牲畜交易
网站标志
会员登录
登录账号:
登录密码:
验 证 码:
 
您好,您已登录
您有条新到站内短信
会员中心 退出登录
 
 
点评详情
发布于:2018-2-10 08:13:09  访问:27 次 回复:0 篇
版主管理 | 推荐 | 删除 | 删除并扣分
Be contaminating issue Editor--The burden on echocardiography {services
Be contaminating issue Editor--The burden on echocardiography solutions could certainly be lowered if natriuretic peptide concentrations plus electrocardiography have been used as screening tools for left Fluorescein Diacetate site ventricular systolic dysfunction.1 Nielsen et al‘s paper confirms the high negative predictive value of those tests. We did not think about treatment in the analysis for the reason that diuretic treatment is based on subjective and NSC 693255MedChemExpress Tyrphostin AG-1478 arbitrary choices, because a subdivision of the tiny cohort would increase the risk of making sort II errors, and because we only had restricted space for publication.Professional witnesses who are out of step should be named and shamed Editor--Like, I suspect, several other surgeons, I was delighted to discover that the General Healthcare Council identified Ian Fergusson not guilty of severe expert misconduct.1 I appreciate that the council must investigate a surgeon who has severalBMJ VOLUME 321 8 JULY 2000 bmj.comLettersRisk assessment of left ventricular dysfunction in individuals in line with remedy with diuretics (loop diuretic or angiotensin converting enzyme inhibitor plus other diuretic)Untreated (n=95) Left ventricular systolic dysfunction Sort of test Abnormal ECG (as in paper): Yes No >0.eight 0.5-0.8 0.five Yes No 7 0 2 4 1 4 3 39 49 5 24 53 12 75 11 8 6 six 1 four 0 two four three 9 9 four 7 7 2 16 1 11 5 9 7 9 six 16 Yes No Odds ratio Treated (n=25) Left ventricular systolic dysfunction Yes No Odds ratio Pooled odds ratio1 Wood D, Durrington P, Poulter N, McInnes GT, Rees A, Wray R. Joint British suggestions on prevention of coronary heart illness in clinical practice. Heart 1998;80:1-29S. 2 Ramsay LE, Williams B, Johnston GD, MacGregor L, Potter JF, Poulter NR, et al. Guidelines for management of hypertension: report on the third functioning celebration on the British Hypertension Society. J Hum Hypertens 1999;13:569-92.Be contaminating element Editor--The burden on echocardiography services could certainly be reduced if natriuretic peptide concentrations plus electrocardiography were used as screening tools for left ventricular systolic dysfunction.1 Nielsen et al‘s paper confirms the high unfavorable predictive worth of these tests. Concomitant drug treatment could, nevertheless, be a vital contaminating aspect. The usage of natriuretic peptides to diagnose left ventricular dysfunction in patients who‘re currently taking cardiac drugs deserves specific attention. Diuretics, digoxin, and angiotensin converting enzyme inhibitors reduce natriuretic peptide concentrations.two In particular significant could be the truth that frusemide (furosemide) reduces these concentrations3 but may have virtually no impact on an echocardiogram; it will not alter left ventricular dysfunction. Certainly, as a result, frusemide could severely distort the relation amongst natriuretic peptides plus the echo getting of left ventricular systolic dysfunction. The predictive worth of natriuretic peptides could conceivably be considerably affected by the presence of frusemide andAuthors‘ reply Editor--Kelly and Struthers make a point that applies in several branches of medical diagnosis--namely, that drug remedy may well influence not only subjective symptoms but in addition biological illness markers. If a drug breaks into a complicated system of feedback regulations, as would be the case with natriuretic peptides, the net impact is unpredictable and has to be assessed empirically. The question irrespective of whether cardiac medication influences the predictive power of natriuretic peptides in subjects with minor symptoms is consequently a vital 1. In our study we applied the tests on a broad spectrum of suspected heart sufferers from common practice.
共0篇回复 每页10篇 页次:1/1
共0篇回复 每页10篇 页次:1/1
我要回复
回复内容
验 证 码
看不清?更换一张
匿名发表 
脚注信息

成峰牲畜交易市场企业网站 Copyright(C)2009-2015