Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Sep 1999
Review Comparative Study[ACE inhibitors or AT1 receptor antagonists?].
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Dtsch. Med. Wochenschr. · Sep 1999
Review Comparative Study[Emergency treatment of acute heart failure].
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Dtsch. Med. Wochenschr. · Sep 1999
Case Reports[Transitory left ventricular outflow tract obstruction after mitral valve reconstruction].
A few days after uneventful surgical reconstruction of the mitral valve a 43-year-old man was found to have a systolic murmur due to prolapse of the posterior leaflet, suggesting renewed mitral regurgitation. ⋯ The described, rarely seen form of LVOT was probably caused by a combination of a very large anterior mitral leaflet, postoperative pericardial effusion and pharmacological effects. If the obstruction first occurs postoperatively, appropriate medication may improve the cardiac status and reoperation may be avoided. Echocardiography is an important method of diagnosis and serial monitoring.
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Dtsch. Med. Wochenschr. · Sep 1999
Comparative Study[Withdrawal from the respirator (weaning) in long-term ventilation. The results in patients in a weaning center].
Patients subjected to an increased load and with a decreased capacity of their respiratory muscles may be difficult to wean from mechanical ventilation. Using a weaning strategy with a focus on unloading respiratory muscles may be successful even after long-term mechanical ventilation. In a prospective uncontrolled study, we examined the outcome of our weaning protocol. ⋯ Applying our weaning strategy about 65% of the patients requiring long-term mechanical ventilation were successfully weaned. Weaning was achieved in approximately one fifth of the time previously spent on mechanical ventilation. However, the 3-month mortality of the investigated cohort was 36.3%.