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Metabolic Bariatric surgery in People with Obesity aged ≥65 Years
Eur J Intern Med. 2024 Mar 30:S0953-6205(24)00134-1. doi: 10.1016/j.ejim.2024.03.029. Online ahead of print.ABSTRACTObesity management guidelines recommend metabolic bariatric surgery for individuals with body mass index (BMI) ≥35 kg/m2, regardless of the presence of any obesity-related comorbidity; and for individuals with BMI 30-34.9 kg/m2 with metabolic diseases. Older age is not in itself a contraindication for bariatric surgeries, which can be performed after careful selection and assessment, to decrease the risks of postoperative complications. An essential amount of data has accumulated about bariatric surgery res...
Source: European Journal of Internal Medicine - March 31, 2024 Category: Internal Medicine Authors: Nursel Çalık Başaran Dana Marcoviciu Dror Dicker Source Type: research

What is disease modification and is this concept even helpful?
Eur J Intern Med. 2024 Mar 29:S0953-6205(24)00133-X. doi: 10.1016/j.ejim.2024.03.025. Online ahead of print.NO ABSTRACTPMID:38555252 | DOI:10.1016/j.ejim.2024.03.025 (Source: European Journal of Internal Medicine)
Source: European Journal of Internal Medicine - March 30, 2024 Category: Internal Medicine Authors: Maximilian Boesch Florent Baty Frank Rassouli Martin H Brutsche Source Type: research

Relation of plasma neuropeptide-Y with myocardial function and infarct severity in acute ST-elevation myocardial infarction
CONCLUSION: High plasma levels of NPY, measured 24h after STEMI, were independently associated with lower LVEF, decreased GLS, larger IS as well as presence of MVO, indicating plasma NPY as a novel clinical risk marker post STEMI.PMID:38555253 | DOI:10.1016/j.ejim.2024.03.027 (Source: European Journal of Internal Medicine)
Source: European Journal of Internal Medicine - March 30, 2024 Category: Internal Medicine Authors: Christina Tiller Martin Reindl Magdalena Holzknecht Ivan Lechner Felix Troger Fritz Oberhollenzer Sebastian von der Emde Thomas Kremser Agnes Mayr Axel Bauer Bernhard Metzler Sebastian J Reinstadler Source Type: research

Sex-based differences in the comprehensive geriatric assessment in elderly hospitalized patients with non-valvular atrial fibrillation
Eur J Intern Med. 2024 Mar 27:S0953-6205(24)00118-3. doi: 10.1016/j.ejim.2024.03.014. Online ahead of print.ABSTRACTAtrial fibrillation (AF) represents the most common supraventricular arrhythmia, with a prevalence of 1-3 % in the world population. Growing evidences show that AF plays an important role as a risk factor for the development of cognitive impairment (CoI) and dementia, depression and functional limitation. The purpose of the study is to evaluate, in a large cohort of elderly hospitalized patients with nonvalvular AF (NVAF) on direct oral anticoagulants (DOACs) therapy, the prevalence of CoI, depression, and fu...
Source: European Journal of Internal Medicine - March 28, 2024 Category: Internal Medicine Authors: Giuseppe Armentaro Daniele Pastori Alberto Castagna Valentino Condoleo Velia Cassano Carlo Alberto Pastura Mattea Francica Caterina Benincasa Nicola D'Alterio Franco Arturi Giovanni Ruotolo Angela Sciacqua Source Type: research

Serum potassium abnormalities, renin-angiotensin-aldosterone system inhibitor discontinuation, and clinical outcomes in patients with chronic cardiovascular, metabolic, and renal conditions: A population-based analysis
CONCLUSION: In this large, observational study, hyperkalemia was linked to a greater likelihood of discontinuing RAASIs. Down-titration of RAASI was independently associated with unfavorable clinical outcomes such as hospitalization and specially mortality. Although the observational nature of the study, these findings underscore the importance of preventing circumstances that may lead to RAASI down-titration, such as hyperkalemia, as well as preventing hospitalizations and mortality, to ensure RAASI benefits.PMID:38548513 | DOI:10.1016/j.ejim.2024.03.021 (Source: European Journal of Internal Medicine)
Source: European Journal of Internal Medicine - March 28, 2024 Category: Internal Medicine Authors: Santiago Jim énez-Marrero Miguel Cainzos-Achirica David Monterde Emili Vela Cristina Enjuanes Sergi Yun Alberto Garay Pedro Moliner Miriam Corbella S ílvia Jovells-Vaqué L ídia Alcoberro Alexandra Pons-Riverola Raul Ramos-Polo Herminio Morillas Joan A Source Type: research

The interplay between subclinical hypothyroidism and poor sleep quality: A systematic review
DISCUSSION: Overall, the existing literature data suggest a link between SHYPO and sleep disturbances, but further studies on larger populations of patients with homogeneous study designs and outcomes are warranted.PMID:38548514 | DOI:10.1016/j.ejim.2024.03.013 (Source: European Journal of Internal Medicine)
Source: European Journal of Internal Medicine - March 28, 2024 Category: Internal Medicine Authors: Marsida Teliti Francesco Fanfulla Laura Croce Francesca Coperchini Mario Rotondi Source Type: research

Recurrence of hypertriglyceridemia-associated acute pancreatitis: A multicenter, prospective cohort study
CONCLUSIONS: Recurrence of HTG-AP is common, especially for younger patients with diabetes. Recurrence necessitated additional hospital readmissions and was associated with compromised quality of life.PMID:38538416 | DOI:10.1016/j.ejim.2024.03.022 (Source: European Journal of Internal Medicine)
Source: European Journal of Internal Medicine - March 27, 2024 Category: Internal Medicine Authors: Ling Ding Shuai Li Longxiang Cao Lanting Wang Jing Zhou Wenjian Mao Weiqin Li Yin Zhu Lu Ke Chinese Acute Pancreatitis Clinical Trials Group (CAPCTG) Source Type: research

Resuming antiplatelets therapy in patients with intracranial hemorrhage
Eur J Intern Med. 2024 Mar 26:S0953-6205(24)00085-2. doi: 10.1016/j.ejim.2024.02.029. Online ahead of print.NO ABSTRACTPMID:38538417 | DOI:10.1016/j.ejim.2024.02.029 (Source: European Journal of Internal Medicine)
Source: European Journal of Internal Medicine - March 27, 2024 Category: Internal Medicine Authors: Asmaa Ahmed Mohamed Hamed Mona Mahmoud Mamas A Mamas Ayman Elbadawi APICH Source Type: research

The correlation of atherogenic index of plasma with non-obstructive CAD and unfavorable prognosis among patients diagnosed with MINOCA
CONCLUSION: AIP exhibits a notable association with the incidence of MACE in MINOCA patients and serves as a substantial marker for non-obstructive CAD in this patient group.PMID:38538418 | DOI:10.1016/j.ejim.2024.03.024 (Source: European Journal of Internal Medicine)
Source: European Journal of Internal Medicine - March 27, 2024 Category: Internal Medicine Authors: Fuad A Abdu Jiasuer Alifu Abdul-Quddus Mohammed Lu Liu Wen Zhang Guoqing Yin Xian Lv Ayman A Mohammed Redhwan M Mareai Yawei Xu Wenliang Che Source Type: research