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Advanced Heart Failure Therapies for Adults With Congenital Heart Disease: JACC State-of-the-Art Review
wolff white syndrome :: Article Creator Stopping The Bias Snowball, Before It Kills Your Patient I arrived on scene perhaps ten minutes behind the first-in crew and the shift supervisor. Both the crew paramedic and the supervisor were knowledgeable, experienced providers. A school nurse was there as well, providing background info on our patient; a 16-year-old student with a history of asthma in severe distress. Our patient was in bad shape. She had severe difficulty breathing, tachycardia, was pale and diaphoretic, and you could hear the wheezes and rhonchi from 10 feet away. Her eyes had that unfocused, half-lidded stare that signals impending loss of consciousness and respiratory arrest. No doubt about it, she was sick and getting worse. She hadn't responded to multiple doses of her Combivent inhaler, and the lead medic – one our our flight paramedics who was covering a shift on a ground unit that day – already had a DuoNeb in place on a non-reb
Eisenmenger Syndrome: Background, Pathophysiology, Etiology
lower extremity claudication :: Article Creator Shockwave Therapy Shows Benefit In Lower Limb Claudication Extracorporeal shockwave therapy may be effective for intermittent lower limb claudication in peripheral artery disease (PAD) patients unable to engage in supervised exercise or who experienced little benefit from that standard first-line approach, a randomized trial suggested. For the primary endpoint, patients who received nine sessions of the electrical impulses to the gastrocnemius muscle over a 3-week period had significantly greater improvements in physical function versus a sham therapy, as measured by the Physical Functioning domain of the 36-item Short-Form questionnaire (SF-36). At 12 weeks, a 3.8-point (95% CI 0.0-7.7, P=0.03) greater estimated median difference on the 100-point scale emerged for patients assigned to the shockwave therapy, reported researchers led by Paris Cai, MBBCh, BAO, of Hull York Medical School in England.