest pain in cardiac patients, within a randomized controlled trial. Fifty acute myocardial infarction and 50 coronary artery bypass patients were randomized to experimental (27 myocardial infarction ...
Armstrong P W - - 1996
OBJECTIVE: To trace the evolution of coronary care and the management of acute coronary syndromes. STUDY SELECTION: Landmark articles and selected personal experiences. DATA SYNTHESIS: The evolution of coronary care falls into four major categories and decades: the 1960s during which it was recognized that resuscitation from myocardial infarction through ...
Cappell M S - - 1996
In the general population, endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy is preferable to surgery as therapy for gallstone pancreatitis and acute cholangitis. It is particularly attractive to perform therapeutic. ERCP for symptomatic choledocholithiasis after recent myocardial infarction because of the increased risk of the alternative therapy of cholecystectomy and ...
Moser D K - - 1996
OBJECTIVE: Acute myocardial infarction is often accompanied by anxiety, but the effect of this emotion on recovery is unclear. The purpose of this study was to determine the association between patient anxiety early after acute myocardial infarction and the incidence of subsequent in-hospital complications. METHODS: We assessed anxiety level within ...
Harris P S - - 1996
The complications of IE may involve any organ system. Cardiac complications are frequently present, and heart failure remains a leading cause of death. Abscess formation in the surrounding cardiac tissues may result in myocardial or pericardial disease, and cardiac conduction abnormalities may develop. Extracardiac complications, including neurologic, vascular, and renal ...
Gordon M C - - 1996
Coronary heart disease and myocardial infarction are uncommon complications during pregnancy. Women with insulin-dependent diabetes mellitus (IDDM) have a much greater risk of serious coronary heart disease, but few cases of myocardial infarctions occurring during pregnancy have been reported. Significant maternal morbidity has been reported in half of these cases. ...
Reimer W - - 1996
A percutaneous gastrostomy (PG) was complicated by gastric wall dissection and partial tube malposition. It occurred after tangential puncture along the greater curvature of the stomach which was performed in order to avoid an enlarged left lobe of the liver. To prevent this complication we recommend not using hydrophilic guidewires ...
Kovac J D - - 1996
OBJECTIVE: To examine the incidence and outcome of cardiac catheter complications related to left main coronary artery disease or damage using the CECCC (Confidential Enquiry into Cardiac Catheter Complications) database. SETTING: Coordinating centre for national database. DESIGN: Retrospective analysis of reports to a national multicentre database for cardiac catheter complications. ...
Samuels L E - - 1996
A 68-year-old white man with lung carcinoma underwent removal of the lower lobe of the left lung. Four months later, the patient developed a hemothorax requiring exploratory thoracotomy, evacuation of hemothorax, and decortication. Postoperatively a persistent airspace with prolonged air leak developed. Bronchoscopic application of fibrin glue failed to seal ...
Garry D - - 1996
BACKGROUND: Myocardial infarction is a rare event in pregnancy that requires medical stabilization with possible surgical interventions. CASE: A 37-year-old woman developed an anterior wall myocardial infarction secondary to severe coronary artery disease during the early third trimester of pregnancy. The patient was managed with multiple modalities to stabilize her ...
de Guia T S - - 1996
This review will attempt to put together the voluminous studies and concepts that have been published during the past 25 years following the description of the acute respiratory distress syndrome (ARDS) regarding diagnosis and management. The initial discussion will focus on how to clinically diagnose ARDS based recommendations. This also ...
Vincent R - - 1996
The effective early diagnosis of acute myocardial infarction still rests primarily on the clinical history and the electrocardiogram. ST segment elevation is specific though sometimes short lived and less than ideally sensitive; but with bundle branch block it defines a population that benefits importantly from thrombolysis. Novel electrode configurations can ...
Murphy A W - - 1996
BACKGROUND: The role of the general practitioner in the management of patients with suspected acute myocardial infarction is important and specific. It has been recommended that eligible patients should receive thrombolysis within 90 minutes of alerting medical or ambulance services. The administration of prehospital thrombolysis by general practitioners is controversial. ...
Lorusso R - - 1996
Right latissimus dorsi cardiomyoplasty has recently been shown to provide effective support for the chronic failing heart. A simplified technique to perform this procedure is described here. The use of the pericardial "suspenders" may avoid dangerous lifting of the heart out of its sac position, and allow a more appropriate ...
Kulik T J - - 1996
Inhaled nitric oxide, with a threshold of perhaps only a few parts per million, is a selective pulmonary vasodilator in patients with congenital heart disease and increased pulmonary vascular resistance. Multiple reports suggest that it may be useful in managing postoperative pulmonary hypertension in the cardiac patient, although it is ...
Stewart S - - 1995
Patients with acute inferior myocardial infarction (IMI), complicated by a more extensive right ventricular infarction (RVI), have an increased risk of both complications and mortality. The critical care nurse plays an important role in 1) the early detection of RVI and 2) the management of the common hemodynamic and conduction ...
Higgins T L - - 1995
Potential safety issues related to early extubation include the effect of changes in anesthetic management on intraoperative hemodynamics, stress responses and awareness, altered management in the control of pain, shivering and ischemia in the early postoperative period, and the risks of reintubation in patients who might require reoperation for bleeding. ...
Freymiller E G - - 1995
Coronary artery disease is common in the general population. Dentists must be prepared to treat patients with coronary artery disease in the safest possible manner. This article reviews the dental management of such patients. Specific attention is devoted to medical history, treatment planning, treatment modifications and appropriate measures to be ...
< 1 2 3 4 5 6 7 8 >