实证医学讨论会概要课件

實證醫學討論會AngiotensinIIreceptorblockadereducesnew-onsetatrialfibrillationandsubsequentstrokecomparedtoatenololTheLosartanInterventionForEndpointreductioninhypertension(LIFE)study

JournaloftheAmericanCollegeofCardiology

Volume45,Issue5,1March2005,Pages712-719

Dr.林百揚96.11.15實證醫學討論會AngiotensinIIreceptor1CasePresentationName：林鳳X病歷號：26421134年紀：47y/o性別：FemaleCasePresentationName：林鳳X2ChiefComplaintPalpitationatnightin2007/11/6ChiefComplaintPalpitationat3PresentIllnesschillsandfeverfor4-5days,accompaniedwithdizziness,headheavysensation,neckstiffness,poorappetite,andbil.flanksorenessPresentIllnesschillsandfeve4LabdataatERWBC：15500CRP:217.8Na：124.6K：2.83U/A:WBC:70-80/HPFLabdataatER5PersonalHistoryAllergy:denied1.Medicalhistory：Hypertension：nilDiabetesmellitus：nilOthers：Visualfielddefect.2.Surgicalhistory：s/pC/SPersonalHistoryAllergy:denied6PhysicalExaminationConscious:clearTPR=36.7/140~160/18,BP=135/92Abd:Flat,nostriae,noengorgedveinSoft,noreboundpainPhysicalExaminationConscious:7EKG2007/11/2NormalSinusRhythm2007/11/6AtrialfibrillationEKG2007/11/28ImpressionNewonsetofatrialfibrillationImpressionNewonsetofatrial9ClinicalProblemsWhatisthetreatmentsforapatientofnewonsetof

atrialfibrillationClinicalProblemsWhatisthet10Patientand/orproblem:誰是相關的「病人」，是否具有何種問題？Intervention/orexposure：有興趣的治療處置、診斷工具或暴露因子為何？Comparison(ifrelevant)：如果有的話，對照組的處置、診斷工具或暴露因子為何？Outcomes：與病人最相關之（可測量）結果是什麼？Patientand/orproblem:誰是相關的「11PICOPatientand/orproblem:AtrialfibrillationIntervention/orexposure:EKGandEKGmonitorComparison:newonsetAf(noAfv.s.Af)etiologyOutcomes:thepreferabletreatmentsPICOPatientand/orproblem:A12Keywords–以Cochrane為例#1atrialfibrillation#2treatments#3etiology#4newonset#1and#2and#3and#411resultsKeywords–以Cochrane為例#113Keywords–以Cochrane為例#1atrialfibrillation#2treatments#3comparison#4newonset#1and#2and#3and#4PUBMED16265553Keywords–以Cochrane為例#1atri14SearchResultCanlosartanpreventnew-onsetatrialfibrillationinhypertensivepatientsmoreeffectivelythanatenolol?

PUBMED16265553Link:/cochrane/clcentral/articles/660/CN-00531660/frame.htmlSearchResultCanlosartanprev15Then…AngiotensinIIreceptorblockadereducesnew-onsetatrialfibrillationandsubsequentstrokecomparedtoatenololTheLosartanInterventionForEndpointreductioninhypertension(LIFE)studyJournaloftheAmericanCollegeofCardiology

Volume45,Issue5,1March2005,Pages712-719/science?_ob=ArticleURL&_udi=B6T18-4FJCW93-C&_user=1194487&_coverDate=03%2F01%2F2005&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000051937&_version=1&