Rev Esp Cardiol
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Comparative Study
[Frequency of postoperative fever in children with congenital heart disease undergoing cardiovascular surgery and associated risk factors].
To determine the frequency of postoperative fever in children with congenital heart disease who undergo cardiovascular surgery, and the risk factors associated. ⋯ Postoperative fever is common in children with congenital heart disease. The identification of risk factors associated to the development of fever should help clinicians to identify the cause of fever in this group of patients.
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Editorial Randomized Controlled Trial Comparative Study Clinical Trial
[Secondary prevention of coronary artery disease. Flu vaccinations and new evidence of the role of infection in acute coronary syndromes].
Recent reports have detected an increase in the number of patients with acute coronary syndromes during the flu season. More recently, case-control studies of patients with prior infarction have shown that flu vaccination significantly reduces the risk of myocardial necrosis and strokes. The World Health Organization recommended flu vaccination for the Southern Hemisphere in the winter of 2001. ⋯ The first primary outcome -cardiovascular death- occurred within 6 months in 2% of the patients in the vaccinnated group vs 8% of controls (RR: 0.25; 95% CI, 0.07-0.86; p = 0.01). The triple composite end point occurred in 11% of the patients in the vaccinnated group vs 23% of controls (p = 0.009) at 6 months. Although our study is the first to demonstrate lower rates of cardiovascular ischemic events in patients vaccinated against Influenza during the flu season, the modification of flu vaccination recommendations in patients admitted for cardiovascular events merits further study before being considered.
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In Spain there is little information available about chest pain units for the treatment of patients of low-to-medium risk with suspected acute coronary syndrome. ⋯ Chest pain units for the care of low-to-medium risk patients with acute chest pain allow a fast and safe hospital release with a favorable mid-term outcome.
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The incidence of interdisciplinarity (ID) in Spanish cardiovascular research teams was analyzed and scientists' opinions about interdisciplinary relationships were examined. ⋯ Interdisciplinary reading and publishing habits were the norm among Spanish researchers, even in single-discipline groups. The scattered nature of teams, their high rate of external collaborations, and the multidisciplinary context of centers enhance interdisciplinary relationships. Administrative barriers do not seem to be a major obstacle to establishing interdisciplinary contacts.