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[Respiratory emergencies in the extra-hospital environment].

Minerva Anestesiol

December 2000

Sezione di Anestesia e Rianimazione, Dipartimento di Emergenza e Trapianti di Organi, Università degli Studi, Bari.

Prehospital care is a fundamental element for the patient's outcome, in the field of medical and surgical emergencies. There are different strategies about it, defined "scoop and run" and "stay and play". The choice among the different strategies, in our opinion, must be well-suited to the underlying pathophysiology of the illness.

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Objective: To evaluate the clinical relevance of cardiac arrhythmias during rehabilitation after coronary artery bypass graft (CABG) surgery.

Design: Survey of consecutive patients admitted to an inpatient cardiac rehabilitation center.

Setting: A rehabilitation center acting as a reference for cardiology clinics lacking this facility.

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The electro-vectorcardiographic findings of 59 patients with idiopathic cardiomyopathies, divided by means of hemodynamic and angiographic study into dilated (38 cases), hypertrophic obstructive (10 cases) and hypertrophic non obstructive (11 cases), were compared with those of a control group of 17 patients with left ventricular hypertrophy of known etiology. The statistical vectorial analysis of the 4 groups, excluding the patients with intraventricular conduction disturbances and patients below 10 years of age (46 cases), showed low voltage of the first vectors, especially at 0,01 sec., in the obstructive compared with the non obstructive type.

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