Revista médica de Chile
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A specially designed questionnaire was used to detect handicapped individuals in a rural community. The type and magnitude of incapacity was evaluated by a physician. ⋯ Leading causes of incapacity were bone and muscle disorders and nervous or sensory problems. Chronic back pain was the leading individual problem. 66.7% of handicapped individuals require assistance for their everyday life activities and 47.2% are unable to engage in any productive job.
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In spite of advances in our understanding of the pathophysiology of cardiogenic shock, and the introduction of potent vasoactive pharmacological agents in its management, prognosis continued to be dismal with hospital mortalities over 85%. It has been only through additional and aggressive interventions--including intraaortic balloon counterpulsation (IABC), percutaneous transluminal coronary angioplasty (PTCA) and surgical revascularization--that improved survival can be achieved. Today's management of cardiogenic shock requires an early and integrated approach including physiological monitoring, vasoactive drugs, IABC, coronary angiography and PTCA, with the expectation of improving prognosis.