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‘We Want Everything Possible Done for Mom’
Joanne Lynn, MD, a Washington, DC-based geriatrician and director of the Center for Elder Care and Advanced Illness at Altarum Institute, has dedicated her career to finding ways to improve health and healthcare at a sustainable cost. Lynn tells Medical Ethics Advisor how hospitals can achieve ethical end-of-life care.
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New Resuscitation Policy: It’s Not Offered Unless Clinically Indicated
Ethicists at University of Virginia helped develop a new resuscitation policy stating that patients or surrogates can accept or refuse offered treatment, and that the healthcare team should not offer treatments unless clinically indicated.
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Patients Who Refuse Discharge Are ‘Disaster in the Making’
Patients refusing to leave the hospital for weeks, or even months — despite being medically cleared for discharge — are a growing problem, according to ethicists.
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Left Ventricular Volume Affects Function in Chemotherapy Patients
Reductions in left ventricular ejection fraction in patients receiving potentially cardiotoxic chemotherapy may be because of significant decreases in left ventricular volume in up to 20% of these patients.
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B-type Natriuretic Peptide Is Less Useful in Elderly Patients With Dyspnea
Among patients ≥ 80 years of age presenting with acute dyspnea, B-type natriuretic peptide level was not useful for differentiating cardiac vs. respiratory etiologies when added to a model of clinical predictors.
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Distinguishing Ischemic From Non-ischemic Cardiomyopathy Clinically
The authors of a recent study concluded that specific clinical and ECG abnormalities could be used to estimate which patients with reduced left ventricular ejection fraction were at low risk of having ischemic cardiomyopathy.
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Antiplatelet Therapy After TAVR: More ARTE Than Science
The current clinical standard of dual antiplatelet therapy following transcatheter aortic valve replacement is controversial.
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Late-breaking Clinical Trials from the Heart Rhythm Society May 2017 Scientific Sessions
Late-breaking findings of several important clinical trials were presented at this year’s Heart Rhythm Society Scientific Sessions in Chicago. A selection particularly relevant to the general cardiology community is presented here.
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Are There Definitive Clues?
How certain are you that the run of wide complex tachycardia that begins with beat #4 is ventricular tachycardia?
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Encephalitis Due to Powassan Virus
Powassan virus is transmitted by the same tick that carries the etiologic agent of Lyme disease and several other pathogens. The number of cases of encephalitis caused by this virus may be increasing in the endemic areas.