Journal of the American College of Cardiology
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J. Am. Coll. Cardiol. · Sep 1997
Comparative Study Clinical Trial Controlled Clinical TrialConscious sedation with combined hypnotic agents for implantation of implantable cardioverter-defibrillators.
The objective of this study was to evaluate the feasibility, safety and efficacy of placing implantable cardioverter-defibrillators (ICDs) in the electrophysiology laboratory using conscious sedation with combined hypnotic agents and deep sedation with etomidate. ⋯ Implantation of ICDs under conscious sedation with combined hypnotic agents and deep sedation with etomidate is a safe and effective procedure with low perioperative morbidity and low long-term complication rates.
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J. Am. Coll. Cardiol. · Sep 1997
Clinical TrialDobutamine stress tele-echocardiography for evaluation of emergency department patients with chest pain.
The practically and accuracy of dobutamine stress tele-echocardiography (DSTE) were assessed in patients presenting to the emergency department with chest pain. ⋯ The use of DSTE in the evaluation of patients presenting with chest pain may improve screening for those who can be safely released from the ED.
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J. Am. Coll. Cardiol. · Sep 1997
Systemic venous collateral channels causing desaturation after bidirectional cavopulmonary anastomosis: evaluation and management.
We sought to characterize the frequency, anatomic details and factors associated with the development of collateral channels between the superior and inferior vena caval systems after bidirectional cavopulmonary anastomosis. ⋯ Angiographically detectable systemic venous collateral channels develop after bidirectional cavopulmonary anastomosis in a substantial number of patients (33% in the present series) with a variety of forms of a functional univentricular heart. Patients with venous collateral channels can be treated successfully with coil embolization, but the indications for embolization will depend on individual circumstances.
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J. Am. Coll. Cardiol. · Sep 1997
Randomized Controlled Trial Multicenter Study Clinical TrialUse of intraaortic balloon counterpulsation in patients presenting with cardiogenic shock: observations from the GUSTO-I Study. Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries.
We sought to examine the use, complications and outcomes with early intraaortic balloon counterpulsation (IABP) in patients presenting with cardiogenic shock complicating acute myocardial infarction and treated with thrombolytic therapy. ⋯ IABP appears to be underutilized in patients presenting with cardiogenic shock, both within and outside the United States. Early IABP institution is associated with an increased risk of bleeding and adverse events but a trend toward lower 30-day and 1-year all-cause mortality.
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J. Am. Coll. Cardiol. · Sep 1997
Clinical TrialDiagnostic accuracy of transesophageal echocardiography during cardiopulmonary resuscitation.
We sought to establish the diagnostic accuracy of transesophageal echocardiography (TEE) during cardiopulmonary resuscitation. ⋯ TEE can reliably establish the cause of a circulatory arrest during cardiopulmonary resuscitation.