True caring is protecting who is at your side

• The modified jailed balloon technique (MJBT) is a safe and effective tool for preserving immediate and long‐term side branch (SB) patency when treating true bifurcation lesions.
• This technique could be routinely implemented, or selectively chosen when the risk of SB occlusion is high and a two‐stent technique is not desirable.
• A randomized study comparing provisional stenting with the MJBT versus systematic two‐stent strategy for the treatment of true bifurcation lesions is warranted.

     

Digoxin is effective,but is it safe?

Summary In the last 15 years several double-blind, placebo-controlled clinical trials have unequivocally shown that digitalis decreases symptoms of cardiac failure, results in a reduction in the need for hospitalization for treatment of congestive heart failure, and improves cardiac function. The major unresolved question concerning digitalis use is its safety. There are experimental data and clinical evidence that digitalis use may be associated with an increased mortality, particularly in the first year or two after an acute myocardial infarction. This increased mortality appears to be present even after adjustment for predictor covariants. This conclusion depends on the ability of statistical methods to account for differences in comorbidity. Since the question of digitalis safety remains after myocardial infarction, the physician should carefully examine the indications for administration of digitalis. More than the usual surveillance is required during chronic digitalis administration.     

高血压治疗任重而道远

<正>高血压在我国非常普遍,且仍未得到充分的治疗和控制。尽管45%的成年人有高血压,但大多数人都没有得到治疗;即使在患有2级及以上的高血压人群中,也只有三分之一的人接受了治疗。因而急需制定广泛的整体战略,如加大预防工作的投入,以及对高血压进行更好地筛查,更有效、更经济的治疗~([1])。高血压所造成的心血管病和经济负担在世界各国也如我国一样,为了预防和治疗高血压,各国近年分别发表了有关高血压诊断和治疗指南。