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Background: Efficient care of patients in and out of the hospital requires an accurate, timely, and mobile patient record. The Department of Veterans Affairs has developed a multimedia workstation which combines the patient text and image records with an Internet connection providing for the exchange of information between hospitals, the review of current guidelines for diagnosis and recommendations...
Background: The natural history of aortic stenosis (AS) includes a latency period followed by an unpredictable progression. Recent studies show an association between risk factors for atherosclerosis and the presence of AS. We hypothesize that atherosclerosis risk factors are also associated with the progression of AS.Methods: In a retrospective study, patients with a diagnosis of AS by continuous...
Quality control is best tested when required parameters are extracted from routinely recorded clinical procedures. Since 1987 exercise testing and cardiac catheterizations have been recorded electronically in a VA centralized hospital database (DHCP). The Mark score for exercise testing, reported in N Engl J Med, uses peak ST deviation, angina index, and exercise duration to categorize patients...
This multicenter, double-blind, placebo-controlled study analyzed the efficacy of amiodarone in the reduction of asymptomatic ventricular dysrhythmias with the hope to reduce overall mortality in patients with congestive heart failure. Ventricular dysrhythmias can cause sudden death and acute heart failure leading to death. Amiodarone works by decreasing the number of premature ventricular contractions...
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