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The treatment of acutely decompensated heart failure (ADHF) has changed dramatically in the past decade. As discussed in Part I, there is a new understanding of the pathophysiology and a significant improvement in our ability to diagnose heart failure with BNP and NT-pro BNP testing.
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Rescue PCI in the setting of early fibrinolytic failure improves mortality, but this is tempered by a possible increase in the risk of thromboembolic stroke.
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Even a device which makes perfect physiological sense may not help us achieve the goals of improved outcomes for out-of-hospital cardiac arrest victims.
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Commonly used drugs in patients with coronary disease or COPD may be beneficial in the absence of specific guideline recommendations at present.
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Do long-acting beta agonist inhalers increase the severity of asthma? Yes, according to the results from a large meta-analysis recently published in the Annals of Internal Medicine.
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Although time to reperfusion is correlated with mortality in ST elevation myocardial infarction (STEMI) treated with fibrinolytics, its importance in patients treated with percutaneous coronary interventions (PCI) is less clear.
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There are two types of noninvasive ventilation: positive pressure and negative pressure. Negative pressure ventilation is not commonly used and will be only briefly described.