之前放過viabahn stent入gortex shunt，這次突發性人工血管塞住
2019年9月12日 星期四
2019年9月10日 星期二
素食者有較低的心臟病，但是有較高的腦中風機率
Vegetarian Diet Linked to Lower Heart Disease, But Higher Stroke Risks
Risks of ischaemic heart disease and stroke in meat eaters, fish eaters, and vegetarians over 18 years of follow-up: results from the prospective EPIC-Oxford study
BMJ 2019; 366 doi: https://doi.org/10.1136/bmj.l4897 (Published 04 September 2019)
- 48,000 adults in the U.K. 18-year follow-up
- Pescatarians and those who were vegetarian or vegan had lower risks for ischemic heart disease than meat eaters (hazard ratios, 0.87 for fish eaters, 0.78 for vegetarians).
- Vegetarians had higher rates of total stroke (HR, 1.20) and hemorrhagic stroke (HR, 1.43) than meat eaters.
- Vegetarians and vegans in the EPIC-Oxford cohort have lower circulating levels of several nutrients (eg, vitamin B12, vitamin D, essential amino acids, and long chain n-3 polyunsaturated fatty acids), and differences in some of these nutritional factors could contribute to the observed associations.
Risks of ischaemic heart disease and stroke in meat eaters, fish eaters, and vegetarians over 18 years of follow-up: results from the prospective EPIC-Oxford study
BMJ 2019; 366 doi: https://doi.org/10.1136/bmj.l4897 (Published 04 September 2019)
- 48,000 adults in the U.K. 18-year follow-up
- Pescatarians and those who were vegetarian or vegan had lower risks for ischemic heart disease than meat eaters (hazard ratios, 0.87 for fish eaters, 0.78 for vegetarians).
- Vegetarians had higher rates of total stroke (HR, 1.20) and hemorrhagic stroke (HR, 1.43) than meat eaters.
- Vegetarians and vegans in the EPIC-Oxford cohort have lower circulating levels of several nutrients (eg, vitamin B12, vitamin D, essential amino acids, and long chain n-3 polyunsaturated fatty acids), and differences in some of these nutritional factors could contribute to the observed associations.
2019年9月4日 星期三
PTA 洗腎 通血管
這患者3個月前通血管時就發現上臂血管完全塞死了，只能先處理一部份，三個月後，再第二階段處理，結果：愈來愈好！(幸pt春)
洗腎患者廔管要養大，也不是一朝一夕的，要時間，患者要努力，必要時也要多次心臟內科醫師來撐一下！
感謝 高雄長庚 心臟內科 鍾昇穎醫師 協助通血管
PTA 洗腎 通血管
這是一位剛洗腎不到半年的患者，3個月前通過一次血管，最近覺得靜脈壓力高，應該又有狹窄點，所以再通一次。
結果：這次遠端前臂沒有狹窄，所以心臟醫師把之前左手肘舊的完全阻塞段打通了，真是太好了！(杰pt品)
難怪患者通完的晚上說手臂和手掌好麻！
感謝 高雄長庚 心臟內科 鍾昇穎醫師 協助通血管
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