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In this prospective, multicenter, randomized trial, addition of a helium-oxygen gas mixture to non-invasive positive pressure ventilation in the treatment of COPD exacerbations did not decrease the need for intubation when compared to non-invasive positive pressure ventilation alone.
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Even if asymptomatic, early elective aortic valve replacement should be considered for increasingly symptomatic patients with severe aortic valve stenosis because they have a poor prognosis with a high event rate and a risk of rapid functional deterioration, especially if the peak aortic jet velocity is above 5.5 m/sec.
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Each year, about 795,000 strokes occur in the United States; 85% of these are acute ischemic strokes.
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Stress-induced apical cardiomyopathy (tako-Tsubo) is a recently recognized reversible form of acute cardiomyopathy that may mimic acute myocardial infarction initially.
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Cardiac surgery carries greater risk in older patients. Nonagenarians are a growing part of cardiology practice as our population ages. While age > 90 years has previously been considered a contraindication to cardiac surgery, more recently, surgeons have been operating on selected nonagenarians who have high functional status.
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The ebbing H1N1 influenza pandemic could leave one lasting legacy for future patients: they will be a lot less likely to die of nosocomial flu transmitted by a health care worker.
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In this prospective, randomized, placebo-controlled trial from the Netherlands, 6,771 patients were screened on admission to the hospital for the presence of Staphylococcus aureus nasal colonization using real-time PCR.
