Diagnosis and management of arrhythmias in pregnancy Abstract Arrhythmias are the most common cardiac complications occurring in pregnancy. Although the majority of palpitations in pregnancy may be explained by atrial or ventricular premature complexes, the full spectrum of arrhythmias can occur. In this article, we establish a systematic approach to the evaluation and management […]
Reevaluating the Cardiac Risk of Noncardiac Surgery Using the National Surgical Quality Improvement Program Abstract Background As surgical techniques evolve and patient outcomes improve over time, a renewed analysis of the cardiac risk of noncardiac surgeries is needed. The goal of this study was to investigate and categorize the cardiac risk of elective noncardiac surgeries. […]
2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization La enfermedad de las arterias coronarias sigue siendo una de las principales causas de morbilidad y mortalidad a nivel mundial. La revascularización coronaria es una opción terapéutica importante en el manejo de pacientes con enfermedad arterial coronaria. La guía de revascularización de arterias coronarias de 2021 proporciona recomendaciones basadas en […]
Potential effects and application prospect of angiotensin receptor-neprilysin inhibitor in diabetic kidney disease Highlights • ARNI promotes natriuresis and reduces blood pressure, contributing to renoprotection in diabetic patients. • ARNI is promising for ameliorating inflammation, oxidative stress, renal dysfunction and histopathologic changes of kidney. • ARNI may improve insulin resistance and blood glucose regulation via […]
JCS/JHFS 2021 Guideline Focused Update on Diagnosis and Treatment of Acute and Chronic Heart Failure El cambio principal en esta edición revisada es la integración de las pautas de tratamiento de insuficiencia cardíaca anteriores, que se separaron en insuficiencia cardíaca aguda e insuficiencia cardíaca crónica. Este cambio se basó en el reconocimiento de que separar las […]
Recategorization of Non-Aspirin Nonsteroidal Anti-inflammatory Drugs According to Clinical Relevance: Abandoning the Traditional NSAID Terminology Abstract Non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently used to treat pain, fever, and inflammation. Historically, NSAIDs have been categorized as traditional NSAIDs and newer cyclooxygenase (COX)-2 inhibitors (coxibs). However, traditional NSAIDs also inhibit the COX-1 and COX-2 enzyme isoforms […]
Unexplained hemorrhagic syndrome? Consider acquired hemophilia A or B Abstract There is a dire need to develop an algorithm to improve the recognition of acquired hemophilia A and B (AHA and AHB) in clinical practice. Initial and intensive care unit (ICU) management of the disorder is particular and represents a challenge for the internist/hematologist and […]
1-hour t-piece spontaneous breathing trial vs 1-hour zero pressure support spontaneous breathing trial and reintubation at day 7: A non-inferiority approach Highlights • It remains uncertain that T-piece and zero PS spontaneous breathing trials led to similar rates of successful extubation. • No patient disconnection from the ventilator can facilitate monitoring, and could prevent aerosols […]
2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway Las pautas de práctica son recomendaciones desarrolladas sistemáticamente que ayudan al médico y al paciente a tomar decisiones sobre la atención médica. Estas recomendaciones pueden adoptarse, modificarse o rechazarse de acuerdo con las necesidades y limitaciones clínicas y no pretenden reemplazar las políticas […]
2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain El dolor de pecho es una de las razones más comunes por las que las personas buscan atención médica. Esta guía se desarrolló para la evaluación del dolor torácico agudo o estable en entornos ambulatorios y de urgencias, haciendo hincapié en el diagnóstico de dolor […]