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Total 63 results found since Jan 2013.

A Serious Diagnosis Lacking Common Symptoms
​BY JENNIFER TUONG; IVAN KHARCHENKO; JEAN LUC AGARD; & AHMED RAZIUDDIN, MDA 65-year-old man who had HIV well-controlled with highly active antiretroviral therapy, hypertension, sciatica, and restless leg syndrome presented to the emergency department with left leg pain. He also had had chemotherapy and radiation for anal cancer. The patient said the pain had started 45 minutes earlier when he was sitting on the toilet.He described the pain as sore in quality and 10/10 on the pain scale. He reported that it had started in his lower back and radiated to his left leg. He said he had had no trauma or weakness to the regi...
Source: The Case Files - May 28, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Antiplatelet therapy in Takotsubo cardiomyopathy: does it improve cardiovascular outcomes during index event?
Abstract Plasma catecholamines may play an important role in Takotsubo cardiomyopathy (TCM) pathophysiology. Patients with disproportionately high catecholamine responses to stressful events are prone to worse clinical outcomes. Catecholamines stimulate platelet activation and, therefore, may determine the clinical presentation and outcomes of TCM. We conducted a retrospective, descriptive study TCM patients admitted between 2003 and 2013 to Einstein Medical Center, Philadelphia, PA, USA and Danbury Hospital, Danbury, CT, USA. A total of 206 patients met Modified Mayo TCM criteria. Using a multiple logistic model,...
Source: Heart and Vessels - August 13, 2015 Category: Cardiology Source Type: research

Comparing pharmacotherapy in MINOCA versus medically managed obstructive acute coronary syndrome
This study uniquely compares the management and outcomes of MINOCA patients with a medically managed obstructive ACS (M-ACS) population. We retrospectively analysed registry data for consecutive patients admitted to the Gold Coast University Hospital with ACS requiring coronary angiography and identified patients with MINOCA and M-ACS. Baseline characteristics, pharmacological therapy and in-hospital outcomes were compared. In hospital outcomes were composite NACE, heart failure, stroke and major bleeding. Multivariate regression analysis was also performed to identify independent predictors of MINOCA. Multivariate regress...
Source: Heart and Vessels - October 10, 2021 Category: Cardiology Source Type: research

What to Know About High Triglycerides
Discussions about heart health often center around blood pressure and cholesterol, with factors like poor sleep, smoking, family history of heart disease, and chronic stress thrown in. However, there’s one variable that doesn’t get covered as often, even though it can be an important indicator of cardiovascular risk: triglycerides. “We don’t really talk about triglycerides very much, especially compared to cholesterol, but they’re actually an essential part of understanding heart health,” says Dr. Adriana Quinones-Camacho, a cardiologist at NYU Langone Health in New York. “For some...
Source: TIME: Health - May 23, 2023 Category: Consumer Health News Authors: Elizabeth Millard Tags: Uncategorized healthscienceclimate heart health Source Type: news

High blood pressure is a silent danger in older women
Millions of American women harbor a secret even they don't know they carry. It's high blood pressure, an often silent, symptomless condition that can damage blood vessels and overwork the heart, leaving women prey to heart disease, stroke, and premature death. The April 2013 Harvard Women's Health Watch looks at the reasons why so many women don't know their blood pressure and explains how the treatment of high blood pressure has changed. A woman's risk of developing high blood pressure is extremely high if she lives long enough, says Dr. Deepak Bhatt, professor of medicine at Harvard Medical School and director of the Int...
Source: New Harvard Health Information - April 11, 2013 Category: Consumer Health News Source Type: news

Boston Bombing Aftermath: Fear, Empathy, Anger
WebMD Medical News By Kathleen Doheny Reviewed by Michael W. Smith, MD April 16, 2013 — It’s normal to feel a range of emotions the day after the terror bombing attack at the Boston Marathon, even if you were thousands of miles away. Los Angeles psychologist Emanuel Maidenberg, PhD, says that in the wake of all that horror, it’s understandable that emotions are still raw and intense. “People become vigilant, they look around, they become apprehensive,” says Maidenberg, director of the cognitive behavioral therapy clinic at the UCLA’s David Geffen School of Medicine. Empathy for those ki...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - April 22, 2013 Category: Consumer Health News Authors: mreal197 Tags: WebMD News Source Type: news

Foreword
With the mandate for value-based decision-making in health care, the need for evidence-based guidelines to direct decisions regarding the appropriateness of our interventions continues to grow. There is no better model for development of such approaches than the series of well-designed clinical studies directed at the management of extracranial carotid artery disease. Although some questions remain, researchers in this field, using predominantly randomized clinical trials, have developed a robust basis for decision making and standardized care pathways. In this issue of Current Problems in Surgery, Drs C. Keith Ozaki, Piot...
Source: Current Problems in Surgery - February 12, 2014 Category: Surgery Authors: Stanley W. Ashley Source Type: research

Take common-sense steps to stay safe this summer
When the mercury rises, heat can strain the limits of the body's cooling system. Its driving engine, the heart, takes on a heavier load in hot weather to keep body temperature within norms, reports the July 2014 issue of the Harvard Men's Health Watch. For otherwise fit, active men, handling the heat requires no more than knowing their limits and drinking enough fluids. But what about men with heart conditions? "They are going to be more sensitive to the heat," says Dr. Joanne Foody, director of cardiovascular wellness services at Harvard-affiliated Brigham and Women's Hospital. "They may just need to limit their activitie...
Source: New Harvard Health Information - June 27, 2014 Category: Consumer Health News Source Type: news

The Case Files: When a Spade is Not a Spade
Turrin, Danielle DO; Sattler, Steven DO; Amodeo, Dana DO A 25-year-old Hispanic man presented to the emergency department with a complaint of three days of left-sided precordial chest pain. He described the pain as a constant 6/10 with pressure-like discomfort radiating to his left arm and the left side of his neck. He also experienced nausea, but denied any provocative or palliative factors. He said he had not experienced anything similar to this before. He had no family history of heart disease, acute myocardial infarction, or sudden cardiac death. He admitted to a 1.5 pack-per-day smoking history and social alcohol use,...
Source: The Case Files - August 26, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Particularities in coronary revascularization in elderly patients presenting with ST segment elevation acute myocardial infarction (STEMI)
Publication date: August 2014 Source:Cor et Vasa, Volume 56, Issue 4 Author(s): Maria Dorobanţu , Lucian Câlmâc , Andrada Bogdan , Vlad Bătăilă , Bogdan Drăgoescu , Andrei Radu , Mugur Marinescu , Şerban Arvanitopol , Gabriel Tatu-Chiţoiu , Rodica Niculescu Nowadays, ST elevation acute myocardial infarction (STEMI) is seen with greater incidence in older patients. Current guidelines recommend an immediate invasive evaluation and eventually primary percutaneous coronary intervention (PCI) in all STEMI patients regardless of age. Nevertheless, data in literature show a significant underuse of interventional treatm...
Source: Cor et Vasa - November 1, 2014 Category: Cardiology Source Type: research

Ronald Reagan UCLA Medical Center recognized with award for heart failure care
Ronald Reagan UCLA Medical Center has received the American Heart Association’s Get With The Guidelines – Heart Failure Gold-Plus Quality Achievement Award. The award recognizes the hospital’s work implementing quality improvement measures outlined by the American Heart Association/American College of Cardiology Foundation guidelines for heart failure patients. This marks the sixth consecutive year that Ronald Reagan UCLA Medical Center has been recognized with a quality achievement award for its work treating heart failure. Get With The Guidelines – Heart Failure is a quality improvement program that helps hospita...
Source: UCLA Newsroom: Health Sciences - November 14, 2014 Category: Universities & Medical Training Source Type: news

Hypertension care in Aseer region, Saudi Arabia: Barriers and solutions.
This study revealed that HTN patients received insufficient care, which could be attributed to many different barriers. In order to improve the quality of HTN care for HTN, these barriers should be overcome by implementation of the recommendations. PMID: 25394461 [PubMed - in process]
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Al-Saleem SA, Al-Shahrani A, Al-Khaldi YM Tags: Saudi J Kidney Dis Transpl Source Type: research

Secondary Prevention Beyond Hospital Discharge for ACS: Evidence-based Recommendations
Publication date: Available online 10 March 2016 Source:Canadian Journal of Cardiology Author(s): David H. Fitchett, Shaun G. Goodman, Lawrence A. Leiter, Peter Lin, Robert Welsh, James Stone, Jean Grégoire, Philip Mcfarlane, Anatoly Langer In the last three decades, a better understanding of the pathophysiology of cardiovascular disease has resulted in innovations in the treatment and prevention of its clinical manifestations such as death, myocardial infarction or stroke. Following an acute coronary syndrome there are short and long term risks of subsequent cardiovascular events. This leads to opportunities t...
Source: Canadian Journal of Cardiology - March 11, 2016 Category: Cardiology Source Type: research

Impact of Prior Use of Four Preventive Medications on Outcomes in Patients Hospitalized for Acute Coronary Syndrome--Results from CPACS-2 Study
by Min Li, Yubei Huang, Xin Du, Shenshen Li, Jiachao Ji, Anushka Patel, Runlin Gao, Yangfeng Wu BackgroundIt is widely reported that long-term use of four preventive medications (antiplatelet agents, angiotensin converting enzyme inhibitor / angiotensin receptor blocker, statin and beta-blockers) reduce the risk of subsequent acute coronary syndromes (ACS). It is unclear whether these four medications benefit patients who develop ACS despite its use. Methods and ResultsLogistic regression and propensity-score was applied among 14790 ACS patients to assess the association between prior use of four preventive medications and...
Source: PLoS One - September 13, 2016 Category: Biomedical Science Authors: Min Li Source Type: research