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Study: Valvular heart disease in patients with chronic heart failure has been underestimated

Study: Valvular heart disease in patients with chronic heart failure has been underestimated
Hitherto, the development of valvular heart disease in patients with chronic heart failure has been underestimated and rarely treated. This is the finding of a study conducted at the Division of Cardiology within the Department of Medicine II at Vienna General Hospital and MedUni Vienna and published in the prestigious
British Medical Journal (BMJ). Mitral regurgitation was often previously interpreted as part of the progression of heart failure rather than a treatable disease in its own right.
Mitral regurgitation is a disease, in which the valve between the left atrium and left ventricle starts to leak, so that blood refluxes with each heartbeat. Typical symptoms of mitral regurgitation are increasing fatigue, increased shortness of breath on physical exertion and water retention in the lungs and legs. Mitral regurgitation is frequently also associated with cardiac arrhythmi ....

United Kingdom , Philipp Bartko , Georg Goliasch , Emily Henderson , Department Of Cardiac Surgery , Division Of Cardiovascular , Division Of Cardiology , Department Of Anaesthesia , Division Of Vascular Surgery , Department Of Medicine , Division Of Cardiology At Meduni Vienna , Vienna General Hospital , Meduni Vienna , British Medical Journal , Vienna General , Cardiac Surgery , Intensive Care Medicine , Pain Medicine , Vascular Surgery , ஒன்றுபட்டது கிஂக்டம் , எமிலி ஹென்டர்சன் , துறை ஆஃப் இதய அறுவை சிகிச்சை , பிரிவு ஆஃப் இருதய , பிரிவு ஆஃப் இருதயவியல் , துறை ஆஃப் மயக்க மருந்து , பிரிவு ஆஃப் வாஸ்குலர் அறுவை சிகிச்சை ,

Safe Central Venous Access in an Overburdened Health System | Critical Care Medicine | JAMA

Case Summary
A previously healthy man, intubated in the intensive care unit (ICU) for respiratory failure due to coronavirus disease 2019 (COVID-19), required central venous access for vasopressor infusion. The intensivists were occupied managing other critically ill patients, so an available intern attempted to place a triple-lumen catheter in the right internal jugular vein using only anatomic landmarks for guidance. When the access needle was inserted, pulsatile return of blood was noted.
What Should Be Done Next?
Remove the needle and hold pressure.
Place a small single-lumen catheter to prevent bleeding.
Use a percutaneous closure device to close the puncture site. ....

United States , Los Angeles , Edwardh Livingston , University Of California , Division Of Vascular Surgery , Department Of Surgery , Ultrasound Guided Popliteal Vein Access , Box Section Ref , Deputy Editor , Karen Woo , Vascular Surgery , ஒன்றுபட்டது மாநிலங்களில் , லாஸ் ஏஞ்சல்ஸ் , பல்கலைக்கழகம் ஆஃப் கலிஃபோர்னியா , பிரிவு ஆஃப் வாஸ்குலர் அறுவை சிகிச்சை , துறை ஆஃப் அறுவை சிகிச்சை , பெட்டி பிரிவு ரெஃப் , துணை ஆசிரியர் , கரேன் வூ , வாஸ்குலர் அறுவை சிகிச்சை ,