scholarly journals Kienbock Disease, a Tertiary Care Experience from the Developing World

2017 ◽  
Vol 1 (7) ◽  
Author(s):  
Yasir Mohib
Keyword(s):  
Developing World ◽  
Tertiary Care ◽  
Care Experience ◽  
Kienböck Disease

Clinical spectrum of colonic diverticulosis: a tertiary care experience in Saudi Arabia

2020 ◽  
pp. 1
Author(s):  
Abed AlLehbi ◽  
Abdullah AlMtawa ◽  
Adel Alqutub ◽  
Khalid Alsayari ◽  
Ahmed Alomair ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care ◽  
Clinical Spectrum ◽  
Colonic Diverticulosis ◽  
Care Experience

scholarly journals A review of the etiology and clinical presentation of non-cystic fibrosis bronchiectasis: A tertiary care experience

2018 ◽  
Vol 137 ◽  
pp. 35-39 ◽  
Author(s):  
Ozlem Satırer ◽  
Ayse Mete Yesil ◽  
Nagehan Emiralioglu ◽  
Gökcen Dilsa Tugcu ◽  
Ebru Yalcın ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Clinical Presentation ◽  
Tertiary Care ◽  
Care Experience

Abstract 13087: Are All Patients Equal in Response to Intra-Aortic Balloon Counterpulsation?

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
David A Baran ◽  
Marc Cohen ◽  
Gautam K Visveswaran ◽  
Michael DiVita ◽  
Ahmed Seliem ◽  
...  
Keyword(s):  
Cardiac Output ◽  
Chart Review ◽  
Tertiary Care ◽  
Balloon Catheter ◽  
Binary Response ◽  
Ventricular Assist ◽  
Care Experience ◽  
Intra Aortic Balloon Counterpulsation ◽  
Balloon Counterpulsation ◽  
Hemodynamic Measurements

Background: Intra-Aortic Balloon Counterpulsation (IABC) with a 50 cc (MEGA 50™) balloon catheter is associated with an average increase of 0.5- 0.7 liters/min in cardiac output. However, some patients (pts) have a much more dramatic response. We retrospectively analyzed our single center tertiary care experience with 150 consecutive pts undergoing IABC. Methods: Chart review for demographic, procedural, and hemodynamic data was collected for 150 pts of whom 64 had both pre and 4 hour post IABC hemodynamic measurements. The responder (R) group was defined by any positive change in cardiac output (CO) and cardiac index (CI) between baseline prior to IABC and 4 hours post initiation. Non-responders (NR) were defined as those with a decline in CO or no change. Results: IABC with a 50 cc balloon was associated with a significant improvement in CO of 0.7 L/min for the overall cohort (Pre-IABC mean CO 3.9±1.4 vs post 4.6 ±1.6 L/Min, paired t-test p=.0004). There were 38 pts in the R group (60 %) and 26 in the NR group. The CO / CI post-IABC improved significantly: CO 3.5±1.3 to 5.0±1.7 L/Min and CI 1.8±0.6 vs 2.6±0.7 L/min/M 2 ) (p<0.0001). For NR pts, CO dropped from 4.5±1.3 to 3.9±1.2 L/Min (p<0.0001) and CI from 2.2±0.6 to 2.1±0.5 L/min/M 2 (p=0.1). Interestingly, systemic vascular resistance varied significantly between groups (R: 1568±657 vs NR 1218±461 (dyne*sec)/cm 5 (p=0.02). Nominal logistic regression identified pre-IABC CO as a significant predictor of response. Conclusion: Among a cohort of pts receiving IABC, there appears to be a binary response with “responders” augmenting CO by 1.5 L/min which is close to that provided by percutaneous ventricular assist catheters such as Impella. Patients with lower pre-IABC CO and higher SVR appear to have the most favorable response to IABC. This binary response may have influenced prior neutral clinical outcome trials of IABC.

scholarly journals Long-term outcomes of left main coronary stenting: Tertiary care experience

2018 ◽  
Vol 70 ◽  
pp. S63
Author(s):  
Donepudi Bhishma Chowdary, Vijayakumar
Keyword(s):  
Tertiary Care ◽  
Coronary Stenting ◽  
Left Main ◽  
Long Term Outcomes ◽  
Care Experience

scholarly journals Solid pseudopapillary neoplasm of the pancreas – A 16 years North Indian tertiary care experience

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S307
Author(s):  
Kailash Kurdia ◽  
R. Rahul ◽  
Rajan Saxena
Keyword(s):  
Tertiary Care ◽  
Solid Pseudopapillary Neoplasm ◽  
Care Experience

Epidemiology of sepsis, based on ICD-9 coding, a tertiary care Experience from Pakistan

2021 ◽  
Author(s):  
Amber Sabeen Ahmed ◽  
Erfan Hussain ◽  
Sohail Haleem ◽  
Naila Ahmed ◽  
Asad Latif
Keyword(s):  
Tertiary Care ◽  
Care Experience
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