British heart journal
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British heart journal · Apr 1992
Cross sectional and Doppler echocardiographic evaluation of aortopulmonary shunts.
Shunt vessels were imaged and shunt flow was analysed by cross sectional and Doppler echocardiography in 12 patients who had had 14 shunt procedures (nine left Blalock-Taussig shunts, three right Blalock-Taussig shunts, one modified Waterston shunt, and one central shunt). ⋯ The combination of cross sectional and Doppler echocardiography may be useful for determining either the patency or the morphology of an aortopulmonary shunt.
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British heart journal · Apr 1992
Review Practice Guideline GuidelineRecommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest (new abridged version). The "Utstein style". The European Resuscitation Council, American Heart Association, Heart and Stroke Foundation of Canada, and Australian Resuscitation Council.
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British heart journal · Apr 1992
Mortality within hospital after resuscitation from ventricular fibrillation outside hospital.
To determine factors related to mortality within hospital after successful resuscitation from ventricular fibrillation outside hospital by a mobile coronary care unit manned by a physician. ⋯ The in-hospital mortality of patients resuscitated from ventricular fibrillation outside hospital was related to patient characteristics before the cardiac arrest and to the immediate haemodynamic and neurological status after correction of ventricular fibrillation as well as to factors at the resuscitation itself. The in-hospital mortality of this study compares favourably with the results obtained by units staffed by paramedical workers and emergency medical technicians, although 35% (99/281) of the patients had ventricular fibrillation after the arrival of the mobile unit and defibrillation was thus rapid.
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British heart journal · Mar 1992
Management of myocardial infarction: implications for current policy derived from the Nottingham Heart Attack Register.
A register of patients with heart attacks in the Nottingham Health District has been maintained since 1973. Data from 1982 to 1984 inclusive, a period before trials of thrombolytic therapy started in Nottingham, were analysed to provide background information for the introduction of a policy of routine thrombolysis for appropriate patients. ⋯ Although the introduction of thrombolytic therapy has brought with it an increased awareness of the need to minimise any delay in time to admission, it seems that in a predominantly urban area like Nottingham, patients with a suspected heart attack will continue to be admitted to hospital most quickly if an ambulance crew rather than a general practitioner is called. Because the ambulance crew was in contact with such patients for only a short time it seems unlikely that administration of a thrombolytic drug in the ambulance would be helpful.
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British heart journal · Feb 1992
Randomized Controlled Trial Comparative Study Clinical TrialDetermination of cardiac output by an angle and diameter independent dual beam Doppler technique in critically ill infants.
To compare cardiac output measurements in critically ill infants by the dual beam Doppler and thermodilution techniques. ⋯ The dual beam Doppler technique was shown to have promise for the non-invasive determination of cardiac output in critically ill infants.