Patients treated with RAAS blockade before exposure to CM develop significantly more often CIN within 72 h. Even after adjustment for confounding comorbidities, treatment with ACE-I or AT-1 blockers turned out to be an independent risk predictor.
Patient performance is an overall accepted independent prognostic factor in glioblastoma patients. Its estimation is essential for treatment planning, follow-up and clinical trials. Patient performance is mostly determined by usage of the Karnofsky Performance Score (KPS) for cancer patients. However, several other ranking scores have been developed specifically for patients with neurological diseases: Glasgow Outcome Score (GOS) for trauma patients, modified Ranking Score for stroke patients and Medical Research Council brain prognostic index (MRC) for brain tumour patients. The aims of this study were: (1) to compare these four performance scores in their ability to determine patient survival; and (2) to compare the prognostic value of performance with that of other prognostic factors. Univariate and multivariate survival analysis was used. Survival analysis revealed a high correlation to survival for all four scores. The maximum derivation of the curves was shown for the MRC and GOS. Performance had more clinical impact in determining patient survival than age and tumour resection. Differential treatment planning may need the formation of more than two patient groups. This was possible with the MRC, as well as the GOS and KPS. Forming more than three patient groups was not effective with any score.
Women are significantly more likely than men to suffer from CIN. This higher rate of CIN was confounded by unfavorable comorbidities, as found by univariate and multivariate analyses.
A 22-year-old woman with monomorphic ventricular tachycardias (240 beats/min) exhibited a strongly vascularized tumor (7.4 ϫ 5.2 cm) of the left ventricular free wall on echocardiography (A, Online Video 1). Magnetic resonance imaging demonstrated gadolinium contrast enhancement (B). The hyperintense tumor (T2-weighted) did not infiltrate epimyocardial or endomyocardial layers. Coronary angiography showed dilation of coronary arteries proximal of the tumor supply (C, Online Video 2). The tumor was perfused from the first diagonal branch.We diagnosed a benign cardiac hemangioma. Consequently, we refrained from sequential coiling, tissue sampling, or complete operative removal. Implantable cardioverter-defibrillator implantation was performed and follow-up was scheduled. Ao ϭ aortic branch; LA ϭ left atrium; LAD ϭ left anterior descending; LV ϭ left ventricle; P ϭ pulmonary artery; RCX ϭ right circumflex artery.
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