Ajc is an independent scientific peer reviewed journal of original articles that focus on the practical clinical approach to the diagnosis and treatment of cardiovascular disease ajc has one of the fastest acceptance to publication times in cardiology features report on systemic hypertension methodology drugs pacing arrhythmia . Pulmonary hypertension online medical reference covering definition through treatment co uthored by raed a dweik gustavo a heresi omar a minai and adriano r tonelli of the cleveland clinic pulmonary hypertension is a hemodynamic state defined by a resting mean pulmonary artery pressure at or above 25 mm hg. Gastroesophageal reflux disease gerd is mainly a clinical diagnosis based on typical symptoms of heartburn and acid regurgitation current guidelines indicate that patients with typical symptoms should first try a proton pump inhibitor ppi if reflux symptoms persist after 8 weeks on a ppi endoscopy of the esophagus is recommended with biopsies taken to rule out eosinophilic esophagitis. Deep venous thrombosis dvt is a manifestation of venous thromboembolism vte although most dvt is occult and resolves spontaneously without complication death from dvt associated massive pulmonary embolism pe causes as many as 300000 deaths annually in the united states. Thrombotic pulmonary embolism is not an isolated disease of the chest but a complication of venous thrombosis deep venous thrombosis dvt and pulmonary embolism are therefore parts of the same process venous thromboembolism evidence of leg dvt is found in about 70 of patients who have sustained a pulmonary embolism in most of the remainder it is assumed that the whole thrombus has
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