6 results match your criteria: "University of Tennessee Health Science Center and Memphis VA Medical Center[Affiliation]"

Relationship Between Preexisting Cardiovascular Disease and Death and Cardiovascular Outcomes in Critically Ill Patients With COVID-19.

Circ Cardiovasc Qual Outcomes

October 2022

Division of Cardiology, Department of Medicine (A.V., E.A., T.C., M.P., P.O., K.P., P.B., I.K., E.M., K.E., S.S.H.), University of Michigan, Ann Arbor.

Article Synopsis
  • Preexisting cardiovascular disease (CVD) was examined to see if it impacted in-hospital death and cardiovascular events among critically ill COVID-19 patients, utilizing data from 68 U.S. hospitals during the early pandemic stages.
  • Out of 5,133 patients studied, 22.9% had CVD, with a 34.6% death rate and 17.9% experiencing cardiovascular events; however, CVD itself did not significantly predict cardiovascular events.
  • Myocardial injury upon ICU admission was strongly linked to higher odds of both death and cardiovascular events, indicating that factors such as this injury were more critical in determining the outcomes than CVD alone.
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Objectives: To compare the design and results of randomized trials investigating prolonged glucocorticoid treatment (> or =7 days) in patients with acute lung injury-acute respiratory distress syndrome (ALI-ARDS), and review factors affecting response to therapy, including the role of secondary prevention.

Design: Trials were retrieved from the Cochrane Central Register of Controlled Trials (CENTRAL). Two investigators collected data on study characteristics, treatment intervention, and outcomes.

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It was realized 20 years ago that the sonographic appearance of a diaphragmatic hernia could simulate a left atrial mass. Many papers have appeared on this topic since then, but they mainly consist of single case reports. Clinical symptoms due to cardiac compression by the hernia are uncommon but may occur if the hernia is very large; such patients have presented with episodes of syncope or dyspnea, typically after a large meal.

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The echocardiographic literature contains very scant reference to incompetence of the valve in the internal jugular vein. However, we found frequent Doppler evidence of such incompetence, especially in patients with congestive failure. This incompetence manifests as a variety of color Doppler and pulsed Doppler patterns, illustrated here in 3 patients.

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The anatomy and applied echocardiographic anatomy of the superior vena cava (SVC) are briefly described. Right supraclavicular interrogation of the SVC has been in use for many years, but supraclavicular two-dimensional (2-D) imaging of the SVC has been virtually ignored. We have recently shown that supraclavicular 2-D imaging can provide excellent views of the SVC and its main tributaries.

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