TH4.2 To do or not to do, Branch ligation of a non-maturing arterio-venous fistula for haemodialysis

Performance of electrophysiologic study in an asymptomatic patient with type 2 intermittent Brugada syndrome: To do or not to do?

Background: Brugada syndrome (BrS) is an inherited channelopathy, which is associated with sudden cardiac death due to rapid polymorphic VT or VF. There is no definite consensus regarding the management of asymptomatic patients. Some experts advocate close follow-up; others propose the programmed stimulation for risk stratification. We aimed to evaluate the benefit of complete atrial and ventri...

Do We Know What We Do not Know? A Response to Celine Bonnet

To do or not to do?

Contrasting an imaginary German laboratory worker who in 1939 sabotaged experiments involving the mentally retarded, and an imaginary American animal liberationist who recently vandalized a primate research facility, Singer discusses civil disobedience by animal rightists. He raises and answers criticisms as to why the German worker and the animal liberationist both were justified in their act...

Pulmonary arterio-venous fistula.

As would be expected, the lesion is recognized in young to early middle life. The patient tends to be frail rather than robust, though there are exceptions to this, and there is no physical retardation. Clubbing of the fingers is frequently present, and telangiectases or hemangiomata may be present in the skin or mucous membranes. The most common presenting symptoms are cyanosis, which sometime...

Vaccination of Hepatitis A; To Do or Not to Do?

This letter was written because of the high incidence of acute hepatitis A in our hospital in this period of time. In December 2016 and January 2017, eight patients with acute hepatitis A were admitted to Gastroenterology Ward of Imam Hospital. Some of them had acute liver failure and fulminant hepatitis. Fulminant hepatic failure is a rare complication of hepatitis A and it occurs in about 1% ...