The proposed tobacco deal: not so fast.
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Biomedical subjects
Publications and source records attributed to C E Bartecchi.
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Temporary cardiac pacing is a useful tool both diagnostically and therapeutically. A wide array of methods are available for delivering such pacing to the myocardium. Careful patient evaluation, which includes ruling out the use of certain drugs and the presence of certain diseases, will help determine the most desirable pacing therapy. In an emergency situation, transcutaneous pacing is the ideal modality for use by the primary care physician.
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Emergency transvenous cardiac pacing can be performed in elderly patients rapidly, effectively, and with few complications. An experienced physician using the subclavian route usually can achieve effective pacing with equipment priced well within the budget of most community hospitals. Data on 36 patients (age range, 75-94 years) are presented.
A 41-year-old man was found to have infectious mononucleosis, a disease frequently overlooked in patients of this age group. The symptoms and signs observed in this patient are seen in less than 10% of patients with this disease: arthralgia, epistaxis, jaundice, skin rash, and pneumonitis. Although mildly depressed platelet counts are common in patients with infectious mononucleosis, the count in this patient was markedly depressed.