Rev Invest Clin
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Comparative Study Clinical Trial
Detection of myocardial viability could be improved by rest GIK (glucose-insulin-potassium solution)-Tc 99m sestamibi compared with TL-201 reinjection, in post myocardial infarction patients.
GIK solutions improve detection of myocardium viability after acute infarction because they could change the metabolic conditions, improving myocardial perfusion defects. ⋯ Our data suggest that GIK-MIBI protocol is a safe and easy procedure which improves the detection of perfusion reversible defects compared with Tl-201 reinjection, obtaining better information regarding myocardial viability, with lower acquisition time and less cost.
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To evaluate the impact of a triage system on waiting times and patient satisfaction of one secondary care hospital emergency department (ED). ⋯ The triage system largely challenged the not easy ED demand and its waiting times in addition to patient satisfaction. This simple classification scale allows improvement in managing emergency services and cases, the benefits can be potentially extended to other health care services.