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61.
Dr. G. Kjellén MD S. G. Fransson MD F. Lindström MD H. Sökjer MD L. Tibbling MD 《Digestive diseases and sciences》1986,31(3):225-229
Esophageal function and anatomy were investigated with manometry, acid perfusion test, acid clearing test, and x-ray in 11 patients with primary Sjögren's syndrom (SS) and in 11 with secondary SS. The manometric investigation revealed minor motor differences in the SS patients as compared to 16 controls, ie, shorter peristaltic contraction time of the whole esophagus, and faster peristaltic velocity preferably in the distal part of the esophagus, while the results from the reflux tests did not differ between patients and controls. Radiographic examination revealed upper esophageal webs in 10% (2/20), and hiatal hernia in 25% (5/20). The dysphagia as reported by 73% of the patients cannot be explained by webs or impaired motor function and is regarded to be secondary to lack of saliva, making the solid bolus passage difficult. 相似文献
62.
Antonio Bayés de Luna MD PhD Wojciech Zareba MD PhD Miquel Fiol MD PhD Kjell Nikus MD PhD Yochai Birnbaum MD PhD Rafael Baranowski MD PhD Diego Goldwasser MD Paul Kligfield MD PhD Ryszard Piotrowicz MD PhD Günter Breithardt MD PhD Hein Wellens MD PhD 《Annals of noninvasive electrocardiology》2014,19(5):426-441
63.
Yochai Birnbaum Miguel Fiol Kjell Nikus Javier Garcia Niebla Ljuba Bacharova Sergio Dubner Wojciech Zareba Peter W. Macfarlane Antonio Luiz Ribeiro Iwona Cygankiewicz Antoni Bayes de Luna 《Annals of noninvasive electrocardiology》2020,25(5)
The Fourth Universal Definition of Myocardial Infarction (FUDMI) focuses on the distinction between nonischemic myocardial injury and myocardial infarction (MI), along with the role of cardiovascular magnetic resonance, in order to define the etiology of myocardial injury. As a consequence, there is less emphasis on updating the parts of the definition concerning the electrocardiographic (ECG) changes related to MI. Evidence of myocardial ischemia is a prerequisite for the diagnosis of MI, and the ECG is the main available tool for (a) detecting acute ischemia, (b) triage, and (c) risk stratification upon presentation. This review focuses on multiple aspects of ECG interpretation that we firmly believe should be considered for incorporation in any future update to the Universal Definition of MI. 相似文献
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Kjell Nikus Yochai Birnbaum Markku Eskola Samuel Sclarovsky Zhan Zhong-qun Olle Pahlm 《Current Cardiology Reviews》2014,10(3):229-236
The electrocardiogram (ECG) findings in acute coronary syndrome should always be interpreted in the context of the clinical findings and symptoms of the patient, when these data are available. It is important to acknowledge the dynamic nature of ECG changes in acute coronary syndrome. The ECG pattern changes over time and may be different if recorded when the patient is symptomatic or after symptoms have resolved. Temporal changes are most striking in cases of ST-elevation myocardial infarction. With the emerging concept of acute reperfusion therapy, the concept ST-elevation/non-ST elevation has replaced the traditional division into Q-wave/non-Q wave in the classification of acute coronary syndrome in the acute phase.
Keypoints:
In acute coronary syndrome, in addition to the traditional electrocardiographic risk markers, such as ST depression, the 12-lead ECG contains additional, important diagnostic and prognostic information. Clinical guidelines need to acknowledge certain high-risk ECG patterns to improve patient care. 相似文献66.
67.
Watson L Leone V Pilkington C Tullus K Rangaraj S McDonagh JE Gardner-Medwin J Wilkinson N Riley P Tizard J Armon K Sinha MD Ioannou Y Archer N Bailey K Davidson J Baildam EM Cleary G McCann LJ Beresford MW;UK Juvenile-Onset Systemic Lupus Erythematosus Study Group 《Arthritis and rheumatism》2012,64(7):2356-2365
68.
Fantaye Wondwossen Anne Nordrehaug Åstrøm Asgeir Bårdsen Kjell Bjorvatn 《Acta odontologica Scandinavica》2013,71(2):81-86
This study was conducted in three Ethiopian Rift Valley villages known for endemic fluorosis. Three-hundred-and-six adolescents (12-15 years) and 233 mothers participated. The aim was to study dental fluorosis in the youngsters and to assess the extent of agreement between clinical and self-rated discoloration and pitting of teeth, and also the level at which dental fluorosis is perceived as a problem both by children and their mothers. The children (154 M and 152 F) gave a simple self-assessment of tooth-color and quality of their teeth, and were subsequently examined for dental fluorosis. Finally, four color photographs of teeth with dental fluorosis (TF-scores 2, 3, 5, and 7) were used as references during a structured oral interview of the children, as well as their mothers. At TF score S 2, the prevalence of dental fluorosis on maxillary central incisors was 72% and 37% at TF score S 4. The mean TF score was significantly higher among boys than among girls of unemployed fathers compared to children of employed fathers. The likelihood of reporting problems with dental appearance increased with increasing individual TF scores. The child/mother pairs found teeth with TF scores 2 and 3 esthetically acceptable, while teeth with TF scores 5 and 7 were considered unacceptable. Mothers were more critical of severe fluorosis than were their children. 相似文献
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