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Maybe Disease-Evolution Is All About Foods Which Are Either Biome-Enriching Or Biome-Depleting
My opinion: Researchers are investigating prevalence of diseases in low- and middle-income countries (LMICs) to reshape health policy [1]. However, research data warrants an understanding how human diseases have been evolving to be rampantly prevalent amongst rich-educated in high-income countries (HICs) thence rich-educated in LM..
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Compression-Ventilation Ratio Of 75:5 Per Minute Can Become 100:10 Per Minute From The Get-Go: Time To Mandate Continuous Quantitative Waveform Capnography During Cardiopulmonary Resuscitation As Bag-Valve-Mask Capnography May Allow Continuous Chest Compressions Without Pausing To Visualize Chest Rise
My opinion: When we as anesthesia providers can no longer imagine providing anesthesia and even sedation to our even emergently boarded surgical patients without continuous quantitative waveform capnography, it is ironic that American Heart Association is awaiting more evidence before it can universally mandate its recommendation ..
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Tape Fixture Or Phone Holder To Stably Hold Probe For Continuous Transthoracic Echocardiography
My opinion: Analogous to old-school air-tight chest tube dressing, transthoracic echocardiography probe (wireless or portable or standard) can be fixed to the chest with silk or cloth tape as demonstrated on the mannequin (Figure A). This no-cost method had been originally envisaged by our team to potentially investigate and poten..
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Add Jaw-Thrust To Evolve 2-Rescuers Hands-Only CPR
My opinion: Cardiocerebral resuscitation (CCR) as an evolved form of cardiopulmonary resuscitation (CPR) has been termed as Hands-Only CPR (HOCPR) for the lay rescuers.[1] iStan Adult Patient Simulator (CAE Healthcare, Saint-Laurent, Quebec, Canada) provides definitive evidence of “covert” pulmonary resuscitation happening dur..
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Trinity of Life: Brain-Heart-Lungs
My opinion: As perioperative and critical care physicians, we are always encountering dilemmas about the definition of death. Without delving into philosophical intricacies about this definition from an individual’s perspective, I want to focus on how and when specific organs can be proclaimed dead wherein some organs’ deaths ..
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Severe Hypothyroidism, Coronary Artery Disease on CT Coronary Angiography and Hypoperfusion on Contrast Echocardiography
Abstract : The association between overt hypothyroidism (HT) and coronary heart disease is well known. Even subclinical hypothyroidism independently increases the relative risk of coronary artery disease and myocardial infarction and reduces coronary flow reserve. Methods and results A patient with severe HP and typical angina on..
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Severe Hypothyroidism, Ccoronary Artery Disease on CT Coronary Angiography and Hypoperfusion on Contrast Echocardiography
Abstract : Background: The association between overt hypothyroidism (HT) and coronary heart disease is well known. Even subclinical hypothyroidism independently increases the relative risk of coronary artery disease and myocardial infarction and reduces coronary flow reserve.Methods and results: A patient with severe HP and typic..
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Circadian Variation In Acute Coronary Syndromes
Abstract: Background: Studies have shown that a circadian rhythm may exist in the onset of acute coronary syndromes. More studies are needed in the Indian population to confirm the existence of this circadian variation and add to the existing literature in the Indian population. Methods: Two hundred twenty consecutive patients w..
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Evolution Of The Paced And Non-paced Qrs Duration With Chronic Right Ventricular Pacing In Pediatric Patients With And Without Structural Heart Disease
Abstract : Background: Right ventricular (RV) pacing creates artificial left ventricular (LV) dyssynchrony and thus can be used as a surrogate for left bundle branch block (LBBB). Assuming this, our aim was to assess the evolution of the QRS width in chronically paced pediatric patients with and without structural heart disease (..
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An Unusual Cause of Cerebral Ischemia in the Elderly: Left Atrial Myxoma
Abstract : Intracardiac primary tumors are rare conditions. The 75% of them are benign, the 25% malignant and approximately 50% are myxomas in adults. About 75% of atrial myxoma arise in left atrium, while right atrial myxomas occurring only in the 15-20% of all cases as discussed elsewhere [1-3]. The symptoms are atypical and ..
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