Mayo Clinic proceedings
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Mayo Clinic proceedings · Jul 2022
Long-term Cardiovascular Risk in Astronauts: Comparing NASA Mission Astronauts With a Healthy Cohort From the Cooper Center Longitudinal Study.
To determine the long-term cardiovascular disease risk of astronauts with spaceflight exposure compared with a well-matched cohort. ⋯ No increased risk of CVD mortality was observed in astronauts with spaceflight exposure compared with a well-matched cohort, but there was evidence of increased total CVD events. Given that the duration of spaceflight will increase, particularly on missions to Mars, continued surveillance and mitigation of CVD risk is needed to ensure the safety of those who venture into space.
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Mayo Clinic proceedings · Jul 2022
Coronary Artery Bypass Grafting in Octogenarians-Risks, Outcomes, and Trends in 1283 Consecutive Patients.
To describe the risks, outcomes, and trends in patients older than 80 years undergoing coronary artery bypass grafting (CABG). ⋯ Although CABG in octogenarians carries a higher surgical risk, it may be associated with favorable outcomes and increase in long-term survival. Further studies are warranted to define subgroups benefiting more from surgical revascularization.
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Mayo Clinic proceedings · Jul 2022
Adherence to a Mediterranean Lifestyle and Changes in Frequency, Severity, and Localization of Pain in Older Adults.
To assess the association between adherence to a Mediterranean lifestyle and changes in pain, and its characteristics over time in older adults. ⋯ A Mediterranean lifestyle was associated with improvement of pain characteristics in older adults. Experimental studies should assess the efficacy of an integral lifestyle approach for the management of pain in older adults.
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Mayo Clinic proceedings · Jul 2022
ReviewPreoperative Evaluation and Management of Patients With Select Chronic Gastrointestinal, Liver, and Renal Diseases.
Patients with chronic gastrointestinal, hepatic, and renal disease are frequently encountered in clinical practice. This is due in part to the rising prevalence of risk factors associated with these conditions. These patients are increasingly being considered for surgical intervention and are at higher risk for multiple perioperative complications. ⋯ In this review, we highlight relevant perioperative physiology and outline our approach to the evaluation and management of patients with select chronic gastrointestinal, hepatic, and renal diseases. A comprehensive preoperative evaluation with a multidisciplinary approach is often beneficial, and specialist involvement should be considered. Intraoperative and postoperative plans should be individualized based on the unique medical and surgical characteristics of each patient.