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Treatment and management of advanced heart failure in elderly.

Related Articles Treatment and management of advanced heart failure in elderly. Monaldi Arch Chest Dis. 2019 Mar 20;89(1): Authors: Tourkmani N Abstract Heart failure (HF) is a life-limiting condition, associated with high morbidity. End-stage, known as advanced heart failure (AHF), is more common among the elderly. HF patients’ disease trajectory is more variable and unpredictable than the trajectory for most oncologic illnesses. Despite a growing armamentarium of resources the management of AHF patients can be complex. Advances in medical therapy have dramatically improved the quality of life and survival of patients with end-stage HF. The majority of studies reveal lack…
Origen: Treatment and management of advanced heart failure in elderly. – PubMed

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The effects of postoperative hematocrit on shunt occlusion for neonates undergoing single ventricle palliation.

Related Articles The effects of postoperative hematocrit on shunt occlusion for neonates undergoing single ventricle palliation. J Thorac Cardiovasc Surg. 2017 04;153(4):947-955 Authors: Anderson BR, Blancha VL, Duchon JM, Chai PJ, Kalfa D, Bacha EA, Krishnamurthy G, Ratner V Abstract OBJECTIVES: Our primary objective was to test the effects of first postoperative hematocrit on early shunt occlusion for children undergoing systemic to pulmonary artery shunt placement. Because any intervention to reduce shunt occlusion is only beneficial if it reduces mortality or is, at least, mortality neutral, we also tested the effects of first postoperative hematocrit on in-hospital mortality. METHODS: We…
Origen: The effects of postoperative hematocrit on shunt occlusion for neonates undergoing single ventricle palliation. – PubMed

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Geometry and growth of the reconstructed aorta in patients with hypoplastic left heart syndrome and variants.

Related Articles Geometry and growth of the reconstructed aorta in patients with hypoplastic left heart syndrome and variants. J Thorac Cardiovasc Surg. 2017 06;153(6):1479-1487.e1 Authors: Haller C, Chetan D, Saedi A, Parker R, Van Arsdell GS, Honjo O Abstract OBJECTIVE: The interdigitating technique in aortic arch reconstruction in hypoplastic left heart syndrome and variants (HLHS) reduces the recoarctation rate. Little is known on aortic arch growth characteristics and resulting clinical impact. METHODS: A total of 139 patients with HLHS underwent staged palliation between 2007 and 2014; 73 patients underwent arch reconstruction. Dimensions of ascending aorta, transverse arch, interdigitating anastomosis, and…
Origen: Geometry and growth of the reconstructed aorta in patients with hypoplastic left heart syndrome and variants. – PubMed

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Cerebral near-infrared spectroscopy insensitively detects low cerebral venous oxygen saturations after stage 1 palliation.

Related Articles Cerebral near-infrared spectroscopy insensitively detects low cerebral venous oxygen saturations after stage 1 palliation. J Thorac Cardiovasc Surg. 2017 09;154(3):1056-1062 Authors: Rescoe E, Tang X, Perry DA, Sleeper LA, DiNardo JA, Kussman BD, Kheir JN Abstract BACKGROUND: Measurement of cerebral venous oxyhemoglobin saturation (ScvO2) is considered a gold standard in assessing the adequacy of tissue oxygen delivery (DO2) after the stage 1 palliation (S1P), with SvO2 <30% often representing severely compromised DO2. Regional oxygenation index (rSO2) based on near-infrared resonance spectroscopy (NIRS) frequently is used to screen for compromised DO2, although its sensitivity to detect severe abnormalities in SvO2…
Origen: Cerebral near-infrared spectroscopy insensitively detects low cerebral venous oxygen saturations after stage 1 palliation. – PubMed

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Radiotherapy for renal cell carcinoma: renaissance of an overlooked approach.

Related Articles Radiotherapy for renal cell carcinoma: renaissance of an overlooked approach. Nat Rev Urol. 2017 Sep;14(9):549-563 Authors: Siva S, Kothari G, Muacevic A, Louie AV, Slotman BJ, Teh BS, Lo SS Abstract Conventional radiotherapy previously had a limited role in the definitive treatment of renal cell carcinoma (RCC), owing to the disappointing outcomes of several trials and the perceived radioresistance of this type of cancer. In this context, radiotherapy has been relegated largely to the palliation of symptoms in patients with metastatic disease, with variable rates of response. Following the availability of newer technologies that enable safe delivery of…
Origen: Radiotherapy for renal cell carcinoma: renaissance of an overlooked approach. – PubMed

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