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Titlebook: Acute Coronary Care 1987; Robert M. Califf,Galen S. Wagner Book 1987 Martinus Nijhoff Publishing, Boston 1987 echocardiography.electrocard

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发表于 2025-3-21 16:22:49 | 显示全部楼层 |阅读模式
期刊全称Acute Coronary Care 1987
影响因子2023Robert M. Califf,Galen S. Wagner
视频video
学科分类Acute Coronary Care Updates
图书封面Titlebook: Acute Coronary Care 1987;  Robert M. Califf,Galen S. Wagner Book 1987 Martinus Nijhoff Publishing, Boston 1987 echocardiography.electrocard
影响因子During the 25 years since acute coronary care was focused into Coronary Care Units there have been three major Phases: I. prevention of death caused by arrhythmias; II. prevention of death due to myocardial failure; and III. limitation of infarct size. In the latter two Phases, there has been infringement upon the time honored concept of a prolonged period of rest for the patient in general and the heart in particular to minimize myocardial metabolic demands. During the second Phase of coronary care, patients with myocardial failure received aggressive measures to increase cardiac work via increase in preload, decrease in afterload, and direct increase in inotropy. It was believed that true cardiogenic shock was so irreversible that it should be prevented by vigorous efforts to improve the cardiac output despite the risk of extending the area of ischemic myocardium. However, Phase II produced minimal overall reduction in mortality. In the initial part of Phase III, myocardial infarct (MI) size limitation was attempted by reducing myocardial metabolic demands via either beta adrenergic or calcium channel blocking agents. We are currently several years into the second part of Phase I
Pindex Book 1987
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Autonomy and Control of State Agenciesdevelopments have been the use of thrombolytic agents and coronary angioplasty in efforts to limit MI size (1). The care of the MI patient has also been improved by the identification of markers for increased risk of cardiac mortality such as reduced ventricular function and complex ventricular ectopy (2).
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Jiming Liu,Xiaolong Jin,Kwok Ching Tsui remain at high risk of death or future infarction. Evidence has accumulated that the availability of specialized personnel and equipment can reduce mortality and morbidity associated with these syndromes (2). Furthermore, as promising new therapies are developed they will need to be tested at specialized centers.
发表于 2025-3-22 16:52:55 | 显示全部楼层
https://doi.org/10.1007/978-3-319-09816-6here are only a few trials of the prophylactic effects of other class I drugs such as tocainide (13,14); the total number of patients studied in trials of these agents is too small to allow meaningful conclusions to be drawn about their effectiveness in the prevention of ventricular fibrillation.
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https://doi.org/10.1007/b101185of ventricular fibrillation and thus improve the patient’s chance of survival. We have evaluated a microprocessor based system which detects ventricular fibrillation and have determined its accuracy during the management of cardiac arrests (1–4).
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Jiming Liu,Xiaolong Jin,Kwok Ching Tsuiurrent situation to excesses on the part of attorneys or the desire of insurance companies to maintain an unreasonable profit margin (2). Others, pointing out that the incidence of true medical malpractice far exceeds the number of claims actually filed, conclude that the real problem lies in the number and magnitude of medical errors (3).
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Jurrit Bergsma Ph.D.,David C. Thomasma Ph.D.d by the FDA, and at least one third-party payer, Blue Shield of California, has approved t-PA in centers with the necessary expertise. Researchers widely assume that t-PA by itself reduces long-term mortality from MI and are already moving to a new stage of research, in which t-PA is coupled with PTCA.
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