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Emergency ventolin uk aseu (VU) with a total of eight units has been performed at a single tertiary hospital for patients with acute chest pain or myocardial ischemia. The VU performed on all patients lasted less than 90 seconds. The results of a similar study, that included both high-voltage and low-voltage patients, were inconclusive. A meta-analysis of the current literature by International Society of Cardiology (ISC) cardiac electrophysiology found that patients with chest pain or myocardial infarction who receive a VU within 5 minutes of symptom onset have very good results: no significant increases in the occurrence of cardiac or respiratory arrests, no additional arrhythmias with respect to the original ventolin price uk arrhythmia, no cardiac events other than atrial fibrillation and a very low incidence of arrhythmias due to ventricular fibrillation.7 Despite these positive results, other investigators have concluded that ventilator-assisted early VU should be considered only as a last resort for cardiac interventions, since the risks of further cardiac events for patients receiving ventilator-assisted early VU (VUAE) are likely to outweigh the risks of further ECG changes.8-10 At the same time, some investigators have raised concerns about the need for a VUAE protocol in patients with acute chest pain or myocardial infarction.9,10 These authors suggest an early VUAE with at-risk patients since such have very high rates of adverse events.12,13 This hypothesis has been tested over the past year, but has so far not been proven to be correct. Moreover, no study has yet confirmed these early VUAE protocols have a significant positive role in reducing patient mortality. The authors suggest using a VUAE with at-risk patients as a guideline until clinical trials prove the usefulness of these VUAE protocols in patients with acute chest pain.9,10 A recent randomized trial found that patients with ventolin spray uk non–myocardial infarction (MI) (n = 22) randomized to receive ventilator-assisted early VU (VUAE) compared with those randomized to receive good price pharmacy warehouse shop online standard ventilator treatment had significantly ventolin inhaler prescription uk lower rates of major adverse cardiac events and death in a 24-hour survival analysis.14 This study was Ventolin tablets uk of particular relevance to patients with acute chest pain or myocardial ischemia since it demonstrated that VUAE reduced the risk of complications compared with standard ventilator-assisted early VU. Given these findings, some investigators have begun a trial of more than 90-second VUAE protocols for patients with myocardial infarction (MI).15,16 The objective of this study is to examine the effectiveness of more than 90-second ventilator-assisted early VU (VUAE-EEV) treatment for patients with acute chest pain or MI in a multicenter prospective randomized trial. Methods Study Design and Oversight This is a multicenter, randomized, controlled trial conducted between July 2002 and August 2009 at seven clinical centers in the Netherlands: VU University Medical Center in Groningen, Groningen University Hospital, Utrecht Gelderland VU Hospital in Maastricht, and University Amersfoort. This study has no conflict of interest. Patients Patients with a major cardiac surgery, acute coronary syndromes, pulmonary embolism, subar.

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