Clin Med
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Despite many advances in treatment, amyloid heart disease still portends a poor outcome. Around 50% of patients will suffer a sudden arrhythmic death. As in the case described, this may happen before the patient has received sufficient treatment to curtail the amyloidogenic process.
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AAUs should develop and review protocols and local guidelines for the multidisciplinary team management of upper GI bleeding, for example with respect to: Early and appropriate resuscitation. Use of the tools for assessing severity. ⋯ Follow up, including referral for repeat endoscopy and/or urea breath testing. Regular review and audit of local guidance of the management of UGIB should become an integral part of an acute trust's clinical governance programme.