clinical profile of the acute heart failure patient

... with the results of prior studies, and provide potential explanations for the different results Finally, we discuss the implications of the ATN results for clinical practice Design of the Acute ... investigators should be congratulated for their efforts Nevertheless, because of the landmark nature of the trial, a critical analysis is certainly in order The purpose of the present editorial is several-fold ... detailed discussion of the urea Kt/V parameter is beyond the scope of the present paper, but this is the clinical standard for estimating chronic hemodialysis dose in ESRD patients [12] The Kt/V parameter...

Ngày tải lên: 13/08/2014, 11:22

... determine whether the facet joints were the source of pain These included injection of local anaesthetic into the joint itself or the nerves that innervate them, resulting in relief from pain if the pain ... of these groups (14%) considered not only the location but also the type of pain believing it to be sclerogenic in nature Severity There were rather different opinions about the severity of the ... from the nociceptors of the facet joint capsules [32] Generally, the participating chiropractors' views of the acute facet syndrome and the description of chronic facet joint pain found in the...

Ngày tải lên: 13/08/2014, 14:20

... identifying the borders of the tumor There are various sub diaphragmatic tumors including renal cell tumors and HCC which extend from below the diaphragm up to the right chambers of the heart either ... atrial manifestation of the HCC constitutes a life threatening condition The major causes of death are either sudden pulmonary embolism of the thrombus or acute obstruction of the tricuspid valve ... Thus, the arterial and one venous cannula were placed inside the femoral vessels and the utility of femoro femoral by pass circuit allowed opening of the chest with optimal safety The other venous...

Ngày tải lên: 10/08/2014, 09:22

... SF-12 The SF-12 Health Survey is a measure of physical and mental health It is the short form of the most popular SF-36 and consists of the 12 items that were found to be the best predictors of the ... adjust to having heart disease” They will be also told that they could be asked to write about their experiences with heart disease and, if they will consent, they will be scheduled for the following ... when they will receive the informed consent form, which includes no mention of expected benefits from the writing sessions and no mention of the randomization to one of four conditions Once patients...

Ngày tải lên: 11/08/2014, 23:23

... critical illness For CCI patients, it was hospital mortality Comparison of CCI versus the rest of the patients During the study period, 785 patients were admitted to the ICU; 95 patients (12%) were ... Discussion The main contributions of this study refer to the characterization of a growing subgroup of ICU patients, the CCI, in terms of frequency, prognostic factors and outcome The CCI patients ... [33] The percentage of tracheostomised patients is identical to that of the European group of the International Mechanical Ventilation Study Group [35] The big number of events – reported for the...

Ngày tải lên: 12/08/2014, 23:24

... guidelines for the diagnosis and treatment of acute and chronic heart failure: the Task Force for the diagnosis of Acute and Chronic Heart Failure of the European Society of Cardiology Eur Heart J 2008, ... is the sponsor for the study The other authors declare that they have no competing interests Authors' contributions SDS managed day-to-day activities of the study and wrote the majority of the ... Eastaugh J, Mason J: The Euro Heart Failure survey program-a survey on the quality of care among patients with heart failure in Europe Part patient characteristics and diagnosis Eur Heart J 2003, 24:442-463...

Ngày tải lên: 13/08/2014, 20:22

... measure of the degree of LV dyssynchrony Furthermore, the shortening of diastolic time is an often overlooked mechanism of cardiac dysfunction The duration of diastole is a principal determinant of ... pixel of the phase image, derived from the first Fourier harmonic of time The phase angle corresponds to the relative sequence and pattern of ventricular contraction during the cardiac cycle The ... dyssynchrony in heart failure patients (16), we were able to demonstrate that the abnormal shortening of the duration of left ventricular diastole is closely related to the phenomenon of mechanical...

Ngày tải lên: 05/11/2012, 11:32

... heterogeneity can be explained by the degree of acylation and the chain length of the fatty acid The ions at m/z 1688.4, 1674.4, 1660.4, and 1646.3 Table Chemical composition of the LPS from B vulgatus ... main component of lipid A The structure of the lipid A component was established by NMR and MS The 1H NMR signals of the isolated lipid A were assigned using DQF-COSY and TOCSY, and the data are ... order of the 1H chemical shift of the anomeric proton (H1) The downfield shift (d ¼ 5.34 p.p.m.) and the coupling constant (6.7 Hz for JH,P) of H1-GlcNI showed a phosphate substitution at the 1-position...

Ngày tải lên: 31/03/2014, 23:20

... prior to the entry of this protocol These treatments include surgery, chemotherapy, radiation therapy, thermotherapy and immunotherapy, all of which have failed prior to enrollment Other eligibility ... specific T-cell responses in enrolled patients Table shows the summary of the clinical observations of the enrolled patients Two patients received one course of vaccination and three received two ... were observed These events were examined in detail by the members of the IRB, independent of the study group, and judged not to be related to the vaccination, but to the progress of the disease...

Ngày tải lên: 18/06/2014, 16:20

... each spoken presentation of the list The primary dependent variable is the sum of the number of words correctly recalled over the three trials The WMT is a variant of the Brown-Peterson Consonant ... sequence of the letters The dependent variable consists of the number of correct sequential translations in 30 seconds Statistical analysis The feasibility of the SCIP was examined in relation to the ... correction errors, patient tolerance of the procedures, and the time required to complete the SCIP The reliability of the SCIP was assessed by examination of alternate form equivalence, the test-retest...

Ngày tải lên: 18/06/2014, 19:20

... CFS Their training included assessing the activity pattern of the patient with the API During the second visit (diagnostic test session) patients completed the IPAQ and the CFS-AQ Additionally they ... table show the area under the curve (representing the validity) for the CFS-AQ, the IPAQ and the API As can be seen, the validity of the API (0.643) was somewhat smaller than that of the two questionnaires ... with a daily registration by the patient of physical activity Another option could be to include the opinion of a direct partner of the patients in the reporting of daily activities naires Secondly,...

Ngày tải lên: 18/06/2014, 19:20

... at another week Evaluation of the response scores To evaluate categorical scores, we adapted the cut-off of the variable with the highest ranking (DAS28 at week 22) to the specificity of the categorical ... the disadvantage of a more complex model and calculations This study also demonstrates the robustness of the scores and coefficients of the DAS28 in a cohort of RA patients under infliximab therapy ... effect of differences over time, we plotted the means of the most important normalized continuous variables over time (Fig 1) The plot of the variable with the highest ranking (DAS28) shows that patients...

Ngày tải lên: 09/08/2014, 06:23

... million patients who have heart failure worldwide Heart failure is primarily a disease of the elderly, and the prevalence of chronic heart failure increases with advancing age Currently, chronic heart ... heart failure is the most common hospital discharge diagnosis in patients over the age of 65 years Thus, as the population ages, the management of heart failure will become more frequent and of ... greater importance The management of patients who have heart failure is challenging, and the mortality with medical therapy alone is high Although the ideal treatment for heart failure is cardiac...

Ngày tải lên: 11/08/2014, 15:20

... minority of patients who have heart failure, other surgical options may soon provide symptomatic relief for the majority The demand for treatment emerges from an increasingly elderly heart failure ... much better understanding of the anatomy and pathophysiology of heart failure The failing heart beats at more than 120,000 beats per day, pumping more than 6,000 L of blood against an increased ... The year 2007 marks the 50th anniversary of two major advances destined to become pivotal in the treatment of heart failure In 1957 Charles Bailey reported a small series of left ventricular...

Ngày tải lên: 11/08/2014, 15:20

... results in patients who have heart failure depend on myocardial protection and preservation of contractile function in the postoperative period The clinical scenario is well known The patient who ... IIb/IIIa inhibitor or placebo, the 7-day mortality or myocardial infarction rate was 22.3% in almost 700 patients in the control arm [2] A collective review of 279 patients who had dialysis-dependent ... support in 19,985 Cleveland Clinic patients, 0.5% received circulatory support with overall survival of 35% [7] Included were patients who were converted to the HeartMate I implantable system and...

Ngày tải lên: 11/08/2014, 15:20

Ngày tải lên: 11/08/2014, 15:20

... review hopes to provide the reader with information that will shed light on the options that best suit the individual patient in a given set of circumstances Pathophysiology of acute ischemia Pathophysiology ... technical advances This article addresses the pathophysiology, the treatment options, and their rationale in the setting of life-threatening AMI and acute on chronic * Corresponding author New ... per year with the annual incidence of AMI at 865,000 Total-mention mortality due to coronary heart disease is 653,000 per year, making coronary heart disease the largest killer of Americans (males...

Ngày tải lên: 11/08/2014, 15:20

Ngày tải lên: 11/08/2014, 15:20

... modalities for the surgical treatment of ischemic heart failure, such as heart transplantation, surgical ventricular restoration, the Dor procedure, cardiomyoplasty, and the use of mechanical ... Atlanta, GA, USA Coronary artery disease (CAD) is currently the single most common cause of heart failure in adults [1] The prognosis of patients who have severe CAD and left ventricular (LV) dysfunction ... algorithms [2–6] Patients who have heart failure symptoms and a large area of ischemic myocardium treated medically may have a 5-year mortality as high as 60% [7] Such patients often show marked...

Ngày tải lên: 11/08/2014, 15:20

... architecture of the heart permits a shortening of 15% of the fibers to give an ejection fraction of 60% and the different distribution of the fibers within the wall from the epicardium to the endocardium ... b Ischemic heart disease is the leading cause of heart failure in North America, accounting for approximately two thirds of heart failure cases [1] Patients who have ischemic heart failure suffer ... for the twisting effect of the apex that optimizes the ejection of blood into the aortic vessel The elliptic shape enhances blood flow at the inflow and outflow tract When disease alters the shape of...

Ngày tải lên: 11/08/2014, 15:20