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Nejm News Une Mise à Jour The New England Journal of Medicine by Specialties

 


The New England Journal of Medicine: Search Results in Cardiology
The New England Journal of Medicine (NEJM) RSS feed -- Search Results in Cardiology. NEJM (http://www.nejm.org) is a weekly general medical journal that publishes new medical research findings, review articles, and editorial opinion on a wide variety of topics of importance to biomedical science and clinical practice.

Case 36-2017: A 30-Year-Old Man with Fatigue, Rash, Anemia, and Thrombocytopenia
31/12/69 - Presentation of Case. Dr. Amy E. Yuan (Medicine): A 30-year-old man was admitted to this hospital during the summer because of fatigue, rash, fevers, anemia, and thrombocytopenia. Three years before this admission, the patient was involved in a motor vehicle accident that resulted in a large…

Diuretic Treatment in Heart Failure
31/12/69 - Most accepted pharmacologic treatments for heart failure are supported by evidence from large clinical trials. In contrast, evidence from large, well-controlled clinical trials to guide the use of diuretics, among the most frequently used drugs in heart failure, is generally lacking. Fluid…

Sudden Cardiac Arrest during Participation in Competitive Sports
31/12/69 - The occurrence of sudden cardiac arrest in young persons during participation in competitive sports is a rare but tragic event. In numerous jurisdictions, preparticipation screening systems have been implemented on the assumption that most cases of sudden cardiac arrest that occur during sports…

An Unusual Cause of Leg Pain
31/12/69 - A 67-year-old woman presented to her primary care physician with pain in her legs. Approximately 7 weeks earlier, she had noticed a cramping sensation in the back of both thighs and both calves that occurred after walking a couple of blocks and was relieved with rest. . . .

Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine
31/12/69 - Acute kidney injury associated with the administration of contrast material during angiography can result in death, accelerated progression of underlying chronic kidney disease, and the need for dialysis, along with substantial increases in health care costs. The periprocedural administration of…

Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery
31/12/69 - The avoidance of unnecessary blood transfusion is a high priority; therefore, determining safe thresholds for transfusion is imperative. Among the highest recipients of red-cell transfusion are patients undergoing cardiac surgery, with a substantial proportion of the total blood supply used by this…

Mechanical or Biologic Prostheses for Aortic-Valve and Mitral-Valve Replacement
31/12/69 - Clinically significant aortic-valve disease or mitral-valve disease affects 2.5% of the population in the United States, and valve replacement prolongs survival among patients with severe disease. Valve prostheses are either mechanical or biologic, and each type has associated risks and benefits.…

Coronary-Artery Aneurysm in Tocilizumab-Treated Children with Kawasaki?s Disease
31/12/69 - To the Editor: Kawasaki?s disease is the most common systemic vasculitis in children. Coronary-artery aneurysms may develop in 25% of untreated patients. Intravenous immune globulin (IVIG), the cornerstone of therapy, can reduce the risk of coronary-artery aneurysms to 4%. However, among the…

PCI Strategies in Patients with Acute Myocardial Infarction and Cardiogenic Shock
31/12/69 - The mortality associated with cardiogenic shock in acute myocardial infarction can be reduced with the use of early revascularization, predominantly percutaneous coronary intervention (PCI), to restore blood flow to the culprit coronary artery. Up to 80% of patients who have cardiogenic shock…

Back to the Future in Cardiogenic Shock ? Initial PCI of the Culprit Lesion Only
31/12/69 - Approximately 5 to 10% of cases of acute myocardial infarction are complicated by cardiogenic shock, which is associated with early mortality of 40 to 50%. Nearly two decades ago, the SHOCK (Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock) trial established that…

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