Mayo Clinic proceedings
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Mayo Clinic proceedings · Mar 2023
ReviewWhole Body Retrograde Perfusion Combined With Central Aortic Perfusion Strategy in the Repair of Distal Arch Pathology Through a Lateral Thoracotomy.
To compare the results of the hypothermic circulatory arrest (HCA) + retrograde whole-body perfusion (RBP) technique with those of deep hypothermic circulatory arrest (DHCA-only) approach. ⋯ The addition of RBP to HCA in the treatment of distal open arch repair via a lateral thoracotomy is safe and provides excellent neurological protection.
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Mayo Clinic proceedings · Mar 2023
Clinical Characteristics and Cause of Death Among Hospitalized Decedents With Cancer and COVID-19.
There is scant information on the clinical progression, end-of-life decisions, and cause of death of patients with cancer diagnosed with COVID-19. Therefore, we conducted a case series of patients admitted to a comprehensive cancer center who did not survive their hospitalization. To determine the cause of death, 3 board-certified intensivists reviewed the electronic medical records. ⋯ In contrast to the belief that COVID-19 decedents die because of their comorbidities, in our study only 1 of every 10 patients died of cancer-related causes. Full-scale interventions were offered to all patients irrespective of oncologic treatment intent. However, most decedents in this population preferred care with nonresuscitative measures rather than full support at the end of life.
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Mayo Clinic proceedings · Mar 2023
Systolic Blood Pressure and Cardiovascular Risk in Normotensive Adults.
To examine the association of systolic blood pressure (SBP) and cardiovascular risk in normotensive adults. ⋯ In adults without hypertension, there is a stepwise increase in risk of cardiovascular events, with increasing SBP starting at levels as low as 90 mm Hg.