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In severe symptomatic aortic stenosis (AS), surgical AVR improves mortality, but there is no medical therapy proven to slow progression of the valvular stenosis. Because AS is accompanied by left ventricular (LV) hypertrophy and fibrosis, and because the risk factors for AS are similar to those for coronary artery disease (CAD), it makes sense that blockade of the renin-angiotensin system may benefit patients with AS.
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In this study from a single medical ICU, prompting physicians to discuss all six items on a daily rounding checklist, as compared with the use of the same checklist without prompting, significantly improved several processes of care and appeared to decrease length of stay and mortality as well.
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Patients who have had percutaneous coronary intervention (PCI) with either bare metal stents (BMS) or drug-eluting stents (DES) require dual antiplatelet therapy until the stent struts are endothelialized. However, patients who have had prior PCI often need to undergo surgery.
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Admission to an ICU increased risk for unintentional medication discontinuation in four of five medication groups commonly used to manage a chronic illness.
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A 40-year-old Gambian male with end-stage renal disease secondary to focal segmental glomerulosclerosis (FSGS) was evaluated for a living unrelated kidney transplant.
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In this issue: New recommendations for HPV vaccine; guidelines for treatment of essential tremor; updates on smoking cessation drugs; and FDA actions.
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Since the time of the roman empire the animal virus, rinderpest (RPV), German for "cattle plague," has led to countless human deaths from agricultural losses that resulted in famine and disease.
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An outbreak of dengue fever in northeastern kenya was first reported in September 2011, and is believed to be spreading rapidly, with at least 5,000 people infected within the first weeks of this outbreak.
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Approximately 2 million children cross internation-al borders each year, and many of them are traveling with older family members to visit friends and relatives (VFR) in the family's country of origin. Previous studies suggest that these children are at particular risk of missing potentially helpful pre-travel interventions and of becoming ill during travel.
