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Executive Summary
Medical Advances in the Evaluation and Treatment of Heart Failurea
August 30, 2010
- Common risk factors for congestive heart failure include
hypertension, coronary artery disease, diabetes, obesity,
and cardiomyopathy.
- Although brain natriuretic peptide correlates highly
with symptoms of heart failure, other conditions such
as advanced age, obesity, cirrhosis, and hypoxia also can
increase values.
- ACE inhibitors are recommended in most patients with
CHF but must be used in high doses to show reductions
in mortality.
- Aldosterone antagonists have been shown to reduce
mortality and hospital admissions in patients with
NYHA class III or IV heart failure.
- Patients with advanced heart disease can have up to 50%
one-year mortality, with half of these deaths being
sudden.
Read more
Play a sample below of the January 5, 2009 EMR issue audio. To access the full issue audio MP3 file, references and tables, please see the printed issue.
Uncommon but Important Infectious Diseases — January 5, 2009
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| Positive Nitrites and Negative Leukocytes? |
| Cuffed Endotracheal Tubes for Children: Not Exactly Controversy-free |
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Recent Advances in Wound Care — June/July 2010
In the United States, wound care constitutes a large part of the care provided in any emergency department (ED). While many lacerations and traumatic injuries can be repaired easily, some require complex and time-consuming management. Patients seek treatment for wounds in EDs for several reasons: emergency physicians, with expertise in wound management, are available around the clock; many primary care offices are not equipped to treat complicated wounds; and some primary care physicians are not comfortable with complex wound closure techniques. Patients are most concerned about cosmetic outcomes, functional preservation, relief from pain, and preventing infection. |
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