Increased left ventricular muscle mass is a robust predictor, as are hypertension, hyperlipidaemia, smoking, diabetes mellitus and a family historical past (male demise < age fifty five years, feminine demise < age 60 years). There is a danger for short-time period minor gastric discomfort but basically no threat for long-term antagonistic results. Although fever, dysphagia, muffled voice, and pooling of saliva can be anticipated with epiglottitis, Haemophilus influenzae kind b isn't the most typical cause of this in adolescents and adults, even in those that haven't been immunized, as in the affected person within the vignette
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