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10.1097/MD.0000000000025072 http://scihub22266oqcxt.onion/10.1097/MD.0000000000025072 33655986!7939151!33655986     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=33655986&cmd=llinks): Failed to open stream: HTTP request failed! 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The semantic of a pandemic: Are cardiovascular patients dying "with" or "from" COVID-19? Reflections from a case report |pdf=|usr=}}{{33655986}} gab.com Text The semantic of a pandemic: Are cardiovascular patients dying "with" or "from" COVID-19 Reflections from a case report JO: Medicine (Baltimore) http://www.kidney.de/pget.php?&tw=1&pmid=33655986 #FOAvip RATIONALE: Northern Italy has been particularly hit by the current Covid-19 pandemic. Italian deceased patients have a mean age of 78.5 years and only 1.2% have no comorbidities. These data started a public debate whether patients die "with" or "from" Covid-19. If on one hand the public opinion has been persuaded to believe that Covid-19 infection has poor outcomes just in elderly and/or fragile subjects, on the other hand, hospitals are admitting an increasing number of healthy young patients needing semi-intensive or intensive care units. PATIENT CONCERNS: At the end of March 2020, a 79-year-old patient (M.G.) was admitted to the emergency department of our hospital with a 5 days history of fever, dyspnea, and cough. He was known for hypertension and coronary artery disease with a previous coronary artery stenting. Both the comorbidities were carried out without complications and the patient was previously asymptomatic and in good health. At admission, he was febrile and showed signs of respiratory failure with hypoxia and hypocapnia at blood gas analysis. DIAGNOSIS: The day after, he was tested for SARS-CoV-2 with a real-time reverse transcriptase-polymerase chain reaction assay of nasopharyngeal swab, which turned positive and a chest CT-Scan was consistent with the diagnosis of interstitial pneumonia. INTERVENTIONS: He was treated with i.v. diuretics, paracetamol, prolonged noninvasive ventilation (CPAP), and empiric antibiotic therapy on top of his chronic treatment. OUTCOMES: A treatment with heparin and corticosteroids was started; however, he developed irreversible respiratory failure. Invasive ventilation was not considered appropriate due to his comorbidities, low chances of recovery, and intensive care unit overcrowding. The patient died 9 days after admission. LESSONS: Health conditions that are most reported as risk factors are common cardiovascular diseases that can be managed in modern clinical practice. Through a brief illustrative clinical case, we would like to underline how Covid-19 can be per se the cause of death in patients that would otherwise have had an acceptable life expectancy. Twit Text FOAVip The semantic of a pandemic: Are cardiovascular patients dying "with" or "from" COVID-19 Reflections from a case report ????Medicine (Baltimore) http://www.kidney.de/pget.php?&tw=1&pmid=33655986 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33655986 #FOAvip English Wikipedia <ref>{{Cite pmid|33655986}}</ref> The semantic of a pandemic: Are cardiovascular patients dying "with" or "from" COVID-19? Reflections from a case report #MMPMID33655986 Mapelli M; Mantegazza V; Agostoni P Medicine (Baltimore) 2021[Mar]; 100 (9): e25072 PMID33655986show ga RATIONALE: Northern Italy has been particularly hit by the current Covid-19 pandemic. Italian deceased patients have a mean age of 78.5 years and only 1.2% have no comorbidities. These data started a public debate whether patients die "with" or "from" Covid-19. If on one hand the public opinion has been persuaded to believe that Covid-19 infection has poor outcomes just in elderly and/or fragile subjects, on the other hand, hospitals are admitting an increasing number of healthy young patients needing semi-intensive or intensive care units. PATIENT CONCERNS: At the end of March 2020, a 79-year-old patient (M.G.) was admitted to the emergency department of our hospital with a 5 days history of fever, dyspnea, and cough. He was known for hypertension and coronary artery disease with a previous coronary artery stenting. Both the comorbidities were carried out without complications and the patient was previously asymptomatic and in good health. At admission, he was febrile and showed signs of respiratory failure with hypoxia and hypocapnia at blood gas analysis. DIAGNOSIS: The day after, he was tested for SARS-CoV-2 with a real-time reverse transcriptase-polymerase chain reaction assay of nasopharyngeal swab, which turned positive and a chest CT-Scan was consistent with the diagnosis of interstitial pneumonia. INTERVENTIONS: He was treated with i.v. diuretics, paracetamol, prolonged noninvasive ventilation (CPAP), and empiric antibiotic therapy on top of his chronic treatment. OUTCOMES: A treatment with heparin and corticosteroids was started; however, he developed irreversible respiratory failure. Invasive ventilation was not considered appropriate due to his comorbidities, low chances of recovery, and intensive care unit overcrowding. The patient died 9 days after admission. LESSONS: Health conditions that are most reported as risk factors are common cardiovascular diseases that can be managed in modern clinical practice. Through a brief illustrative clinical case, we would like to underline how Covid-19 can be per se the cause of death in patients that would otherwise have had an acceptable life expectancy. |*COVID-19/diagnosis/mortality/physiopathology[MESH] |*Coronary Artery Disease/epidemiology/physiopathology/therapy[MESH] |*Hypertension/epidemiology/physiopathology/therapy[MESH] |*Pneumonia, Viral/blood/diagnostic imaging/physiopathology/therapy[MESH] |Aged[MESH] |Blood Gas Analysis/methods[MESH] |COVID-19 Nucleic Acid Testing/methods[MESH] |Clinical Deterioration[MESH] |Fatal Outcome[MESH] |Humans[MESH] |Male[MESH] |Patient Care Management/*methods[MESH] |Risk Assessment[MESH] |SARS-CoV-2/isolation & purification[MESH]The semantic of a pandemic: Are cardiovascular patients dying "with" o(epmc).pdf DeepDyve Pubget Overpricing