The tragedy of TRIUMPH for nitric oxide synthesis inhibition in cardiogenic shock: where do we go from here?

Cardiogenic shock following an acute coronary syndrome (ACS) continues to be associated with significant mortality despite modern reperfusion strategies and inotropic support. There is mounting evidence that an acute inflammatory response accompanies the well documented decrement in left ventricular systolic function associated with cardiogenic shock and that this response may affect outcomes. In the past 2 decades it has also become apparent that nitric oxide (NO), a heteroatomic free radical has numerous biologic activities, among them the maintenance of vascular tone.

Bacterial contamination of paper currency.

One-dollar bills were collected from the general community in western Ohio to survey for bacterial contamination. Pathogenic or potentially pathogenic organisms were isolated from 94% of the bills. These results suggest a high rate of bacterial contamination of one-dollar bills.