Journal of the American College of Cardiology
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J. Am. Coll. Cardiol. · Dec 1997
Multicenter StudyManagement of acute myocardial infarction in intensive care units in 1995: a nationwide French survey of practice and early hospital results.
This survey sought to determine actual practices in the management of acute myocardial infarction on a nationwide scale. ⋯ This survey shows that the results of therapeutic trials have largely translated to clinical practice, resulting in improved early outcome compared with the early 1980s. However, continuous efforts should be made to shorten the time delay before hospital admission and to increase the proportion of elderly patients receiving reperfusion therapy.
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J. Am. Coll. Cardiol. · Dec 1997
Effects of chronic hypoxemia on chemosensitivity in patients with univentricular heart.
We sought to compare the arterial blood gas chemosensitivity in relation to exercise ventilatory response in patients with univentricular heart and cyanosis and in patients with univentricular heart and Fontan-type circulation without cyanosis. ⋯ Hypoxic chemosensitivity is blunted in patients with univentricular heart and cyanosis and does not determine the exercise ventilatory response. CO2 elimination appears more important. The blunting of hypoxic chemosensitivity is reversible once chronic hypoxemia is relieved, as evident in the Fontan group.