Heart & lung : the journal of critical care
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Meta Analysis
Diabetes mellitus prevalence in patients with takotsubo syndrome: the case of the brain-heart disconnect.
Hyperactive autonomic nervous system (ANS) is among the postulated pathophysiologic mechanisms of takotsubo syndrome (TTS). Diabetes mellitus (DM) with its associated ANS peripheral neuropathy could exert a "protective" influence for the emergence of TTS. ⋯ Prevalence of DM in patients with TTS is lower than in the general population, suggesting that DM, may have a "protective" effect for the emergence of TTS.
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Observational Study
Increased neutrophil to lymphocyte ratio predicts myocardial injury in patients undergoing non-cardiac surgery.
The neutrophil to lymphocyte ratio (NLR), has been proposed as potential indicator of cardiovascular events. Our aim was to determine the relationship between NLR and development of myocardial injury after non-cardiac surgery (MINS). ⋯ NLR seems to be a simple, easy and cheap tool to predict the development of MINS in patient undergoing non-cardiac surgery.
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Case Reports
Intramural atrial hematoma complicating transesophageal echocardiography during cardiac arrest.
Adequate strategies using either transthoracic (TTE) or transesophageal (TEE) echocardiography in patients receiving cardiopulmonary resuscitation (CPR) is an ongoing area of research. ⋯ Further research on the safety of transesophageal echo during CRP is mandatory and the question about any potential harm of particular interest.