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https://www.readbyqxmd.com/read/27159935/canadian-palliative-community-milrinone-infusions-a-case-series
#1
Ruthanne Reimche, Daniel Salcedo
Abstract Symptom managementfor end-of-life heartfailure (HF) patients is a significant concern. Currently, Canadian practice does not support community milrinone therapy in end-of-life HF patients. Two patients had severe HF that was unresponsive to optimal medications. Further optimization and furosemide infusions were ineffective for symptom management. Both patients' symptoms were better controlled with optimal medication, furosemide, and milrinone infusions. A tailored discharge plan was developed to assist with community milrinone infusions...
2016: Canadian Journal of Cardiovascular Nursing, Journal Canadien en Soins Infirmiers Cardio-vasculaires
https://www.readbyqxmd.com/read/26535603/clinically-amyopathic-dermatomyositis-complicated-by-pleural-effusion-case-report-literature-review-and-proposed-mechanism
#2
REVIEW
Ying Wu, Sheetal Chhaya, Bert Hurowitz, Thomas Ardiles, Richard Carlson
Polymyositis-dermatomyositis (PM-DM) is a chronic inflammatory disorder that mainly involves muscles and skin. Clinically amyopathic dermatomyositis (CADM) is a unique subset of PM-DM with typical skin manifestations but little or no evidence of musculoskeletal involvement. Many cases of dermatomyositis and CADM are associated with internal malignancy, but pulmonary manifestations can also been seen; the most common of which is interstitial lung disease. Pleural effusion is a rare complication and may be difficult to differentiate from other causes, such as infections, heart failure, or malignancy...
July 2015: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/25430004/age-specific-changes-in-left-ventricular-diastolic-function-a-velocity-encoded-magnetic-resonance-imaging-study
#3
Golmehr Ashrafpoor, Emilie Bollache, Alban Redheuil, Alain De Cesare, Alain Giron, Carine Defrance, Arshid Azarine, Ludivine Perdrix, Magalie Ladouceur, Benoît Diebold, Elie Mousseaux, Nadjia Kachenoura
OBJECTIVES: Our objectives were to assess the ability of phasecontrast MRI (PC-MRI) to detect sub-clinical age-related variations of left ventricular (LV) diastolic parameters and thus to provide age-related reference ranges currently available for echocardiography but not for MRI-PC, and to identify independent associates of such variations. METHODS: We studied 100 healthy volunteers (age = 42 ± 15years, 50 females) who had MRI with simultaneous blood pressure measurements...
April 2015: European Radiology
https://www.readbyqxmd.com/read/24469874/hyponatremia-as-predictor-of-worse-outcome-in-real-world-patients-admitted-with-acute-heart-failure
#4
MULTICENTER STUDY
Jose Carlos Arévalo Lorido, Juana Carretero Gómez, Francesc Formiga, Manuel Montero Pérez-Barquero, Joan Carles Trullás Vila, Oscar Aramburu Bodas, Luis Miguel Ceresuela
BACKGROUND: Our aim was to determine if hyponatremia, defined as serum sodium level < 135 mmol/L, is a predictor of worse outcome in a cohort of real-world patients with heartfailure (HF). METHODS: We used data of the National registry of HF (RICA) from Spain, an ongoing multicenter, prospective cohort study. The patients were assigned to two groups regarding sodium levels. Primary end-point was first all-cause readmission, or death by any cause. Secondary end-points were the number of days hospitalized, and the presence of complications...
2013: Cardiology Journal
https://www.readbyqxmd.com/read/23697055/-the-physiopathology-of-heart-failure
#5
Yves Juillière
Heart failure is characterised by the inability of the heart to ensure sufficient blood flow to meet the metabolic needs of the body's tissues. Neurohormanal disorders are preponderant, leading to ventricular remodelingwhich enables the heart to compensate for the haemodynamic insufficiency, until the appearance of clinical symptoms of heartfailure.There are two types of physiopathological impairment: systolic and diastolic.
April 2013: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/23550442/living-with-heart-failure-without-realising-a-qualitative-patient-study
#6
Lena Andersson, Irene Eriksson, Lena Nordgren
Heart failure is an important problem in Swedish primary healthcare as in the U.K. In spite of that little is known about how people with heart failure experience support from primary healthcare. This paper investigates how people with heartfailure experience support in primary healthcare. Semi structured interviews were conducted with five men and five women, born 1922-1951. The interviews were analyzed with qualitative content analysis in accordance with Graneheim and Lundman (2004). The participants experienced they had not received information about their diagnosis or about the cause of their condition...
December 2012: British Journal of Community Nursing
https://www.readbyqxmd.com/read/21721427/d-dimer-plasma-levels-in-nste-acs-patient
#7
Nisarat Charoensri, Suwatchai Pornratanarangsi
BACKGROUND: Acute Coronary Syndrome (ACS) occurs when a vulnerable plaque ruptures and induces platelet aggregation and coagulation process at the rupture. Thrombogenesis is the final process that forms a clot in the coronary lumen causing myocardial injury. Plasma D-dimer, a primary degradation product and circulating marker offibrin turnover, serves as a direct marker of ongoing fibrinolysis in site of coronary artery occlusion. OBJECTIVE: To determine the correlation between plasma D-dimer levels and severity of coronary artery obstruction based on angiographic data that is composed of the number of coronary arteries affected and the percentage of maximum stenosis of coronary artery lumen in non-ST elevation ACS (NSTE-ACS) patients...
February 2011: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/16363280/risk-factors-for-survival-in-patients-with-end-stage-renal-disease-undergoing-infrainguinal-bypass-surgery
#8
M Engelhardt, H Bruijnen, J Schaal, K D Wölfle
BACKGROUND: A poor longevity and high perioperative morbidity make lower extremity revascularization questionable in patients with end-stage renal disease (ESRD). Therefore, careful selection of patients for surgery is essential. Aim of this study was to assess negative predictors of survival in patients with ESRD undergoing infrainguinal bypass grafting for critical limb ischemia (CLI). PATIENTS AND METHODS: We reviewed the records of 49 consecutive patients with ESRD who underwent infrainguinal bypass grafting for limb salvage...
November 2005: VASA. Zeitschrift Für Gefässkrankheiten
https://www.readbyqxmd.com/read/13863686/human-heartfailure-and-shock-treated-by-means-of-a-mechanical-veno-arterial-by-pass-without-oxygenation
#9
M BACANER
No abstract text is available yet for this article.
November 1961: Annals of Internal Medicine
https://www.readbyqxmd.com/read/12358171/the-effect-of-sex-on-ventricular-arrhythmic-events-in-patients-with-congestive-heart-failure
#10
COMPARATIVE STUDY
Doron Aronson, Andrew J Burger
The propensity to develop specific arrhythmias varies between the sexes. Patients with congestive heart failure (CHF) have a high prevalence of ventricular ectopy. However, it is not known if sex related differences exist in the susceptibility to arrhythmias in the setting of CHF. The study population included 159 men and 77 women (mean age 61 +/- 14 years) admitted for decompensated CHF. The severity of atrial and ventricular arrhythmias was assessed by 24-hour Holter monitoring. None of the patients were on parenteral vasoactive therapy during Holter recording...
August 2002: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/12150599/estimating-utility-values-for-health-states-of-type-2-diabetic-patients-using-the-eq-5d-ukpds-62
#11
Philip Clarke, Alastair Gray, Rury Holman
PURPOSE: The aim of this study was to analyze quality-of-life data from the United Kingdom Prospective Diabetes Study (UKPDS) to estimate the impact of diabetes-related complications on utility-based measures of quality of life. METHODS: The EuroQol EQ-5D instrument was administered in 1996 to 3667 UKPDS patients with type 2 diabetes. Tobit and censored least absolute deviations (CLAD) regression analysis based on data from the 3192 respondents was used to estimate the impact of major complications on (1) the visual analog scale (VAS) and (2) the EQ-5D utilities derived from population-based time trade-off values...
July 2002: Medical Decision Making: An International Journal of the Society for Medical Decision Making
https://www.readbyqxmd.com/read/12022484/quality-of-life-in-women-with-heart-failure-normative-groups-and-patients-with-other-chronic-conditions
#12
Mary S Riedinger, Kathleen A Dracup, Mary-Lynn Brecht et al.
BACKGROUND: In the United States, 2.5 million women have heart failure, yet little is known about their quality of life. Because most studies included small samples of women, the results are not generalizable. OBJECTIVE: To compare the quality of life of women with heart failure with that of a normative group and with that of women with other chronic conditions. METHODS: Descriptive techniques were applied to baseline data collected in the Studies of Left Ventricular Dysfunction trials to characterize quality of life in women with heart failure (n = 691)...
May 2002: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/11688609/beta-blockers-a-new-therapy-in-congestive-heart-failure
#13
REVIEW
S H Meghani, D Becker
BACKGROUND: Until recently, use of beta-blockers was contraindicated in treatment of patients with congestive heart failure. However, empirical evidence suggests that adding beta-blockers to the standard therapy can slow the progression of heart failure and reduce mortality, including sudden cardiac death. PURPOSE: To analyze the results of major, prospective, randomized controlled trials on the effects of beta-blockers in congestive heart failure and to provide recommendations for clinical practice and patients' education...
November 2001: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/11688605/predictors-and-outcomes-associated-with-early-extubation-in-older-adults-undergoing-coronary-artery-bypass-surgery
#14
J L Bezanson, C Deaton, J Craver, E Jones, R A Guyton, W S Weintraub
BACKGROUND: Older age has been associated with prolonged mechanical ventilation after coronary artery bypass surgery. Prolonged mechanical ventilation contributes to increased morbidity and mortality and to use of limited financial resources among older adults. OBJECTIVES: To examine selected physiological and pathophysiological variables ofpresurgicalpatients to predict duration of mechanical ventilation in older adults after coronary artery bypass surgery. METHODS: Nonrandomized study of a clinical database of 919 patients (> or =65 years old) who had coronary artery bypass surgery between October 1996 and December 1997...
November 2001: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/11020833/-acute-renal-insufficiency-due-to-vomiting-or-diarrhea-the-achilles-heel-of-medical-support-for-heart-failure
#15
REVIEW
E M Jacobs, R van Leusen, F H Bosch
Morbidity and mortality of heartfailure are decreasing because of improved medical treatment. The recompensation balance can however be very fragile, which is illustrated by three patients. A woman aged 73 and a man aged 62, both known with heart failure, became seriously ill after diarrhoea; examination revealed uraemia, hyperpotassaemia and raised digitalis levels. A man aged 72, also with heart failure and diarrhoea, developed sensory disorders in both feet. He, also, was found to suffer from renal insufficiency...
September 16, 2000: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/10894026/-cardiac-risks-of-hypokalemia-and-hypomagnesemia
#16
REVIEW
B K Krämer, D Endemann
During treatment with low to moderate doses of thiazides or loop diuretics, hypokalemia is dose-dependently demonstrated in 2-11% of patients. Additional hypomagnesemia is present in about 40% of hypokalemic patients. High doses of diuretics were routinely used in the past for treatment of hypertension or heartfailure, causing ventricular arrhythmias and sudden cardiac death. Low-dose thiazides +/- potassium-sparing diuretic are not associated with these severe adverse effects, but improve in contrast (to high-dose diuretics) survival and cardiovascular morbidity in hypertensive patients...
June 2000: Therapeutische Umschau. Revue Thérapeutique
https://www.readbyqxmd.com/read/10714728/effects-of-controlled-release-metoprolol-on-total-mortality-hospitalizations-and-well-being-in-patients-with-heart-failure-the-metoprolol-cr-xl-randomized-intervention-trial-in-congestive-heart-failure-merit-hf-merit-hf-study-group
#17
RANDOMIZED CONTROLLED TRIAL
A Hjalmarson, S Goldstein, B Fagerberg, H Wedel, F Waagstein, J Kjekshus, J Wikstrand, D El Allaf, J Vítovec, J Aldershvile, M Halinen, R Dietz, K L Neuhaus, A Jánosi, G Thorgeirsson, P H Dunselman, L Gullestad, J Kuch, J Herlitz, P Rickenbacher, S Ball, S Gottlieb, P Deedwania
CONTEXT: Results from recent studies on the effects of beta1-blockade in patients with heart failure demonstrated a 34% reduction in total mortality. However, the effect of beta1-blockade on the frequency of hospitalizations, symptoms, and quality of life in patients with heart failure has not been fully explored. OBJECTIVE: To examine the effects of the beta1-blocker controlled-release/extended-release metoprolol succinate (metoprolol CR/XL) on mortality, hospitalization, symptoms, and quality of life in patients with heart failure...
March 8, 2000: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/10544514/a-probable-primary-hiv-infection-associated-with-acute-non-specific-myocarditis-causing-severe-dilated-cardiomyopathy
#18
F Eerens, J Van Cleemput, W E Peetermans
A patient with a probable primary HIV infection and a biopsy proven non-specific myocarditis is reported. The patient developed a severe dilated cardiomyopathy and initially presented with global heartfailure and fever. The left ventricular function partially recovered. One week after discharge the patient was readmitted in a septic shock and died. Current hypotheses concerning the etiology of left ventricular dysfunction in HIV infection are discussed.
August 1999: Acta Clinica Belgica
https://www.readbyqxmd.com/read/3433331/-clinical-presentation-of-acute-myocardial-infarct-in-the-elderly
#19
J A de Fockert
From the district Haarlem-Noord, 558 patients suffering from an acute myocardial infarction (AMI) were admitted in the years 1982 through 1985. Of these patients 62.9% was 65 years or older, 63.6% was male. The chance of getting an AMI was 8 times greater for the elderly than for younger people, which is in agreement with figures in the whole country. The most important feature--precordial pain--was less frequent in the elderly, i.e. 63.8% compared to 87% for younger people. However, the elderly suffered more from less specific symptoms as breathlessness, heartfailure, dizziness, syncope, neurological and psychiatric symptoms...
December 1987: Tijdschrift Voor Gerontologie en Geriatrie
https://www.readbyqxmd.com/read/1146376/-hazards-of-heart-catheterization-and-angiocardiography-in-the-first-year-of-life-a-review-of-1366-examinations
#20
H Wesselhoeft, J Keutel, G Spelger, B Schmidt, U Pommer, A J Beuren
1366 infants in the first year of life had cardiac catheterisation with or without angiocardiography in our Department of Cardiology between 1963 and 1973. The overally mortality in the first 24 hrs after the cardiac catheterisation for the first year of life was 1.83%. The subdivision of the first month of life reveals the high mortality rate of the first two weeks of life with the highest percentage of 18.9% in the first week of life and with 10.7% in the second week of life. After that time the mortality is significantly decreasing, but still amounts to 7...
February 1975: Zeitschrift Für Kardiologie
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