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Specialty: Internal Medicine
Countries: UK Health

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Total 253 results found since Jan 2013.

Acute stroke showing cerebral infarcts and microbleeds in a 31-year-old man with COVID-19 pneumonia.
PMID: 32845754 [PubMed - in process]
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Planinc D, El-Rekaby A, Sivakumar R, Saksena R, Ngeh J Tags: Br J Hosp Med (Lond) Source Type: research

Opportunistic screening for atrial fibrillation by clinical pharmacists in UK general practice during the influenza vaccination season: A cross-sectional feasibility study
ConclusionsThis study demonstrates that AF screening performed by GP practice –based pharmacists was feasible, economically viable, and positively endorsed by participants. Furthermore, diagnosis of AF by the clinical pharmacist using anSLECG was more sensitive and more specific than the use of pulse palpation alone. Future research should explore the key barriers preventing the adoption of national screening programmes.
Source: PLoS Medicine - July 16, 2020 Category: Internal Medicine Authors: Vilius Savickas Source Type: research

Antiplatelet therapy for transient ischaemic attack and minor ischaemic stroke.
Abstract Transient ischaemic attacks carry an increased risk of large ischaemic stroke in the 90 days after an event. Patients need to be seen within 24 hours in a dedicated clinic to start secondary prevention. This editorial reviews evidence for consideration of early dual antiplatelet therapy after a transient ischaemic attack. PMID: 32589536 [PubMed - as supplied by publisher]
Source: British Journal of Hospital Medicine - June 1, 2020 Category: Internal Medicine Authors: Kalladka D, Rounis E Tags: Br J Hosp Med (Lond) Source Type: research

Reducing delays to administration of prothrombin complex concentrate in patients with vitamin K antagonist-related intracerebral haemorrhage.
Abstract BACKGROUND/AIMS: Four-factor prothrombin complex concentrate is the first-line treatment in vitamin K antagonist-related intracerebral haemorrhage. Early administration is associated with improved patient outcomes. A quality improvement project investigated delays in prothrombin complex concentrate administration in vitamin K antagonist-related intracerebral haemorrhage in order to reduce the time from computed tomography scan confirming intracerebral haemorrhage to prothrombin complex concentrate administration (scan-to-needle time). METHOD: Twenty patients were identified by retrospective audit ove...
Source: British Journal of Hospital Medicine - February 1, 2020 Category: Internal Medicine Authors: Marrinan E, Chen L, Werring D, Turner D Tags: Br J Hosp Med (Lond) Source Type: research

Stroke warning syndromes.
Abstract It is important for physicians to be aware of stroke warning syndromes because, although rare, there is a high associated risk of subsequent ischaemic infarction. Stroke warning syndromes present as stereotypical, recurrent transient episodes of focal neurological deficit, in the absence of cortical signs, occurring within a short period of time. They are broadly divided into two main subtypes, based on vascular territory: capsular warning syndrome and pontine warning syndrome. The exact underlying pathophysiology related to stroke warning syndromes is incompletely established, but proposed pathophysiolog...
Source: British Journal of Hospital Medicine - January 1, 2020 Category: Internal Medicine Authors: Sen A, Birns J, Bhalla A Tags: Br J Hosp Med (Lond) Source Type: research

A primer in interpretation of head CT scans.
This article provides physicians with a structure for reading a CT head scan, to help identify key findings that may warrant further specialist neurosurgical or stroke team referral. PMID: 31707886 [PubMed - in process]
Source: British Journal of Hospital Medicine - November 1, 2019 Category: Internal Medicine Authors: Kular S, Martin A Tags: Br J Hosp Med (Lond) Source Type: research

Early versus late clinical outcomes following same day discharge after elective percutaneous coronary intervention: A systematic review and meta-analysis
Conclusions: In those patients who were discharged from the hospital on the same day following elective PCI, no significant difference was observed in the assessed early versus late clinical outcomes. However, late clinical outcomes resulted in a significantly higher rate of re-hospitalization. Larger studies should confirm this hypothesis.
Source: Medicine - January 1, 2019 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Update on the management of acute stroke.
PMID: 30526104 [PubMed - in process]
Source: British Journal of Hospital Medicine - December 2, 2018 Category: Internal Medicine Authors: Thomas R, Sudlow M Tags: Br J Hosp Med (Lond) Source Type: research

Apixaban for stroke prevention in a patient with a mechanical heart valve.
PMID: 30418836 [PubMed - in process]
Source: British Journal of Hospital Medicine - November 2, 2018 Category: Internal Medicine Authors: Shukla P, Ashraf I, Aghoram P Tags: Br J Hosp Med (Lond) Source Type: research

Emerging evidence in the delivery of stroke thrombolysis.
PMID: 30188208 [PubMed - in process]
Source: British Journal of Hospital Medicine - September 2, 2018 Category: Internal Medicine Authors: Robinson TG, Minhas JS Tags: Br J Hosp Med (Lond) Source Type: research

Screening, optimization, support: a call for stroke prevention in atrial fibrillation.
PMID: 30070947 [PubMed - in process]
Source: British Journal of Hospital Medicine - August 2, 2018 Category: Internal Medicine Authors: Induruwa I, Liu W, Khadjooi K Tags: Br J Hosp Med (Lond) Source Type: research

Carotid atherosclerosis and its relationship to coronary heart disease and stroke risk in patients with type 2 diabetes mellitus
Abstract: Carotid atherosclerosis (CA) and carotid plaque (CP) are highly correlated with cardiovascular disease. We aimed to determine the prevalence of CA and CP and their relationship with 10-year risks of stroke and coronary heart disease (CHD) in type 2 diabetes mellitus (T2DM). We studied 1584 T2DM patients aged 20 years and older. CA and CP were detected using ultrasonography. Ten-year stroke and CHD risk were determined using the United Kingdom Prospective Diabetes Study (UKPDS) risk engine. The prevalence of CA and CP increased gradually with age. Men had a higher prevalence of CA than women (CA: 58.18% vs 51.54%, P 
Source: Medicine - September 1, 2017 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Bariatric Surgery in the United Kingdom: A Cohort Study of Weight Loss and Clinical Outcomes in Routine Clinical Care
Conclusions Bariatric surgery as delivered in the UK healthcare system is associated with dramatic weight loss, sustained at least 4 y after surgery. This weight loss is accompanied by substantial improvements in pre-existing T2DM and hypertension, as well as a reduced risk of incident T2DM, hypertension, angina, MI, and obstructive sleep apnoea. Widening the availability of bariatric surgery could lead to substantial health benefits for many people who are morbidly obese.
Source: PLoS Medicine - December 22, 2015 Category: Internal Medicine Authors: Ian J. Douglas et al. Source Type: research