Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Jan 2009
Clinical TrialTreatment of inappropriate sinus tachycardia with ivabradine.
Inappropriate sinus tachycardia is most often treated with beta-blockers; in resistant cases, nonpharmacologic treatment has been attempted. Recent case reports have shown a favorable response to ivabradine in some patients. ⋯ The results of our study show that patients with inappropriate sinus tachycardia can be successfully treated with ivabradine.
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Wien. Klin. Wochenschr. · Jan 2009
Case ReportsChicken-bone perforation of a sigmoid colon diverticulum into the right groin and subsequent phlegmonous inflammation of the abdominal wall.
Colonic diverticula are frequent in western countries and approximately 80% of patients who develop diverticulitis are elderly. The sigmoid and descending colon are most commonly involved. Clinical manifestations range from asymptomatic diverticula to life-threatening complications such as diverticulum perforation and subsequent peritonitis. ⋯ A Hartmann's procedure with necrectomy of the abdominal wall was performed. Histopathologic examination revealed an ingested chicken bone perforating the diverticulum. When diverticulitis or diverticular abscess is suspected in an elderly patient, foreign body impaction or perforation should be considered as a possible cause.
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Wien. Klin. Wochenschr. · Jan 2009
Comparative Study[Economic public health significance of generic drugs].