Journal of the American College of Cardiology
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J. Am. Coll. Cardiol. · Dec 1992
Prognosis in cardiogenic shock after acute myocardial infarction in the interventional era.
The purpose of this study is to describe the outcome in cardiogenic shock treated with aggressive reperfusion therapy and to identify factors predictive of in-hospital and long-term mortality. ⋯ In a large consecutive series of patients with cardiogenic shock with complete follow-up, patency of the infarct-related artery was most strongly associated with in-hospital and long-term mortality. This finding supports an aggressive interventional strategy in patients with cardiogenic shock.
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J. Am. Coll. Cardiol. · Dec 1992
Comparative StudyComparison of transthoracic and transesophageal echocardiography in evaluation of 47 Starr-Edwards prosthetic valves.
Our objectives were to characterize by transesophageal echocardiography the normal appearance of the Starr-Edwards prosthetic heart valve and to compare the utility of transesophageal and transthoracic echocardiography in detection of valve abnormality. ⋯ These observations demonstrated the unique utility of transesophageal echocardiography in patients with Starr-Edwards prosthetic valve dysfunction, endocarditis or thrombus formation, and of the clear superiority of transesophageal echocardiography over transthoracic echocardiography in these situations.
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J. Am. Coll. Cardiol. · Dec 1992
Nurse-physician collaboration: solving the nursing shortage crisis.
The current severe nursing shortage in the United States has many causes and its solution requires new strategies. Collaboration among the American Association of Critical-Care Nurses (AACN), the Society of Critical Care Medicine (SCCM) and the American College of Cardiology (ACC) has provided a model for the multidisciplinary approach needed. Nurse-physician collaboration is an important strategy to address the ongoing shortage.