Kardiol Pol
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Therapeutic hypothermia (TH) is one of few interventions that improve survival after a cardiac arrest with good neurological outcome. Current guidelines for cardiopulmonary resuscitation recommend TH in comatose adult patients after return of spontaneous circulation (ROSC) regardless of cardiac arrest location and cardiac rhythm during the event. ⋯ The number of ICUs using TH in Poland increased threefold in the 5 year period of 2005-2010. However, the proportion of ICUs using TH is still low (21.7%) compared to other European countries. Further efforts should be undertaken to reduce barriers to implementation of current resuscitation guidelines.
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Case Reports
Pulmonary artery aneurysm mimicking pulmonary artery dissection detected by multimodality imaging.
An idiopathic pulmonary artery aneurysm (PAA) is an uncommon lesion, and is defined when the diameter of the pulmonary trunk is greater than 30 mm in the absence of cardiac or pulmonary etiologies. Idiopathic PAA is generally asymptomatic and has an increased risk for dissection or rupture of the aneurysm. We herein demonstrate two- and three-dimensional echocardiographic and computerised tomographic angiography features of an idiopathic pulmonary aneurysm mimicking a pulmonary artery dissection.