{"id":153,"date":"2007-03-19T12:50:42","date_gmt":"2007-03-19T11:50:42","guid":{"rendered":"http:\/\/resource.bmj.com\/bmj\/2007\/03\/19\/lancet-17-mar-2007-vol-369\/"},"modified":"2007-03-19T12:50:42","modified_gmt":"2007-03-19T11:50:42","slug":"lancet-17-mar-2007-vol-369","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/03\/19\/lancet-17-mar-2007-vol-369\/","title":{"rendered":"Lancet  17 Mar 2007  Vol 369"},"content":{"rendered":"<p>And still they come. Any hope that big trials of new interventions for acute coronary syndromes were about to dry up, and that the sound of the silly acronym would no longer be heard in the land, can safely be dismissed. <!--more-->A subgroup of the ACUITY trial was given <a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140673607604504\/abstract\">bivalirudin,<\/a> a leech-saliva analogue which acts on clot-bound thrombin.This agent causes less bleeding and gives as good results as glycoprotein IIb\/IIIa inhibitors in patients undergoing immediate percutaneous intervention for ACS.<br \/>\nIf you come across a non-breathing collapsed pulseless person in the street who is not stone dead, keep doing those <a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140673607604516\/abstract\">chest compressions<\/a> until somebody competent arrives.<\/p>\n<p>Forget the kiss of life; it\u2019s probably killed more people than it\u2019s saved because it puts everyone off trying resuscitation. These truths come from a Japanese observational study, probably the best we are likely to get.<br \/>\n<a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS014067360760453X\/abstract\">Bipolar II disorder<\/a> is when brief periods of hypomania alternate with longer periods of major depression.<\/p>\n<p>Apparently it\u2019s commoner in women, unlike the classic type 1 manic-depressive disorder. Perhaps this is an advance in psychiatry and perhaps quetiapine is a better drug for this disorder than the usual ones we try.<br \/>\nThe \u201csplitters<\/p>\n","protected":false},"excerpt":{"rendered":"<p>And still they come. Any hope that big trials of new interventions for acute coronary syndromes were about to dry up, and that the sound of the silly acronym would no longer be heard in the land, can safely be dismissed. [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/03\/19\/lancet-17-mar-2007-vol-369\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38363,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[111],"tags":[],"class_list":["post-153","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-lehmans-weekly-review-of-medical-journals"],"jetpack_featured_media_url":"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/153","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=153"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/153\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/38363"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=153"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=153"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}