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In patients presenting with high-risk STEMI, TNK plus immediate angioplasty reduced the risk of recurrent ischemic events compared with TNK alone and was not associated with an increase in major bleeding complications.
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Arrhythmia is the primary problem rather than a marker of an underlying cardiomyopathy.
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Left atrial remodeling in competitive athletes may be regarded as a physiologic adaptation to exercise conditioning, largely without adverse clinical consequences.
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QRS duration does not predict occurrence of VT or VF necessitating ICD therapy.
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Aortic stenosis increases the risk of MI, but not overall mortality with noncardiac surgery.
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Normal circulating plasma glucose concentration is maintained by a delicate constant balance between glucose utilization (i.e., glycolysis or storage as glycogen by various tissues) on one hand and glucose production on the other (i.e., glycogenolysis and gluconeogenesis induced in certain tissues, such as liver, muscle, renal parenchyma, and adipose tissue). During the late post-absorptive period or starvation, normal glucose concentration is maintained by facilitating glucose production while inhibiting glucose uptake.
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The managers of Gaston Memorial Home Care in Gastonia, NC, were able to keep their agency off the chopping block after hospital administrators started questioning the value of maintaining a service that consistently lost money. They did it by evaluating payer agreements and restructuring the agency to improve productivity.
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Palliative care programs are growing in number and prominence at hospitals and hospices across the nation, as increasing numbers of health care providers want to focus on medicine used as much for comfort and quality of life as for diagnoses and cures when dealing with patients who have chronic illnesses for which there are no easy resolutions.
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The devastation and human suffering caused by Hurricane Katrina is mind-boggling. While the television and radio talk shows were filled with people blaming each other for the slow federal response, home health agencies joined together to address the needs of patients who found themselves away from their homes, unable to reach their own health care providers, and in some cases, separated from their families.
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The Centers for Medicare and Medicaid Services (CMS) relaxed some rules and requirements for home health agencies that provide care to patients who were relocated as a result of Hurricane Katrina.
