Search Results
Results 251 - 300 of 400
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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 ...
Aydiner A - - 1995
This article presents a young patient affected with non-Hodgkin lymphoma who developed acute myocardial infarction 7 days after treatment with epirubicin (90 mg/m2, day 1), cyclophosphamide (600 mg/m2, day 1), vincristine (2 mg, day 1), prednisolone (100 mg, days 1-5), and ondansetron (3 x 4 mg/day, days 1-2). Six months ...
Pilote L - - 1995
BACKGROUND: Differences in the management of acute myocardial infarction have been reported among countries, but few studies have investigated this issue in regions of the United States. METHODS: We compared the management of acute myocardial infarction among census regions across the United States, using data from the first Global Utilization ...
Boydell L - - 1995
OBJECTIVE: To develop an epidemiological database of morbidity in the community as presented to general practitioners and to support epidemiological research in general practice. DESIGN: The project is a sentinel network of 23 general practices in Northern Ireland that report the incidence of a list of selected diseases to a ...
Sutherland G R - - 1995
The development of paediatric transoesophageal ultrasound imaging represents an important advance in the diagnosis and management of the patient with congenital heart disease. Although primary diagnostic transoesophageal studies are seldom indicated in infants and unoperated children, they have an important role in the older child, especially where there has been ...
Mangano D T - - 1995
Although substantial advances have been made in the management of cardiovascular disease, it remains the leading cause of death on the United States and many other countries, due to the impact of aging and other changes in patient demographics. Since cardiovascular complications are usually associated with stress, it is not ...
Wheeldon D R - - 1995
BACKGROUND: Donor management remains one of the most neglected areas of transplantation. A comprehensive donor management regimen has been developed. The results of the application of this strategy form the basis of this report. METHODS: Full hemodynamic data were collected from 150 multiorgan donors between October 1990 and August 1993. ...
Phelps G - - 1995
Little is known of the outcome of myocardial infarction in patients managed in regional hospitals, where investigational and therapeutic modalities may have limited availability. Policies in place in the Intensive Care Unit of Wimmera Base Hospital for the management of myocardial infarction are designed to ensure that current 'best practice' ...
Behnam R - - 1995
Myocardial abscess may occur rarely as a complication of myocardial infarction. This case report is the first demonstration of a myocardial abscess at the site of acute myocardial infarction in a 38-year-old man diagnosed by transesophageal echocardiography and color-flow imaging. Transesophageal echocardiography was crucial in the timing of surgery. Three ...
Lane D M - - 1995
Coronary heart disease is the leading cause of mortality and morbidity in the United States at an estimated cost of $56 billion per year. Current approaches to treatment of coronary artery disease are not likely to reduce mortality and morbidity despite pressure to reduce costs in the changing health care ...
Vaage-Nilsen M - - 1995
The Danish Verapamil Infarction Trial II (DAVIT II) demonstrated from the second postinfarction week, that long term treatment with verapamil significantly improved reinfarction free survival after an acute myocardial infarction (AMI). The present post hoc analysis of DAVIT II was undertaken with the purpose of evaluating the effect of treatment ...
Lee J G - - 1995
We sought to determine the prevalence of acute cardiovascular complications of endoscopy and to describe the clinical features associated with such events. Acute cardiovascular complications were identified from a computerized database of all endoscopies performed at our institution, and their clinical histories were abstracted from the medical records. Of 21,946 ...
McIntosh H D - - 1995
A Consensus Development Conference conducted by the Quality of Patient Care Committee, Florida Chapter, American College of Cardiology, for the Early Management of Acute Myocardial Ischemic Events in Florida was held August 26-28, 1994, at St. Joseph's Heart Institute, Tampa. Twenty recommendations were proposed to improve the management of patients ...
Mendelson M A - - 1995
The leading cause of death in the United States is cardiovascular disease, regardless of gender. Women will more often have angina preceding their first myocardial infarct, but have more unrecognized infarctions than men. Women will be older, have more concomitant disease and present later in the course of their acute ...
Tyagi A K - - 1995
We report an 18-year-old patient who presented with delayed neurological deterioration secondary to posttraumatic cerebellar infarction. Management by ventricular drainage and posterior fossa decompression resulted in a good outcome. The absence of a demonstrable structural vascular lesion makes this case apparently unique. The possible aetiology, pathogenesis and management of this ...
Pycock C J - - 1995
In the light of a report from the Royal College of Physicians, the management of heart disease in the elderly (> 70 years) was studied in the Plymouth Health District in 1992. A survey of general practitioners was undertaken to assess how they would handle particular aspects of heart disease ...
Whitten C W - - 1994
The perioperative management of two patients undergoing complex "redo" cardiac surgical procedures are presented. The management of both patients included the prophylactic administration of aprotinin via a "compassionate use" protocol. Aprotinin, a serine protease inhibitor, has been shown to limit the exposure to blood and blood products in patients undergoing ...
Sabri N - - 1994
Cardiac catheterization and coronary angiography have evolved, especially after the advent of percutaneous coronary interventions. Although older patients with more advanced disease are being studied, the overall rate of complications has not dramatically increased and the spectrum of complications has somewhat changed to select the more acute nature of the ...
Dunn J - - 1994
Doxorubicin (Adriamycin; Adria Laboratories, Columbus, OH) is one of the most effective chemotherapeutic agents used in the management of pediatric neoplastic disorders during the past 20 years. However, its use has been limited by well-characterized, dose-related cardiac toxicity. Recently, cardiac dysfunction has been noted in pediatric patients who had received ...
Söderlin M K - - 1994
Myocardial infarction is rare in pregnancy. We report a 38-year-old woman with a history of smoking and pre-eclampsia in her previous pregnancy, who suffered a non-Q infarction at 18 weeks of gestation. Stenoses in the left coronary artery were verified angiographically. She delivered a healthy child vaginally under epidural anaesthesia.
Pierard L A - - 1994
Infective endocarditis remains an important problem and the means of prevention are still insufficient. The causal bacteria have changed very little, but the incidence of nosocomial infections and endocarditis complicating intravenous drug abuse are increasing. The distinction between subacute and acute clinical presentations remains appropriate. Cardiac and neurological complications are ...
Ghani M - - 1994
The relative incidence of myocardial abscesses occurring in the presence of acute or chronic ischemic heart disease is unknown. Clinical presentation usually involves nonspecific signs of sepsis, and the diagnosis often becomes apparent only when extensive myocardial destruction has occurred. Early diagnosis can greatly reduce morbidity and mortality rates. Echocardiography ...
Dajani A S - - 1994
Long-term management of patients with Kawasaki disease should be tailored to the degree of coronary arterial involvement. This committee has made recommendations for each risk level about antiplatelet and anticoagulant therapy, physical activity, follow-up assessment by a pediatric cardiologist or primary care physician, and the appropriate diagnostic procedures that may ...
Subramaniam P N - - 1994
Acute myocardial infarction is difficult enough to manage without the complications that commonly occur in the first days and weeks that follow. This article covers the most frequent complications, outlining when they are likely to occur, what the symptoms are, how they are best treated, and what sort of prognosis ...
Schnider A A Department of Neurology, University Hospital, Zürich, - - 1994
A patient suffered very severe anterograde and retrograde amnesia following infarction of both medial temporal lobes (hippocampus and adjacent cortex) and the left inferior temporo-occipital area. The temporal stem and the amygdala were intact; these structures do not appear to be critical for new learning in humans. Extension of the ...
Raghavan C - - 1993
AIMS: To determine whether the presence of anticardiolipin antibodies in patients with suspected myocardial infarction is predictive of complications during hospital stay or after discharge. METHODS: Anticardiolipin antibodies were serially measured in a cohort of 111 patients, from the time of admission to the coronary care until till eight weeks ...
Karayalcin G - - 1993
An 8-year-old boy with mild hemophilia A and inhibitors developed an acute myocardial infarction during treatment with prothrombin complex concentrates. This rare complication warrants restriction of dosage and length of treatment with these products to the recommended guidelines. It also appears that noninvasive cardiac monitoring of these patients is beneficial.
de Bono D - - 1993
OBJECTIVES: To evaluate the frequency and nature of complications in patients undergoing diagnostic cardiac catheterisation and to assess the feasibility of a voluntary cooperative audit system. METHODS: 27 centres enrolled patients over a two year period. Each centre voluntarily reported numbers of patients catheterised every month. Complications were reported as ...
Balogun M O - - 1993
Eighty patients (43 M, 37 F), aged 23-89 years who were referred for emergency echocardiography over a 12-month period were prospectively studied in order to determine the reasons for emergency echocardiography and the influence of its results on patient management. The most frequent emergency request was to clarify whether the ...
Sheikh A U - - 1993
OBJECTIVE: Each year in the United States approximately 500,000 women die from ischemic heart disease. However, there are < 100 reported cases of myocardial infarction occurring during pregnancy. The current management of these patients is empiric, with pulmonary artery catheterization during labor being frequently reported. STUDY DESIGN: In the past ...
Içli F - - 1993
A 19-year-old man with a germ cell tumor who experienced hypertension, acute myocardial infarction, and cerebrovascular accident (CVA) associated with hypomagnesemia as late complications of cisplatin-based chemotherapy is presented, and previously reported cases in the literature are reviewed. Different physiopathologic mechanisms are hypothesized for early and late vascular complications of ...
Norton M - - 1993
Myocardial infarction is a significant health problem causing tremendous morbidity and mortality in the United States. Differences exist between right and left ventricular wall myocardial infarction which influence the treatment and nursing care rendered. Knowledge of the pathophysiology and management of right versus left ventricular infarction is important in providing ...
Williams R G - - 1993
Echocardiography contributes to the management of patients with single ventricle by providing an initial comprehensive evaluation in fetal and neonatal life. This allows planning of the initial surgical palliation, usually without the need for cardiac catheterization. Serial surveillance for problems such as subaortic stenosis, valvar insufficiency, or complications of the ...
Lusher J M - - 1993
Among the adverse events that have been associated with the use of F IX CC in inhibitor patients, the likelihood of transmission of blood-borne pathogens is now greatly reduced. However, one must be aware of the possibility of thrombotic complications and acute myocardial infarction when using large, repetitive doses of ...
Le Guludec D - - 1993
Heart disease is a rare but important complication of polymyositis. Diagnosis of myocardial disease is usually based on non-specific clinical, electrocardiographic, and echocardiographic data. This paper reports a case of polymyositis with myocardial disease diagnosed by myocardial imaging with radiolabelled antibody to myosin, a specific marker of the necrotic myocardial ...
Cappell M S - - 1993
The risks versus benefits of panendoscopy performed soon after myocardial infarction were studied. At Robert Wood Johnson University Hospital from January 1986 through December 1991 and at Princeton Medical Center from January 1990 through December 1991, 82 patients developed overt gastrointestinal bleeding (1.2% of all myocardial infarctions) and 14 patients ...
Feigenbaum H - - 1993
Echocardiography is playing an increasingly important role in the management of patients with coronary artery disease. With the addition of new digital technology and new technological advances, such as multiplane transesophageal echocardiography and intravascular ultrasound, there is every expectation that this use of cardiac ultrasound will grow even more rapidly ...
Harris S - - 1993
Cardiac involvement is reported in 10%-20% of patients with lymphoma, but it is characteristically difficult to detect clinically or by investigation. Hypercalcaemia is a rare complication. Both complications usually occur late in the natural history of lymphoma. We report a case of non-Hodgkin's lymphoma, who, within 2 weeks of presentation, ...
Mansur A J - - 1992
BACKGROUND: The frequency of complications of infective endocarditis and their influence on the outcome of the patients changed in the antibiotic era. Therefore, we evaluated the complications in a recent large series of patients with infective endocarditis. METHODS: We studied 300 episodes of endocarditis in 287 patients in a tertiary ...
Rawles J - - 1992
Pre-hospital coronary care usually consists of a medically staffed coronary care ambulance going into the community from a hospital base, as pioneered in Northern Ireland. In today's medicopolitical and economic climate, this model is not viable in mainland United Kingdom. Current proposals seem to favour a 'scoop and run' policy ...
Mamby S A - - 1992
How can the suspicion of myocardial ischemia be confirmed without putting the patient through an invasive procedure? In patients who have had myocardial infarction, how can those at risk for pump failure and other complications and future cardiac events be identified? How are such complications detected? The answer to all ...
Mackenzie D J - - 1992
The lower extremity complications of 100 consecutive patients who required the placement of an intra-aortic balloon pump (IABP) during a 3-year period were studied. Indications for the IABP included hypotension during cardiac catheterization (33%) or coronary angioplasty (13%), hemodynamic instability after open heart surgery (35%), unstable angina (5%), and cardiac ...
Sisto D - - 1992
Intraoperative massive pulmonary embolism is extremely rare. We describe such a case in a patient treated for a prolonged period preoperatively with intravenous heparin after an acute myocardial infarction and unsuccessful attempt at angioplasty, emphasizing that the problem should be borne in mind to facilitate expeditious and appropriate management. A ...
Pierce C D - - 1992
The diagnosis of acute pericarditis may be difficult to establish in patients with recent transmural infarcts as the symptomatology frequently mimics the clinical presentation associated with recurrent ischemia. A careful assessment of the postmyocardial infarction patient may reveal the clinical and electrocardiographic features associated with developing pericarditis. Prompt and accurate ...
Schwid H A - - 1992
Human error is believed to contribute to the majority of negative anesthesia outcomes. Because retrospective analysis of critical incidents has several shortcomings and prospective studies are limited by the low frequency of critical incidents, an anesthesia simulator was used to evaluate the management of simulated emergency situations by ten anesthesia ...
Gowda T K - - 1992
An individual who had sustained 43% burns and then developed blood culture negative right ventricular infective endocarditis and right basal segmental pulmonary infarction is reported. Echocardiography detected vegetations in the mid right ventricle. The patient had a central venous catheter in situ during the initial stage of management of burns. ...
Kern M J - - 1992
The coronary pressure waveforms described in this rounds are an integral part of the angiographers approach to all patients, especially those with suspected left main coronary stenosis. Patient management will differ according to the laboratory experience and training of the operators. Recognition and appreciation of abnormal coronary pressure waveforms may ...
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