2,094 results match your criteria Pulmonary Edema Cardiogenic

Electrical impedance tomography to measure lung ventilation distribution in healthy horses and horses with left-sided cardiac volume overload.

J Vet Intern Med 2021 Aug 4. Epub 2021 Aug 4.

School of Veterinary Medicine, Murdoch University, Perth, Australia.

Background: Left-sided cardiac volume overload (LCVO) can cause fluid accumulation in lung tissue changing the distribution of ventilation, which can be evaluated by electrical impedance tomography (EIT).

Objectives: To describe and compare EIT variables in horses with naturally occurring compensated and decompensated LCVO and compare them to a healthy cohort.

Animals: Fourteen adult horses, including university teaching horses and clinical cases (healthy: 8; LCVO: 4 compensated, 2 decompensated). Read More

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Indications and outcomes for puppies undergoing mechanical ventilation: 59 cases (2006 to 2020).

Can Vet J 2021 Aug;62(8):839-842

Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts 01536, USA (Rozanski, Lemieux); University of Florida College of Veterinary Medicine - Small Animal Clinical Sciences, 2015 SW 16th Avenue, Gainesville, Florida 32608, USA (Buckley); University of Pennsylvania - Clinical Sciences and Advanced Medicine, 3900 Delancey Street, Ryan Veterinary Hospital, Philadelphia, Pennsylvania 19104, USA (Chalifoux, Silverstein); Canada West Veterinary Specialists Ringgold standard institution, Vancouver, British Columbia, Canada (Kennedy); North Carolina State University Ringgold standard institution - College of Veterinary Medicine, Raleigh, North Carolina, USA (Lynch, Tracy); College of Veterinary Medicine, Texas A&M University System Ringgold standard institution, College Station, Texas, USA (Rutter).

The medical records of 59 puppies from 6 hospitals undergoing mechanical ventilation (MV) between 2006 and 2020 were reviewed to describe the signalment, underlying disease, duration of ventilation, and outcome. The most common underlying diseases were pneumonia ( = 18), non-cardiogenic pulmonary edema ( = 16), and trauma ( = 8). Twenty-six (44%) puppies were weaned from the ventilator. Read More

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Shark Fin Electrocardiogram: A Deadly Electrocardiogram Pattern in ST-Elevation Myocardial Infarction (STEMI).

Cureus 2021 Jun 28;13(6):e15989. Epub 2021 Jun 28.

Medicine, Ministry of Health, Male', MDV.

Shark fin electrocardiographic (ECG) pattern, also known as 'Lambda-wave', 'giant R waves', or 'triangular QRS-ST-T waveform' is a dangerous ECG pattern associated with ST-elevation myocardial infarction (STEMI). It is formed by the fusion of QRS, ST, and T waves and predicts the high risk of mortality due to cardiogenic shock and ventricular fibrillation. The management should be aggressive with reperfusion via thrombolysis or percutaneous intervention, ideally in the intensive care unit with ventricular assist devices. Read More

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"Asymptomatic" Flash Pulmonary Edema by Point-of-Care Ultrasound: A Novel Bedside Finding of Transient Global Ischemia.

JACC Case Rep 2020 Aug 19;2(10):1545-1549. Epub 2020 Aug 19.

Department of Cardiology, Scripps Mercy Hospital, San Diego, California.

A 65-year-old man with remitted chest pain and no tachypnea was taken urgently to catheterization because of diffuse lung ultrasound B-lines on bedside examination. He was found to have severe left-main disease. This case emphasizes the value of ultrasound to recognize acute cardiogenic interstitial pulmonary edema despite minimal symptoms. Read More

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Case Report: Khat Chewing and Acute Myocardial Infarction in Two Young Men without Underlying Risk Factors.

Am J Trop Med Hyg 2021 Jul 26. Epub 2021 Jul 26.

Department of Public Health, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Teferi, Ethiopia 1145.

Khat (Catha edulis) chewing is linked to several social, psychological, and health-related problems. Studies show that khat is associated with gastrointestinal and nervous system diseases. However, little is known about khat's effect on the cardiovascular system. Read More

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Cardiogenic Shock Due to Multisystem Inflammatory Syndrome in a Young Adult Female.

Cureus 2021 Jul 14;13(7):e16380. Epub 2021 Jul 14.

Cardiology, University of California San Francisco (UCSF) Fresno, Fresno, USA.

Multisystem inflammatory syndrome in adults (MIS-A) was initially described by pediatricians after reporting a temporal association of a mimicker of Kawasaki disease shortly after the resolution of a COVID-19 illness. Since June 2020, there have been an increased amount of reports of adults and adolescents above the age of 18 presenting with the syndrome. We report a case of a 20-year-old female with no medical history who presented with cardiogenic shock and was found to have MIS-A. Read More

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Sex differences in CRT device implantation rates, efficacy, and complications following implantation: protocol for a systematic review and meta-analysis of cohort studies.

Syst Rev 2021 07 23;10(1):210. Epub 2021 Jul 23.

School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, Ontario, K1G 5Z3, Canada.

Introduction: There is abundant evidence for sex differences in the diagnosis, implantation, and outcomes for cardiac resynchronization therapy (CRT) devices. Controversial data suggesting women are less likely to receive the device regardless of the greater benefit. The aim of this review is to assess sex differences in the implantation rate, clinical effectiveness, and safety of patients receiving CRT devices. Read More

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Non-invasive Positive Pressure Ventilation for Acute Cardiogenic Pulmonary Edema and Chronic Obstructive Pulmonary Disease in Prehospital and Emergency Settings.

Cureus 2021 Jun 13;13(6):e15624. Epub 2021 Jun 13.

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Non-invasive ventilation is an important intervention in treating acute respiratory failure caused by acute cardiogenic pulmonary edema (ACPE) and acute exacerbations of chronic obstructive pulmonary disease (COPD). Although there are studies that give evidence on the efficacy and safety of non-invasive ventilation over standard medical care for COPD and cardiogenic pulmonary edema, less are known about the form of non-invasive ventilation, continuous positive airway pressure (CPAP), or bilevel positive airway pressure (BiPAP) as an effective intervention for respiratory failure and its efficacy and safety in prehospital settings. We conducted a systematic review by using PubMed and Google Scholar as databases for collecting studies related to the effectiveness of CPAP and BiPAP for cardiogenic pulmonary edema and COPD; the major outcome studied was reducing rates of endotracheal intubation secondary and tertiary outcomes included mortality reduction and shortening length of hospital stay. Read More

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Randomized clinical trial comparing helmet continuous positive airway pressure (hCPAP) to facemask continuous positive airway pressure (fCPAP) for the treatment of acute respiratory failure in the emergency department.

Am J Emerg Med 2021 Jun 22;49:385-392. Epub 2021 Jun 22.

Department of Anaesthesiology, Faculty of Medicine, Malaysia Department of Anaesthesiology, Faculty of Medicine, University of Malaya, Malaysia. Electronic address:

Study Objective: To determine whether non-invasive ventilation (NIV) delivered by helmet continuous positive airway pressure (hCPAP) is non-inferior to facemask continuous positive airway pressure (fCPAP) in patients with acute respiratory failure in the emergency department (ED).

Methods: Non-inferiority randomized, clinical trial involving patients presenting with acute respiratory failure conducted in the ED of a local hospital. Participants were randomly allocated to receive either hCPAP or fCPAP as per the trial protocol. Read More

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Complete Dissection of the Interventricular Septum Following Myocardial Infarction.

Cureus 2021 Jun 4;13(6):e15443. Epub 2021 Jun 4.

Cardiology, Hackensack Meridian Health - Ocean Medical Center, Brick, USA.

In this report, we present a case of interventricular septal dissection (IVSD) following inferior wall myocardial infarction (MI) in a 64-year-old patient; the patient ultimately recovered after prompt resuscitation and intervention, despite the high mortality associated with these cases. A 64-year-old male with a history of hypertension and obesity was brought to the hospital following an episode of syncope at home. He had been experiencing chest tightness over the past few days prior to the admission. Read More

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Unilateral pulmonary edema in acute aortic regurgitation: A complication of infective endocarditis.

J Cardiol Cases 2021 Jul 18;24(1):41-44. Epub 2021 Jan 18.

Department of Pulmonary - Critical care, Richmond University Medical Center, Staten Island, NY, USA.

Cardiogenic unilateral pulmonary edema (UPE) is an uncommon clinical entity and it represents just 2% of cardiogenic pulmonary edema with inclination for the right upper lobe and it is most commonly associated with severe mitral regurgitation. In our review, the literature does not include any UPE cases that are associated with severe aortic regurgitation (AR). Herein, we present a case with UPE, that includes a patient diagnosed with infective endocarditis who presented with shortness of breath. Read More

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Acute respiratory distress syndrome.

Lancet 2021 Jul 1. Epub 2021 Jul 1.

Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Departments of Medicine and Anesthesia, University of California San Francisco, San Francisco, CA, USA.

Acute respiratory distress syndrome (ARDS) is an acute respiratory illness characterised by bilateral chest radiographical opacities with severe hypoxaemia due to non-cardiogenic pulmonary oedema. The COVID-19 pandemic has caused an increase in ARDS and highlighted challenges associated with this syndrome, including its unacceptably high mortality and the lack of effective pharmacotherapy. In this Seminar, we summarise current knowledge regarding ARDS epidemiology and risk factors, differential diagnosis, and evidence-based clinical management of both mechanical ventilation and supportive care, and discuss areas of controversy and ongoing research. Read More

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Left Ventricular Decompression by Transaortic Catheter Venting in Extracorporeal Membrane Oxygenation.

ASAIO J 2021 Jul;67(7):752-756

From the Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University College of Medicine and Gyeongsang National University Changwon Hospital, Changwon, South Korea.

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been widely applied to patients with cardiogenic shock. Left ventricle (LV) decompression is important when LV distension develops with pulmonary edema. The purpose of this study was to present the results of transaortic catheter venting (TACV) performed during VA-ECMO. Read More

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Comparing Lung CT in COVID-19 Pneumonia and Acute Heart Failure: An Imaging Conundrum.

Cureus 2021 May 19;13(5):e15120. Epub 2021 May 19.

Cardiology, Siloam Hospital, Jakarta, IDN.

Background Chest computed tomography (CT) provides an effective modality to evaluate patients with suspected coronavirus disease 2019 (COVID-19). However, overlapping imaging findings with cardiogenic pulmonary edema is not uncommon. Reports comparing the chest CT features of these diseases have not been elaborated. Read More

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Hypertensive Heartbreak.

N Engl J Med 2021 06;384(22):2145-2152

From Brigham and Women's Hospital, Boston.

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Increased extravascular lung water index (EVLWI) reflects rapid non-cardiogenic oedema and mortality in COVID-19 associated ARDS.

Sci Rep 2021 06 1;11(1):11524. Epub 2021 Jun 1.

Department of Internal Medicine II, School of Medicine, University Hospital Rechts Der Isar, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany.

Nearly 5% of patients suffering from COVID-19 develop acute respiratory distress syndrome (ARDS). Extravascular lung water index (EVLWI) is a marker of pulmonary oedema which is associated with mortality in ARDS. In this study, we evaluate whether EVLWI is higher in patients with COVID-19 associated ARDS as compared to COVID-19 negative, ventilated patients with ARDS and whether EVLWI has the potential to monitor disease progression. Read More

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Incidence and Clinical Impact of Right Ventricular Involvement (Biventricular Ballooning) in Takotsubo Syndrome: Results From the GEIST Registry.

Chest 2021 May 27. Epub 2021 May 27.

First Department of Medicine, Faculty of Medicine, University Medical Centre Mannheim, University of Heidelberg, Mannheim, Germany; DZHK (German Center for Cardiovascular Research), Partner Site, Heidelberg-Mannheim, Mannheim, Germany.

Background: The short- and long-term prognosis of Takotsubo syndrome (TTS) presenting with right ventricular (RV) involvement remains poorly understood.

Research Question: What is the incidence and clinical outcome of RV involvement in TTS?

Study Design And Methods: This study analyzed 839 consecutive patients with TTS (758 female subjects and 81 male subjects) in a multicenter registry. RV involvement was defined as wall motion abnormality of the RV free wall, with or without apical involvement. Read More

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Electrocardiographic Characteristics and Associated Outcomes in Patients with Takotsubo Syndrome. Insights from the RETAKO Registry.

Curr Probl Cardiol 2021 Aug 19;46(8):100841. Epub 2021 Mar 19.

Department of Cardiology, Hospital General Universitario Gregorio Marañon, CIBERCV, Madrid, Spain; Universidad Europea, Universidad Complutense, Madrid, Spain. Electronic address:

Electrocardiographic disturbances in Takotsubo syndrome have been previously partially described but their consequences remain mostly unknown. Our aim was to describe the prevalence and prognostic significance of different electrocardiographic features in patients with Takotsubo syndrome. Our data come from the Spanish multicenter REgistry of TAKOtsubo syndrome (RETAKO). Read More

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Risk of Acute Lung Injury after Esophagectomy.

Semin Thorac Cardiovasc Surg 2021 May 11. Epub 2021 May 11.

Division of Thoracic Surgery, Department of Surgery, Affiliated Hospital of Qingdao University, Qingdao, China.

To develop a new approach for identifying acute lung injury (ALI) in surgical ward setting and to assess incidence rate, clinical outcomes, and risk factors for ALI cases after esophagectomy. We also compare the degree of lung injury between operative and non-operative sides. Consecutive esophageal cancer patients (n=1022) who underwent esophagectomy from Dec 2012 to Nov 2018 in our hospital were studied. Read More

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Systemic thrombolysis in a patient with massive acute valvular thrombosis.

Am J Emerg Med 2021 Apr 26. Epub 2021 Apr 26.

Coronary Intensive Care Unit, Instituto Nacional de Cardiología Ignacio Chávez, México City, Mexico.

Prosthetic valve thrombosis (PVT) is considered an exceptionally rare condition, often associated with pro-thrombotic factors or suboptimal anticoagulant therapy. Guidelines recommend emergent surgery for patients with left heart valve prosthetic thrombosis who present in cardiogenic shock, and systemic thrombolysis is reserved in scenarios where surgery is not immediately available. However, several factors may affect surgical prognosis and are overlooked by current recommendations. Read More

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[Refractory pulmonary edema under ECMO: Is there a place for Rashkind atrioseptotomy?]

Ann Cardiol Angeiol (Paris) 2021 May 3. Epub 2021 May 3.

Service de réanimation médicale, institut de cardiologie, groupe hospitalier Pitié-Salpêtrière, 75651 Paris cedex 13, France.

Hydrostatic pulmonary edema is a well-known complication of veinoarterial extracorporeal membrane oxygenation (VA-ECMO) caused by increased left ventricle afterload due to reverse blood flow in the aorta. Several techniques are commonly used for left ventricle venting such as intra-aortic balloon pump, Impella® (Abiomed, Danvers, MA), central surgical cannulation or Rahskind atrial septostomy. We reported two cases of hydrostatic pulmonary edema in patients under VA-ECMO for whom it was decided to perform Rashkind technique. Read More

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A Suspected Anaphylactoid Reaction to Propofol in a Dog.

Top Companion Anim Med 2021 May 4;44:100536. Epub 2021 May 4.

Clinica Veterinaria Malpensa/Anicura, Via G. Marconi 27, 21017 Samarate, Varese, Italy. Electronic address:

Anaphylactoid reactions to anaesthetic drugs are rarely reported in veterinary medicine. The aim of this report is to describe a suspected anaphylactic reaction to propofol in a 14 years old Shih-Tzu undergoing general anaesthesia for ovariohysterectomy due to a pyometra. The anesthetic protocol included intramuscular methadone for premedication and fentanyl, midazolam and propofol intravenously for co-induction. Read More

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Comparison of ETCO2 Value and Blood Gas PCO2 Value of Patients Receiving Non-invasive Mechanical Ventilation Treatment in Emergency Department.

SN Compr Clin Med 2021 Apr 27:1-5. Epub 2021 Apr 27.

Department of Emergency Medicine, Mugla Sitki Kocman University Training Research Hospital, Mugla, Turkey.

Capnography is the non-invasive measurement and graphic representation of the partial pressure of CO2 in expiration. Although there are many studies in the literature comparing the partial pressure of carbon dioxide (pCO2) and end-tidal CO2 (ETCO2) values in patients who underwent IMV (invasive mechanical ventilation), there are no studies showing their interchangeable applicability in patients who received NIMV (non-IMV). We aimed to evaluate whether the use of ETCO2 in the treatment process can replace pCO2 use in patients scheduled for NIMV treatment in the emergency department. Read More

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The Diagnostic Contribution of Systematic Lung Ultrasonography in Patients Admitted to a Conventional Pulmonology Hospitalization Unit.

J Ultrasound Med 2021 May 1. Epub 2021 May 1.

Hospital Alvaro Cunqueiro. Vigo. Department of Pneumology, Neumo Vigo I + i. Institute of Health Research Galicia South (IISGS), Vigo, Spain.

Objective: Although the evidence to date remains limited, we hypothesized that performing protocolized lung ultrasound (LUS) in patients, admitted to a conventional pulmonology hospitalization unit, could improve diagnostic precision. The main objectives of this study were to evaluate the diagnostic contribution and changes in the treatments administered after performing a protocolized LUS in patients hospitalized in a Pulmonology Department ward.

Methodology: This was a prospective, observational study, which included patients admitted from the Emergency Department to a conventional Pulmonology Department hospitalization unit, after first being evaluated by a pulmonologist. Read More

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Characterization of pulmonary impairment associated with COVID-19 in patients requiring mechanical ventilation.

Rev Bras Ter Intensiva 2021 Jan-Mar;33(1):75-81

Medical Intensive Care Unit, Hôpital Emile Muller, Groupe Hospitalier de la Région de Mulhouse et Sud-Alsace - Alsace - Mulhouse, France.

Objective: To detect early respiratory and hemodynamic instability to characterize pulmonary impairment in patients with severe COVID-19.

Methods: We retrospectively analyzed data collected from COVID-19 patients suffering from acute respiratory failure requiring intubation and mechanical ventilation. We used transpulmonary thermodilution assessment with a PiCCO™ device. Read More

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Acute Severe Mitral Regurgitation Secondary to Ischemic Papillary Muscle Rupture: A Case Report.

Cureus 2021 Mar 19;13(3):e13996. Epub 2021 Mar 19.

Cardiology, Overlook Medical Center, Summit , USA.

Mitral valve rupture secondary to ischemic papillary muscle necrosis is rare in the contemporary era due to improved revascularization techniques. However, when it does occur, prompt diagnosis and urgent surgical intervention can be lifesaving. A 69-year-old male with morbid obesity, hypothyroidism, and a family history of coronary artery disease presented to the hospital with chest pain and dyspnea that began five hours prior. Read More

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Percutaneous mitral valve repair with MitraClip device in hemodynamically unstable patients: A systematic review.

Catheter Cardiovasc Interv 2021 Apr 15. Epub 2021 Apr 15.

Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain.

Background: Very few data exist on percutaneous mitral valve repair (PMVr) in unstable patients with concomitant moderate-severe mitral regurgitation (MR). The purpose of this systematic review was to evaluate baseline characteristics, management and clinical outcomes of critically ill patients undergoing PMVr with MitraClip.

Methods: We conducted a systematic review of the published data on MitraClip from its first use in 2003 to December 2020. Read More

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Outcomes of Patients Treated with Prehospital Noninvasive Ventilation: Observational Retrospective Multicenter Study in the Northern French Alps.

J Clin Med 2021 Mar 25;10(7). Epub 2021 Mar 25.

Intensive Care Unit, Centre Hospitalier Métropole-Savoie, 73000 Chambéry, France.

Noninvasive ventilation (NIV) improves the outcome of acute cardiogenic pulmonary edema (AcPE) and acute exacerbation of chronic obstructive pulmonary disease (aeCOPD) but is not recommended in pneumonia. The aim of this study was to assess the appropriateness of the use of NIV in a prehospital setting, where etiological diagnostics rely mainly on clinical examination. This observational multicenter retrospective study included all the patients treated with NIV by three mobile medical emergency teams in 2015. Read More

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Continuous positive airway pressure therapy in the management of hypercapnic cardiogenic pulmonary edema.

Monaldi Arch Chest Dis 2021 Apr 1. Epub 2021 Apr 1.

Emergency Team, CTO Hospital, Naples.

Continuous positive airway pressure (CPAP) therapy or non-invasive ventilation (NIV) represent the first line therapy for acute cardiogenic pulmonary edema (CPE) together with medical therapy. CPAP benefits in acute CPE with normo-hypocapnia are known, but it is not clear whether the use of CPAP is safe in the hypercapnic patients. The aim of this study is to evaluate CPAP efficacy in the treatment of hypercapnic CPE. Read More

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Discontinuing β-lactam treatment after 3 days for patients with community-acquired pneumonia in non-critical care wards (PTC): a double-blind, randomised, placebo-controlled, non-inferiority trial.

Lancet 2021 Mar;397(10280):1195-1203

UMRS 1169 VIMA, INSERM, Versailles Saint-Quentin University, Versailles, France.

Background: Shortening the duration of antibiotic therapy for patients admitted to hospital with community-acquired pneumonia should help reduce antibiotic consumption and thus bacterial resistance, adverse events, and related costs. We aimed to assess the need for an additional 5-day course of β-lactam therapy among patients with community-acquired pneumonia who were stable after 3 days of treatment.

Methods: We did this double-blind, randomised, placebo-controlled, non-inferiority trial (the Pneumonia Short Treatment [PTC]) in 16 centres in France. Read More

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