Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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PED (Primary electrical disease) is an arrhythmogenic disease group that causes serious ventricular tachyarrhythmia in the absence of recognized structural heart disease. Although Thailand, which is a part of Southeast Asia, is an endemic area of PED, especially Brugada syndrome, there is little known about demographic data and clinical outcome of PED among survivors of sudden cardiac death (SCD). ⋯ The Brugada syndrome is the most common etiology of survivors of SCD with normal structural heart in Thailand Although the prognosis after resuscitation was good, recurrence was especially high during the first year and as a result, an ICD implantation is needed for prevented recurrence of SCD.
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Electroencephalography (EEG) has an important role in epilepsy diagnosis, classification of epilepsy syndrome, lesion localization, and prediction of seizure recurrence, but no study of EEG in the first unprovoked seizure had been carried out in Rajavithi Hospital prior to the current one. ⋯ Abnormal EEG was detected in more than half of the patients with first unprovoked seizure, which is comparable to previous studies. EEG should be considered for all patients with first unprovoked seizure.
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Spontaneous bacterial peritonitis (SBP) increases the rates of renal impairment and mortality in cirrhotic patients. A previous study showed that cefotaxime plus albumin treatment decreased renal impairment more than antibiotic treatment alone in patients with serum bilirubin > 4 mg/dL or creatinine > 1 mg/dL. 4% Gelofusine is a colloidal volume replacement fluid used for fluid resuscitation and hemodynamic stabilization. Only one study showed that intravenous 4% gelofusine plus antibiotic could decrease the rates of renal impairment and mortality in comparison with the treatment with albumin plus antibiotic in high-risk cirrhotic patients with SBP OBJECTIVE: To evaluate the effects of 4% gelofusine plus antibiotics on renal impairment and mortality rates in high-risk cirrhotic patients with spontaneous bacterial peritonitis. ⋯ In high-risk cirrhotic patients with spontaneous bacterial peritonitis, treatment with 4% gelofusine intravenously plus antibiotic reduced the incidence of renal impairment but did not reduce mortality in comparison with previous studies. Studies with larger sample sizes may be useful to evaluate these effects.