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Lead failures are classified as either structural lead
2019-05-09
Lead failures are classified as either structural lead failures or electrical lead failures, and failures of 8F single coil leads are more frequently reported. Structural failures occur with a reported incidence of 14–34% and are evident as cable exteriorization in fluoroscopy studies [6,7]. Electri
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The diagnosis of vasovagal syncope is usually
2019-05-09
The diagnosis of vasovagal syncope is usually based on a combination of careful history taking, clinical examination, and a surface electrocardiogram to exclude cardiac and non-cardiac causes of syncope [3,4]. When the etiology of syncope is uncertain, head-up tilt-table testing (HUTT) is commonly u
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br Management of warfarin during pacemaker implantable cardi
2019-05-09
Management of warfarin during pacemaker/implantable cardioverter defibrillator insertion Until recently, warfarin use was halted before PM/ICD insertion and the patient was bridged with intravenous (IV) unfractionated heparin or subcutaneous low-molecular-weight heparin (LMWH) if the thromboembol
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Performing an ajmaline test in
2019-05-09
Performing an ajmaline test in children is problematic for 2 reasons. First, the test is apparently less sensitive in children than in adults. In fact, in 1 study, a repeat ajmaline challenge performed after puberty unmasked BrS in 23% of relatives with a previously negative drug test performed duri
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However as the above results included
2019-05-09
However, as the above results included patients who underwent RMN ablation during its introduction to our center when physicians were still in the process of familiarization, we proceeded to compare fluoroscopy and procedural times in the most recent 50 patients undergoing ablation in each cohort. T
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Upper gastrointestinal bleeding secondary to peptic ulcer
2019-05-09
Upper gastrointestinal bleeding secondary to peptic ulcer disease is a common life-threatening medical condition. However, historically, peptic ulcer disease was an uncommon ailment. The rise in the incidence of peptic ulcer disease occurred in the mid-1800s. At that time, studies in North America a
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A facility survey from reported
2019-05-09
A facility survey from 2003 reported that TCEP Supplier only 15% of primary health centres provided abortion services. Another study from Rajasthan state revealed that nine districts included 83% of all facilities whereas the remaining 22 districts included only 17%. Within districts too, abortion f
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Examples of numerically generated vortices and their organiz
2019-05-09
Examples of numerically generated vortices and their organizing centers in 3-D excitable media are illustrated in Fig. 1. Panels a to d show 4 different configurations of 3-D scroll waves that were computed using the FitzHugh–Nagumo model [39,40]. Panel a shows an example of the simplest configurati
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br Discussion Debate persists about how to best
2019-05-09
Discussion Debate persists about how to best define the ER ECG pattern. There is consensus regarding definition of the malignant form of ER as a J-point elevation that could be (or not) associated with ST elevation [1]. In this case, a clear J-point elevation was seen, particularly in lead III (F
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The CONNECT trial conducted by Crossley
2019-05-08
The CONNECT trial conducted by Crossley et al. [22] was also a multicenter, prospective, randomized evaluation of wireless RM, which included 1997 patients implanted with ICDs or CRT-Ds. They were randomly assigned to the remote or in-office groups and followed up for 15 months. The median time from
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Brugada syndrome BS is a
2019-05-08
Brugada syndrome (BS) is a hereditary arrhythmogenic disease characterized by a coved- or saddleback-type ST elevation in the right precordial lead on a 12-lead electrocardiogram (ECG) and ventricular fibrillation (VF) occurring mainly at night. During the past 2 decades, since Brugada and Brugada f
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br It s that time of year again when we
2019-05-08
It\'s that time of year again when we ask readers to submit photographs for our annual Highlights photography competition. We are looking for striking images that arrest our attention about any topic in medicine, from global health to clinical medicine, from the individual person to populations.
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En conclusi n vivir bien buen vivir no son
2019-05-08
En conclusión, vivir bien/buen vivir no son por el momento nuevos paradigmas, pese a que, por ejemplo, los autores del Plan Nacional para el Buen Vivir de Ecuador (2009-2013) se referan a una transición del concepto de desarrollo al buen vivir en los términos de un “cambio de para-digma”. En estos t
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But in comes the good news from these
2019-05-08
But in comes the good news from these three NEOVITA studies: there are other effective, feasible interventions that can be implemented everywhere. Rajiv Bahl and colleagues identify that early initiation of breastfeeding and exclusive breastfeeding have independent beneficial effects on neonatal mo
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Given this proud history it is deeply concerning that newly
2019-05-08
Given this proud history, it mibefradil is deeply concerning that newly elected President Donald J Trump, has, through an executive order in his fourth day in office, reinstated a Reagan-era prohibition on the disbursement of federal funding to non-governmental organisations (NGOs) and agencies that
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