OBJECTIVE Silent myocardial ischemia (SMI) in asymptomatic subjects with no history of myocardial infarction or angina is a frequent condition in diabetic patients. The aim of the study was to examine the predictive value of SMI for cardiac events in a multicenter cohort and to determine whether this value is higher in patients with a particular clinical profile. RESEARCH DESIGN AND METHODS A...

background rapid response teams (rrts) assess patients during early phases of deterioration to reduce patient morbidity and mortality. objectives this study aimed to evaluate the ability of earlier medical intervention by a rrt prompted by clinical instability in patients to reduce the incidence of and mortality from unexpected cardiac arrest at our hospital. patients and methods a nonrandomize...

BACKGROUND Hypoxia-inducible factor-1α (HIF-1α) and heme oxygenase-1(HO-1) are involved in the tissue hypoxic response. HYPOTHESIS HIF-1α and HO-1 levels may predict cardiac ischemia and adverse cardiac events during non-cardiac surgery. METHODS HIF-1α and HO-1 levels were determined in elderly patients undergoing non-cardiac surgery preoperatively and at 30 minutes, 48 and 72 hours postope...