Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Sep 2020
[Pharmaceutical Treatment Options in Heart Failure with Preserved Ejection Fraction].
Heart Failure causes an enormous individual and societal burden of disease with severe symptoms, a reduction in activities of daily life, frequent hospitalizations and poor prognosis. The field of heart failure with reduced ejection fraction has seen substantial innovation in the past years. ⋯ Today we have only symptoms and risk factors-based therapeutic options, and include basically diuretics, RAAsi, and antidiabetics, respectively. A causal therapy is still missing.
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Dtsch. Med. Wochenschr. · Sep 2020
Case Reports[Delayed Takotsubo syndrome - A critical perioperative incident].
The term Takotsubo syndrome (TTS) describes a transient ventricular dysfunction. Symptoms and complication rate are similar to those of a myocardial infarction. ⋯ Dynamic ECG changes in the perioperative situation always require differentiated diagnosis and possibly longer monitoring. TTS is a relevant differential diagnosis because it is subject to severe complications.
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Dtsch. Med. Wochenschr. · Sep 2020
Review[Meningitis, Meningoencephalitis - A Chameleon in (Emergency) Medicine].
A wide range of pathogens can cause meningitis or meningoencephalitis. Guiding symptoms of meningitis are headache, fever, nausea, vomiting and meningism. ⋯ An early start of therapy is crucial. In addition to rapid pathogen-specific treatment, specialized neurological intensive care medicine is life-saving.
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Heart failure is one of the most common reasons for inpatient treatment and one of the most common causes of death in Germany. In addition to coronary heart disease (ischemic cardiomyopathy, ICM), there are also numerous other diseases as non-ischemic cardiomyopathy, NICM. ⋯ The course can be favorably influenced by cardiac implantable electrical devices (CIEDs). There are different uses of CIEDs which are shown in this article.