Are rotating tourniquets useful for left ventricular preload reduction in patients with acute myocardial infarction and heart failure?

Abstract:

:We examined the hemodynamic effects of congesting cuffs (rotating tourniquets) in 12 patients with first acute myocardial infarction and new onset of congestive heart failure 24 to 48 hours after admission. Congesting cuffs were applied for two periods of 15 minutes each, 15 minutes apart, and inflated to 30 mm Hg and 60 mm Hg consecutively. No change was noticed in mean pulmonary artery wedge pressure, which was 20 +/- 3 mm Hg at the beginning of the study and 19 +/- 3 mm Hg at the completion (P greater than .05, NS), nor in other hemodynamic and blood gases parameters. Patients' clinical conditions remained unchanged. We conclude that application of congesting cuffs at pressures of 30 mm Hg and 60 mm Hg does not result in any change in clinical or hemodynamic data in patients with acute myocardial infarction and new onset of congestive heart failure.

journal_name

Ann Emerg Med

authors

Roth A,Hochenberg M,Keren G,Terdiman R,Laniado S

doi

10.1016/s0196-0644(87)80570-x

subject

Has Abstract

pub_date

1987-07-01 00:00:00

pages

764-7

issue

7

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(87)80570-X

journal_volume

16

pub_type

杂志文章
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    authors: Washington DL,Stevens CD,Shekelle PG,Baker DW,Fink A,Brook RH

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    authors: Brown K,Levy H,Brenner C,Leffler S,Hamburg EL

    更新日期:1993-12-01 00:00:00

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    journal_title:Annals of emergency medicine

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    doi:10.1067/s0196-0644(03)00388-3

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    更新日期:2003-10-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1067/mem.2003.259

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    更新日期:2003-08-01 00:00:00

  • Comprehensive strategy for the evaluation and triage of the chest pain patient.

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    更新日期:1997-01-01 00:00:00

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    journal_title:Annals of emergency medicine

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    doi:10.1067/mem.2001.118865

    authors: Ezenkwele UA,Burnett-Garraway C,Green GB

    更新日期:2001-12-01 00:00:00

  • The significance of femoral fractures in children.

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    doi:10.1016/s0196-0644(82)80492-7

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    更新日期:1982-04-01 00:00:00

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    更新日期:2010-06-01 00:00:00

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    doi:10.1016/s0196-0644(89)80830-3

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    更新日期:1989-05-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2010.09.027

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    更新日期:2011-06-01 00:00:00

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    authors: Schneir AB,Vadeboncoeur TF,Offerman SR,Barry JD,Ly BT,Williams SR,Clark RF

    更新日期:2002-10-01 00:00:00

  • Metoclopramide for acute migraine: a dose-finding randomized clinical trial.

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    更新日期:2011-05-01 00:00:00

  • External Validation of the STONE Score, a Clinical Prediction Rule for Ureteral Stone: An Observational Multi-institutional Study.

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    journal_title:Annals of emergency medicine

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(99)70431-2

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    更新日期:1999-01-01 00:00:00

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

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    authors: McCormick MJ,Mogabgab E,Adams SL

    更新日期:1990-06-01 00:00:00

  • The incarcerated gravid uterus.

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(87)80534-6

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    更新日期:1987-08-01 00:00:00

  • Emergency intravenous access through the femoral vein.

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(84)80471-0

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    更新日期:1984-04-01 00:00:00

  • Frequent users of emergency departments: the myths, the data, and the policy implications.

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    更新日期:2010-07-01 00:00:00

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    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:1998-03-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1016/s0196-0644(96)70112-9

    authors: Wright RO,Magnani B,Shannon MW,Woolf AD

    更新日期:1996-11-01 00:00:00

  • Rapid-sequence intubation of the pediatric patient. Pediatric Emergency Medicine Committee of the American College of Emergency Physicians.

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(96)70140-3

    authors: Gerardi MJ,Sacchetti AD,Cantor RM,Santamaria JP,Gausche M,Lucid W,Foltin GL

    更新日期:1996-07-01 00:00:00

  • Angiotensin II effects in a swine model of cardiac arrest.

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)80213-6

    authors: Little CM,Hobson JL,Brown CG

    更新日期:1993-02-01 00:00:00

  • Implications of conducting trend analyses of emergency department visits using publicly released masked design variables.

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    doi:10.1016/j.annemergmed.2010.12.025

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    更新日期:2011-06-01 00:00:00

  • Acute epiglottitis in adults.

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    pub_type: 杂志文章

    doi:10.1016/s0196-0644(81)80463-5

    authors: Sarant G

    更新日期:1981-01-01 00:00:00

  • Chylous drainage from a stab wound to the neck.

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    更新日期:1990-12-01 00:00:00