Simultaneous Embolism in Both Arms

Simultaneous massive pulmonary embolism and impending paradoxical embolism through a patent foramen ovale.

Risk stratification of pulmonary embolism: clinical evaluation, biomarkers or both?

The concept of risk-stratification is one of the cornerstones of the recent guidelines on pulmonary embolism (PE), which were issued by the European Society of Cardiology (ESC) and endorsed by the European Respiratory Society [1]. According to these guidelines, patients with PE are divided in three groups with increasing risk of death or adverse outcome following a three-step process that is ba...

Simultaneous surgery in patients with both cardiac and noncardiac diseases

BACKGROUND To investigate the possibility and feasibility of simultaneous cardiac and noncardiac surgery. METHODS From August 2000 to March 2015, 64 patients suffering from cardiac and noncardiac diseases have been treated by simultaneous surgeries. RESULTS Two patients died after operations in hospital; thus, the hospital mortality rate was 3.1%. One patient with coronary heart disease, ac...

Use of evidence in hypertension guidelines: should we measure in both arms?

For at least 25 years, hypertension guidelines have suggested measuring blood pressure in both arms, but GPs' acceptance of this is low. Current and past versions of major guidelines were identified to review and assess the degree to which they provided justification, evidence, and a description of dual-arm measurement techniques. It is suggested that if guidelines better justified recommendati...

Severe Burns and Amputation of Both Arms in the First Psychotic Episode of a Schizophrenic Patient

An alleged reduction of sensitivity to pain in people with schizophrenia has been reported, but the nature of this complex phenomenon has not been elucidated yet. Reports of insensitivity to burns from people with schizophrenia are extremely rare. We report the case of a 24-year-old man who set both of his arms on fire during the first break of paranoid schizophrenia. As a result of severe tiss...