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91.
92.
Do Obese Individuals With Hypertension Have More Difficult‐to‐Control Blood Pressure and End Organ Damage Than Their Nonobese Counterparts? 下载免费PDF全文
Mark David Jesky MBChB Manvir Kaur Hayer MBChB Mark Thomas MD Indranil Dasgupta DM 《Journal of clinical hypertension (Greenwich, Conn.)》2015,17(6):466-472
The authors assessed whether individuals with elevated body mass index (BMI) and hypertension had more difficult‐to‐control blood pressure (BP) and more evidence of end organ damage using data collected prospectively over 11 years from a secondary care hypertension clinic. A total of 1114 individuals were divided by BMI criteria into normal (n=207), overweight (n=440), and obese (n=467). Mean daytime, nighttime, and 24‐hour systolic BP and diastolic BP were similar in all groups. There was less nocturnal dip in obese compared with overweight groups (P=.025). Individuals with a normal BMI were taking fewer antihypertensive medications than those in the obese group (P=.01). Individuals classified as obese had a higher left ventricular mass index than those with a normal BMI (female, P=.028; male, P<.001); this relationship remained after multivariate linear regression. Obese individuals with hypertension required more medication to achieve similar mean ambulatory BP values, had less nocturnal dip in BP, and had a higher prevalence of left ventricular hypertrophy. As such, obese patients are at potentially increased risk of cardiovascular events. 相似文献
93.
94.
Epstein-Barr virus lymphoproliferation after bone marrow transplantation 总被引:16,自引:7,他引:16
We review 15 cases of secondary B-cell lymphoproliferative disorders that occurred among 2,475 patients who received allogeneic bone marrow transplants (BMTs) at the Fred Hutchinson Cancer Research Center (Seattle) between 1969 and 1987. The histopathologic findings in 14 of the 15 patients spanned a wide spectrum of lymphoproliferative lesions. One patient had features characteristic of angioimmunoblastic lymphadenopathy. Epstein-Barr virus (EBV) genomic sequences were identified by Southern blot analysis in each of the 13 patients evaluated. Ten of the 12 lesions evaluated originated in donor cells. In two patients, who had mixed chimerism after transplantation, the lesions originated in host cells. The combined evidence from immunoglobulin light chain staining and the analysis of immunoglobulin heavy chain gene rearrangement indicated that the lesions in most patients represented polyclonal proliferations that gave rise to clonal subpopulations. The results indicate an overall actuarial incidence of 0.6% for this complication in BMT recipients. Anti-CD3 monoclonal antibody (MoAb) treatment of acute graft-v-host disease (GVHD) and T cell depletion of the donor marrow were statistically significant risk factors, and GVHD appeared to play a contributing role, particularly in the setting of human leukocyte antigen (HLA) disparity. Two patients had no identifiable risk factors. Prophylaxis or treatment with acyclovir had no detectable effect in the patients; all but two died with uncontrolled lymphoproliferation. 相似文献
95.
Failed Attempt With Paired Associative Stimulation to Separate Functional and Organic Dystonia 下载免费PDF全文
96.
Trajectories of impairment in amyotrophic lateral sclerosis: Insights from the Pooled Resource Open‐Access ALS Clinical Trials cohort 下载免费PDF全文
Nimish J. Thakore MD DM Brittany R. Lapin PhD MPH Erik P. Pioro MD PhD Pooled Resource Open‐Access ALS Clinical Trials Consortium 《Muscle & nerve》2018,57(6):937-945
Introduction: Rate of decline of the Amyotrophic Lateral Sclerosis Functional Rating Scale‐Revised (ALSFRS‐R) score is a common outcome measure and a powerful predictor of mortality in ALS. Methods: Observed rate of decline (postslope) of ALSFRS‐R, its linearity, and its relationship to decline at first visit (preslope) were examined in the Pooled Resource Open‐Access ALS Clinical Trials cohort by using longitudinal mixed effects models. Results: Mean ALSFRS‐R postslope in 3,367 patients was ?0.99 points/month. Preslope and postslope were correlated and had powerful effects on survival. ALSFRS‐R trajectories were slightly accelerated overall, but slope and direction/degree of curvature varied. Subscore decline was sequential by site of onset. Respiratory subscore decline was the least steep. Discussion: Variable curvilinearity of ALSFRS‐R trajectories confounds interpretation in clinical studies that assume linear decline. Subscore trajectories recapitulate phenotypic diversity and topographical progression of ALS. ALSFRS‐R is better used as a multidimensional measure. Muscle Nerve 57 : 937–945, 2018 相似文献
97.
Sarah Finlayson MBChB DPhil Jasper M. Morrow FRACP Pedro M. Rodriguez Cruz MD MSc Christopher D.J. Sinclair PhD Arne Fischmann PD DrMed John S. Thornton PhD Steve Knight BSc Ray Norbury PhD Mel White BSc Michal Al‐hajjar MD Nicola Carboni MD PhD Sandeep Jayawant MD FRCPCh Stephanie A. Robb MD Tarek A. Yousry DrMed Habil FRCR David Beeson PhD Jacqueline Palace DM 《Muscle & nerve》2016,54(2):211-219
98.
2016 Dietary Salt Fact Sheet and Call to Action: The World Hypertension League,International Society of Hypertension,and the International Council of Cardiovascular Prevention and Rehabilitation 下载免费PDF全文
Norm R. C. Campbell MD FRCPC Daniel T. Lackland DrPH Mark L. Niebylski PhD MBA MS Marcelo Orias MD Kimbree A. Redburn MA Peter M. Nilsson MD PhD Xin‐Hua Zhang MD PhD Louise Burrell MD MBChB MRCP FRACP Masatsugu Horiuchi MD PhD FAHA Neil R. Poulter MBBS MSc FRCP FMed Sci Dorairaj Prabhakaran MD DM MSc FRCP FNASc Agustin J. Ramirez MD PhD Alta E. Schutte PhD MSc Rhian M. Touyz MBBCh PhD FRCP FRSE Ji‐Guang Wang MD PhD Michael A. Weber MD 《Journal of clinical hypertension (Greenwich, Conn.)》2016,18(11):1082-1085
99.
Atrial overdrive pacing during wide QRS tachycardia with RBBB morphology. What is the mechanism? 下载免费PDF全文
100.
Day‐case device implantation—A prospective single‐center experience including patient satisfaction data 下载免费PDF全文