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br Discussion The implant of a CRT device in a
2019-06-11
Discussion The implant of a CRT device in a patient with a resting ejection fraction of 50% represents off-guideline use of this therapy [1]. However, since the patient׳s significant NYHA Class III symptoms, LBBB and exertional ventricular dysfunction achieved evidence-based levels for improvemen
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br Conclusions br Conflict of interest br
2019-06-11
Conclusions Conflict of interest Introduction Gastrointestinal stromal tumor (GIST) arises from the mesenchymal tissue of the gastrointestinal tract. The annual incidence of this condition is 7 cases per million people in the West. However, the incidence could in fact be higher in Asian pop
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Desde la perspectiva expuesta la
2019-06-10
Desde la perspectiva expuesta, la etnicidad constituye una dimensión potencial de la identidad, fundamentada en un conjunto de elementos que, al seguir la tradición weberiana, pueden abarcar la percepción de origen, cultura, idioma o rasgos fenotípicos compartidos por un conjunto de personas. La adq
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br Introduction Percutaneous transcatheter device closure of
2019-06-10
Introduction Percutaneous transcatheter device closure of atrial septal defects (ASD) has become an effective alternative therapy to surgical repair in patients with secundum type ASD. Amplatzer ASD or ventricular septal defect (VSD) occluders were used for the closure of ASDs or VSDs, respective
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The immunohistochemistry showed infiltration of CD T
2019-06-10
The immunohistochemistry showed infiltration of CD3+ T cells in dermis and few in the epidermis. The double staining of vitiligo biopsies by CD3+ and CD4+ showed that most of CD3+ cells are also CD4+. Whereas, CD3+/CD8+ are present in leading edge and lesional vitiligo skin and showing a mixture of
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In our case the LV triggered pace algorithm had modes
2019-06-10
In our case, the LV-triggered pace algorithm had 2 modes: “RVs” and “RVs+RVEs”. In the “RVs” mode, LV pacing synchronizes with RV-sensed events. It aims to maintain the CRT benefits even if intrinsic AV conduction shortens with an increase in sympathetic nerve activity. In the “RVs+RVEs” mode, LV pa
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The potential improvement in management of patients can be
2019-06-10
The potential improvement in management of patients can be evidenced by a paper comparing baseline symptom severity over two time frames by Khan et al.[17]. Baseline edmonton symptom assessment system (ESAS) scores reported by patients seen from 2006 to 2009 were found to exhibit significant improve
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In the current era nearly all cases
2019-06-10
In the current era, nearly all cases of hormone-receptor positive breast cancer are treated with adjuvant endocrine therapy irrespective of staging, with preference for aromatase inhibitors over tamoxifen because of side effect profile, survival outcome and tumor recurrence rates [4,11]. In our stud
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La Coordinadora entiende como imposible la reconstrucci n de
2019-06-10
La Coordinadora entiende como imposible la reconstrucción de su pueblo sin el territorio, sin el control territorial. Debemos recordar que en el pensamiento de la cam, la memoria del agravio hace legítima su visión de despojo y el reconocimiento que, en su momento, los mapuches tuvieron, que implicó
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When the subject of climate change is raised people
2019-06-10
When the subject of climate change is raised, people tend to think of extreme heat events, droughts, violent storms, rising sea levels, and floods. Today, we certainly live in an era of severe weather events, which will intensify if human-driven climate change continues unabated. Such events are kno
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Ashuntantang and colleagues should have
2019-06-10
Ashuntantang and colleagues should have also highlighted other prominent factors in the region that contribute to such poor outcomes, including a dearth of workforce ( In a study in , Adam Bennet and colleagues have applied innovative methods to do an analysis of household survey data providing evi
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Holter ECG monitoring was performed after the
2019-06-10
Holter ECG monitoring was performed after the patient consumed 180mL of sake (alcohol) each night in both the DDD-R and DDD-CLS modes. The mean HR in the DDD-CLS mode (68bpm) was similar to that (71bpm) in the DDD-R mode, but during sleep, the atrial pacing ratio (43.2%) in DDD-CLS was significantly
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The increasing complexity and demands of the
2019-06-10
The increasing complexity and demands of the proper diagnosis and management of patients with inherited cardiovascular disease create an opportunity for the development of specialized training for clinical electrophysiologists interested in the care of patients with inherited arrhythmias [229]. Such
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br Case report His physical examination and basic laboratory
2019-06-10
Case report His physical examination and basic laboratory data were normal. No organic heart disease other than dextrocardia was detected on electrocardiography, chest radiography, and echocardiography (Fig. 1). A head-up tilt test (HUT) was performed according to the ESC/ACC guidelines [7,8]. T
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The efficiency of additional strategies for
2019-06-06
The efficiency of 2 additional strategies for eliminating the substrate for AF maintenance in addition to PVI has been described. Linear lesions are commonly made at the roof between the contralateral superior PVs (roof line), and at the isthmus between the mitral valve and the left inferior PV (mit
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