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Mild, perivalvular regurgitation cannot be used as a diagnostic criteria for prosthetic valve endocarditis.
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Reflex tachycardia, during a Valsalva maneuver, is a sign of normal LV filling.
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At this time, BNP seems to be a useful initial test that should not be repeated during short hospital stays.
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Mitral Doppler E/Ea correlates better with PCWP than BNP and is more specific for predicting PCWP > 15 mm Hg.
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The basic conclusion is that we should give the patient just what he or she needs and the devices we implant should be designed to fit the patient.
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This paper carried out a clinical study to use gradient-echo MRI to determine prior evidence of microhemorrhages relating to cerebral amyloid angiopathy after patients had presented initially with lobar intracranial hemorrhage.
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Inflammation in the brain is one of the established features of the neuropathology of Alzheimers Disease (AD). A large case-control study now indicates that patients with elevated serum markers of inflammation have an increased risk of developing AD.
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Jonas and colleagues have collected the largest series of cases of unilateral hemispherectomy and assessed outcomes for the parameters listed in the title of their manuscript. In 21 of 115 patients, the indication for surgery was Rasmussen encephalitis (RE). In the realm of non-surgical treatment of RE, Bien and colleagues administered tacrolimus to 7 patients with histopathologically proven RE.
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The British government will soon allow over-the-counter sales of Mercks simvastatin (Zocor), marking the first time any country has allowed the OTC sale of a statin.
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