#76
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Òîãäà áóäó ïðèçíàòåëåí çà äîñòóï â çàêðîìà Ðîäèíû (ìîæíî íå íàøåé...) è ê îñíîâàíèþ àéñáåðãà.
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#77
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Çàáàâíî:
Öèòàòà:
Öèòàòà:
Öèòàòà:
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Àáóãîâ Ñåðãåé Àëåêñàíäðîâè÷. Ðîññèéñêèé Íàó÷íûé Öåíòð Õèðóðãèè èì. àêàäåìèêà Á.Â. Ïåòðîâñêîãî. |
#79
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#80
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Ñîãëàñåí íà íàêàçàíèå çà îôôòîï, íî íå ìîãó... Ñïàñèáî YAGOR. Îùóùåíèÿ ìûøè, ïîïàâøåé â çåðíîõðàíèëèùå!
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#82
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CV NMR cases
[Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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#83
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1)Òàêèå çàíÿòíûå êàðòèíî÷êè âèäèìî íàäî èìåòü îñîáûé íàâûê ñìîòðåòü. ß íå âèæó òàêèõ çíà÷èìûõ èçìåíåíèé, êàê îïèñàíû. Îïûòà â òàêèõ âåùàõ âîîáùå íåò. Èíòåðåñíî êàê áû ýòî âñå âûãëÿäèëî íà ÝÕÎ.
2)À ïî÷åìó ñðàçó áû íå ñäåëàòü àíãèîãðàôèþ? |
#84
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Çíà÷åíèå ÌÐÒ â äèàãíîñòèêå ÈÁÑ â ïðèíöèïå òðóäíî ïåðåîöåíèòü.
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#85
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#86
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Öèòàòà:
A systematic review and meta-analysis of intra aortic balloon pump therapy in ST-elevation myocardial infarction: should we change the guidelines? [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Öèòàòà:
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#87
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To Abugov and dav1972
Àëàâåðäû îáîèì: [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Elective versus provisional intraaortic balloon pumping in unprotected left main stenting......Antonio Colombo, MDa Milan and Naples, Italy Effects of intra-aortic balloon counterpulsation on coronary pressure in patients with stenotic coronary arteries. Conclusions Elective IABP may prevent intraprocedural events in elective ULM stenting, especially in patients at higher risk. (Am Heart J 2006;152:565272.) Role of Prophylactic Intra-Aortic Balloon Pump in High-Risk Patients Undergoing Percutaneous Coronary Intervention. 2006 Elsevier Inc. All rights reserved. (Am J Cardiol 2006;98:608–612) |
#88
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Íäàààà..... Êàëåíäàðèêàì è ðó÷êàì êèðäûê:
Öèòàòà:
Öèòàòà:
Öèòàòà:
Öèòàòà:
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Àáóãîâ Ñåðãåé Àëåêñàíäðîâè÷. Ðîññèéñêèé Íàó÷íûé Öåíòð Õèðóðãèè èì. àêàäåìèêà Á.Â. Ïåòðîâñêîãî. |
#89
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A population-based study of the drug interaction between proton pump inhibitors and clopidogrel
David N. Juurlink MD PhD, Tara Gomes MHSc, Dennis T. Ko MD MSc, Paul E. Szmitko MD, Peter C. Austin PhD, Jack V. Tu MD PhD, David A. Henry MD, Alex Kopp BA, Muhammad M. Mamdani PharmD MPH Background: Most proton pump inhibitors inhibit the bioactivation of clopidogrel to its active metabolite. The clinical significance of this drug interaction is unknown. Methods: We conducted a population-based nested case–control study among patients aged 66 years or older who commenced clopidogrel between Apr. 1, 2002, and Dec. 31, 2007, following hospital discharge after treatment of acute myocardial infarction. The cases in our study were those readmitted with acute myocardial infarction within 90 days after discharge. We performed a secondary analysis considering events within 1 year. Event-free controls (at a ratio of 3:1) were matched to cases on age, percutaneous coronary intervention and a validated risk score. We categorized exposure to proton pump inhibitors before the index date as current (within 30 days), previous (31–90 days) or remote (91–180 days). Results: Among 13 636 patients prescribed clopidogrel following acute myocardial infarction, we identified 734 cases readmitted with myocardial infarction and 2057 controls. After extensive multivariable adjustment, current use of proton pump inhibitors was associated with an increased risk of reinfarction (adjusted odds ratio [OR] 1.27, 95% confidence interval [CI] 1.03–1.57). We found no association with more distant exposure to proton pump inhibitors or in multiple sensitivity analyses. In a stratified analysis, pantoprazole, which does not inhibit cytochrome P450 2C19, had no association with readmission for myocardial infarction (adjusted OR 1.02, 95% CI 0.70–1.47). Interpretation: Among patients receiving clopidogrel following acute myocardial infarction, concomitant therapy with proton pump inhibitors other than pantoprazole was associated with a loss of the beneficial effects of clopidogrel and an increased risk of reinfarction. Cite this article as CMAJ 2009;180(7). DOI:10.1503/cmaj.082001 [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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Ñ óâàæåíèåì |
#90
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Öèòàòà:
ß, ïðàâäà, êàê êàðäèîëîã äî ÌÐÒ åùå ïîêà íå äîðîñ. Ñëèøêîì âñå ñëîæíî. Ïîëüçóþñü ýòèì âåëèêèì èçîáðåòåíèåì êðàéíå ðåäêî. |