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https://www.selleckchem.com/products/azd9291.html The confluence of historical discovery, development of unbiased screening strategies, and the evolution of medicinal chemistry has allowed us to begin therapeutically targeting vulnerabilities that emerge due to pVHL loss in ccRCC. Ongoing mechanistic studies on the biological consequences of pVHL loss, therefore, are likely to become the cornerstones of modern therapeutics in renal cancer. INTRODUCTION Atrial Fibrillation (AF) is the most common cardiac arrhythmia in clinical practice and its prevalence rate significantly increases with the age. The prognostic implication of AF in surgical patients with peripheral arterial disease (PAD) has not been analyzed. The aims of this study were to analyze the prevalence of AF among patients operated on with symptomatic PAD, and to determine whether these patients are at a higher risk of death or amputation. MATERIAL AND METHODS We designed a retrospective cohort study, from January 2013 to December 2017 in which we analyzed the medical records of all consecutive patients with symptomatic PAD admitted to our hospital and underwent a vascular procedure. We compared the outcomes of patients with and without AF. All statistically significant demographic variables underwent an univariate analysis were inserted in the stepwise multivariate model along with AF. A survival analysis was performed to evaluate the factors associated with mortality through a Cox r%, p= 0.0004), and this fact justified that a 22.36% underwent a major amputation affecting the ischemic lower limb in admission (p=0.018). During the follow-up the free amputation rate was similar between groups (60.5% AF vs 78.3% non AF). CONCLUSIONS This study showed the high prevalence of AF in patients with symptomatic PAD that required surgical admission in-hospital. The presence of AF was related with a greater and serious risk of mortality, but this was independently associated to the age, because patients with AF were
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