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Do Defibrillators Improve Mortality in Dialysis Patients?
In patients with left ventricular ejection fraction ≥ 35% undergoing dialysis, the insertion of a prophylactic implantable cardioverter defibrillator carries a relatively high risk for adverse events and does not significantly decrease sudden cardiac death or mortality.
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Lower Systolic Blood Pressure Associated With Increased Mortality in Systolic Heart Failure Patients
Systolic blood pressure less than 130 mmHg was associated with increased mortality in a Medicare population with systolic heart failure.
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More Experience Leads to Better Outcomes With MitraClip
In this analysis of MitraClip procedures from the Transcatheter Valve Therapy registry, the authors demonstrated improvements in procedure success and safety with increasing institutional experience with the device.
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Enterococcus faecalis Endocarditis Risk Factors
A large, prospective observational study of echocardiography in all patients with Enterococcus faecalis bacteremia showed a high incidence of infective endocarditis.
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Life Expectancy After Aortic Valve Replacement
This Swedish national study of longevity following aortic valve surgery showed that, overall, life expectancy declined by about two years, but was higher for patients younger than 50 years of age.
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EEG Reactivity for Prediction of Neurological Outcomes After Cardiac Arrest
Researchers found that EEG-R testing, by itself, is not sufficiently reliable to predict neurological outcomes after cardiac arrest.
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Medication Errors When Patients Transition Out of ICU
Three factors associated with decreased odds of an error occurring were daily patient care rounds in the ICU, discontinuing and rewriting medication orders during the transition of care from the ICU to a non-ICU setting, and 16-20 ICU beds in the transferring ICU.
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Blood Pressure Control: Exercise vs. Meds
A random-effects network meta-analysis demonstrated comparable reductions in systolic blood pressure among normotensive and hypertensive participants using either antihypertensive medication or exercise interventions.
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Eat Vegetables and Prevent Type 2 Diabetes
A large meta-analysis of high-quality observational studies shows that adherence to a plant-based diet is inversely related with developing type 2 diabetes.
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After Ischemic Stroke Related to Atrial Fibrillation, Direct Oral Anticoagulants Are Superior to Vitamin K Antagonists