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Deshmukh Abhishek J. DeSimone Christopher V. 《Journal of interventional cardiac electrophysiology》2022,65(1):263-265
Journal of Interventional Cardiac Electrophysiology - 相似文献
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Anthony H. Kashou Christopher M. Evenson Peter A. Noseworthy Thoddi R. Muralidharan Christopher V. DeSimone Abhishek J. Deshmukh Samuel J. Asirvatham Adam M. May 《Indian heart journal》2021,73(1):7-13
One of the most critical and challenging skills is the distinction of wide complex tachycardias into ventricular tachycardia or supraventricular wide complex tachycardia. Prompt and accurate differentiation of wide complex tachycardias naturally influences short- and long-term management decisions and may directly affect patient outcomes. Currently, there are many useful electrocardiographic criteria and algorithms designed to distinguish ventricular tachycardia and supraventricular wide complex tachycardia accurately; however, no single approach guarantees diagnostic certainty. In this review, we offer an in-depth analysis of available methods to differentiate wide complex tachycardias by retrospectively examining its rich literature base – one that spans several decades. 相似文献
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Anna‐Sophie Weidner M.D. David Molina M.D. Robert A. DeSimone M.D. Marc A. Cohen M.D. Tamar Giorgadze M.D. Theresa Scognamiglio M.D. Rana S. Hoda M.D. F.I.A.C. 《Diagnostic cytopathology》2015,43(9):747-750
Riedel thyroiditis is a rare fibrosing disorder characterized by extension of the fibroinflammatory process beyond the thyroid capsule. Due to the nature of this lesion, fine‐needle aspiration often yields scant material and may be interpreted as non‐diagnostic. In this report, we describe cytologic features that allow the cytopathologist to favor a diagnosis of Riedel thyroiditis, thereby guiding appropriate further work‐up and management. Diagn. Cytopathol. 2015;43:747–750. © 2015 Wiley Periodicals, Inc. 相似文献
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Alan Sugrue Vaclav Kremen Bo Qiang Seth H. Sheldon Christopher V. DeSimone Yehu Sapir Bryan L. Striemer Peter Brady Samuel J. Asirvatham Michael J. Ackerman Paul Friedman Peter A. Noseworthy 《Cardiovascular drugs and therapy / sponsored by the International Society of Cardiovascular Pharmacotherapy》2015,29(5):433-441
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Tia Chakraborty Eugene Scharf Daniel DeSimone Abdelghani El Rafei Waleed Brinjikji Larry M. Baddour Walter Wilson James M. Steckelberg Jennifer E. Fugate Eelco F.M. Wijdicks Alejandro A. Rabinstein 《Mayo Clinic proceedings. Mayo Clinic》2019,94(6):1024-1032
ObjectiveTo determine how brain magnetic resonance imaging (MRI) findings impact clinical outcomes in patients with infective endocarditis (IE) and to propose a management algorithm for patients with neurologic symptoms who are candidates for valve surgery (VS).Patients and MethodsData from our center were retrospectively reviewed for patients hospitalized with IE between January 1, 2007, and December 31, 2014. Outcomes were postoperative intracerebral hemorrhage (ICH), 6-month mortality, and functional outcome at last follow-up as described by the modified Rankin Scale (mRS) score. Good outcome was defined as an mRS score of 2 or less.ResultsA total of 361 patients with IE were identified, including 127 patients (35%) who had MRI. One hundred twenty-six of 361 patients (35%) had neurologic symptoms, which prompted MRI in 79 of 127 patients (62%); 74 of 79 (94%) had acute or subacute MRI abnormalities. One patient with subarachnoid and multifocal ICH on MRI developed postoperative ICH. Patients with VS despite MRI abnormalities had lower 6-month mortality (odds ratio [OR], 0.17; 95% CI, 0.06-0.48; P<.001) and better functional outcome (OR, 4.43; 95% CI, 1.51-13.00; P=.005). Irrespective of VS, lobar or posterior fossa ICH on MRI was associated with 6-month mortality (OR, 3.58; 95% CI, 1.22-10.50; P=.02) and territorial ischemic stroke was inversely associated with good mRS (OR, 0.29; 95% CI, 0.13-0.66; P=.002). In neurologically asymptomatic patients who had VS, MRI findings did not impact 6-month mortality or functional outcomes.ConclusionMagnetic resonance imaging detects a large number of abnormalities in patients with IE. Preoperative lobar hematoma and large territorial stroke determine outcome irrespective of VS. When indicated, VS increases the odds of a good outcome despite MRI abnormalities. 相似文献
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