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Specialty: Internal Medicine
Source: Annals of Medicine

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Total 216 results found since Jan 2013.

Stroke patterns and outcomes during the second wave of COVID-19 pandemic: a cross-sectional study
CONCLUSION: The factors that cause the delayed transfer to the hospital and onset of treatment should be addressed. Patient counseling about the likely prognosis can be done after evaluating the probable outcome based on the NIHSS score and median duration of hospital stay. Nevertheless, mechanisms should be developed to reduce the prehospital delay at the ground level as well as at the policy level.PMID:37363610 | PMC:PMC10289718 | DOI:10.1097/MS9.0000000000000722
Source: Annals of Medicine - June 26, 2023 Category: Internal Medicine Authors: Bikram P Gajurel Subarna Giri Parishma Tamrakar Anupama Pandeya Niraj Gautam Aashish Shrestha Ragesh Karn Reema Rajbhandari Rajeev Ojha Source Type: research

Percutaneous coronary intervention versus coronary artery bypass grafting among patients with left ventricular systolic dysfunction: a systematic review and meta-analysis
CONCLUSION: The results of this meta-analysis suggest that CABG is superior to PCI for patients with LVSD. CABG was associated with a lower risk of all-cause mortality, repeat revascularization, and incidence of myocardial infarction compared with PCI in patients with LVSD.PMID:37363575 | PMC:PMC10289746 | DOI:10.1097/MS9.0000000000000634
Source: Annals of Medicine - June 26, 2023 Category: Internal Medicine Authors: Vikash Jaiswal Song Peng Ang Abhigan Babu Shrestha Amey Joshi Angela Ishak Jia Ee Chia Sanchita Suresh Kanakannavr Sidra Naz Neel Doshi Dhairya Nanavaty Asmita Gera Vikash Kumar Farshid Daneshvar David Song Kripa Rajak Source Type: research

Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes syndrome: a case report from Nepal
Ann Med Surg (Lond). 2023 May 3;85(6):3026-3030. doi: 10.1097/MS9.0000000000000712. eCollection 2023 Jun.ABSTRACTMitochondrial encephalomyopathy, lactic acidosis, and stroke-like syndrome (MELAS) is a rare neurodegenerative inherited disorder that is characterized by stroke-like episodes, seizures, endocrine, and multiple system involvement. It is important to consider it as a differential diagnosis in a young patient with stroke-like episodes as it is progressive and has multiple complications.CASE PRESENTATION: A 28-year-old male presented with slurring of speech and drowsiness for 7 h. He was a diagnosed case of type 2 ...
Source: Annals of Medicine - June 26, 2023 Category: Internal Medicine Authors: Ram C Subedi Raju Paudel Sharma Paudel Lekhjung Thapa Subash Phuyal Naresh Kharbuja Ayush Adhikari Source Type: research

Stroke patterns and outcomes during the second wave of COVID-19 pandemic: a cross-sectional study
CONCLUSION: The factors that cause the delayed transfer to the hospital and onset of treatment should be addressed. Patient counseling about the likely prognosis can be done after evaluating the probable outcome based on the NIHSS score and median duration of hospital stay. Nevertheless, mechanisms should be developed to reduce the prehospital delay at the ground level as well as at the policy level.PMID:37363610 | PMC:PMC10289718 | DOI:10.1097/MS9.0000000000000722
Source: Annals of Medicine - June 26, 2023 Category: Internal Medicine Authors: Bikram P Gajurel Subarna Giri Parishma Tamrakar Anupama Pandeya Niraj Gautam Aashish Shrestha Ragesh Karn Reema Rajbhandari Rajeev Ojha Source Type: research

Percutaneous coronary intervention versus coronary artery bypass grafting among patients with left ventricular systolic dysfunction: a systematic review and meta-analysis
CONCLUSION: The results of this meta-analysis suggest that CABG is superior to PCI for patients with LVSD. CABG was associated with a lower risk of all-cause mortality, repeat revascularization, and incidence of myocardial infarction compared with PCI in patients with LVSD.PMID:37363575 | PMC:PMC10289746 | DOI:10.1097/MS9.0000000000000634
Source: Annals of Medicine - June 26, 2023 Category: Internal Medicine Authors: Vikash Jaiswal Song Peng Ang Abhigan Babu Shrestha Amey Joshi Angela Ishak Jia Ee Chia Sanchita Suresh Kanakannavr Sidra Naz Neel Doshi Dhairya Nanavaty Asmita Gera Vikash Kumar Farshid Daneshvar David Song Kripa Rajak Source Type: research

Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes syndrome: a case report from Nepal
Ann Med Surg (Lond). 2023 May 3;85(6):3026-3030. doi: 10.1097/MS9.0000000000000712. eCollection 2023 Jun.ABSTRACTMitochondrial encephalomyopathy, lactic acidosis, and stroke-like syndrome (MELAS) is a rare neurodegenerative inherited disorder that is characterized by stroke-like episodes, seizures, endocrine, and multiple system involvement. It is important to consider it as a differential diagnosis in a young patient with stroke-like episodes as it is progressive and has multiple complications.CASE PRESENTATION: A 28-year-old male presented with slurring of speech and drowsiness for 7 h. He was a diagnosed case of type 2 ...
Source: Annals of Medicine - June 26, 2023 Category: Internal Medicine Authors: Ram C Subedi Raju Paudel Sharma Paudel Lekhjung Thapa Subash Phuyal Naresh Kharbuja Ayush Adhikari Source Type: research

Predictive value of motor-evoked potentials for motor recovery in patients with hemiparesis secondary to acute ischemic stroke
CONCLUSIONS: Among patients with moderate-to-severe ischemic stroke, MEP + patients had better motor recoveries (approximately 70%) than MEP- patients at 90 days post-stroke. MEP + patients had better functional outcomes than MEP- patients.PMID:37345693 | DOI:10.1080/07853890.2023.2225144
Source: Annals of Medicine - June 22, 2023 Category: Internal Medicine Authors: Cheng-Chang Yen Hsin-Hung Chen Chao-Hsien Lee Ching-Huang Lin Source Type: research

Association between anticholinergic medication uses and the risk of pneumonia in elderly adults: a meta-analysis and systematic review
CONCLUSIONS: The risk of pneumonia is increased in elderly adults with anticholinergic medication, especially with higher-potency anticholinergic drugs and in the initiation phase of anticholinergic medication. Clinicians should monitor their use in older patients carefully, especially when the pneumonia-related signs and symptoms are identified.PMID:37190776 | DOI:10.1080/07853890.2023.2209736
Source: Annals of Medicine - May 16, 2023 Category: Internal Medicine Authors: Mindan Wu Zhixuan Li Wenchuan Zheng Jia Zhuang Shuhan Wu Qipeng Zhou Junfu Cai Houzhen Zheng Guixing Zeng Weilin Zhang Shengbin Zhang Maohuang Lin Xianyang Zhong Qichuan Zhang Source Type: research

Association of beta-2-microglobulin, cystatin C and lipocalin-2 with stroke risk in the general Chinese population
CONCLUSION: Elevated serum B2M, cystatin C and LCN-2 levels are associated with stroke risk. They may be novel biomarkers for clinicians to assess stroke risk.Key messagesSerum beta-2-microglobulin, cystatin C and lipocalin-2 levels are significantly associated with stroke risk.Beta-2-microglobulin, cystatin C and lipocalin-2 may serve as useful biomarkers for stroke risk stratification in the general population.PMID:37155257 | PMC:PMC10167872 | DOI:10.1080/07853890.2023.2203516
Source: Annals of Medicine - May 8, 2023 Category: Internal Medicine Authors: Juanying Zhen Shuyun Liu Ryan Yan Lam Kam Guoru Zhao Hao Peng Jianguo Liang Aimin Xu Chao Li Lijie Ren Jun Wu Bernard Man Yung Cheung Source Type: research

24-hour ambulatory blood pressure and cryptogenic ischemic stroke in young adults
CONCLUSIONS: Non-dipping patterns of BP were associated with CIS in the absence of a PFO but not in the absence of hypertension. This may reflect differing pathophysiology underlying CIS in patients with versus without a PFO. Due to limitations of the study, results regarding absolute ABP levels should be interpreted with caution.Key MessagesNocturnal non-dipping patterns of blood pressure were associated with cryptogenic ischemic stroke except in participants with a patent foramen ovale and in those without hypertension by any definition, which may indicate differing pathophysiology underlying cryptogenic ischemic stroke ...
Source: Annals of Medicine - April 24, 2023 Category: Internal Medicine Authors: Lauri Tulkki Nicolas Martinez-Majander Petri Haapalahti Heli Tolppanen Juha Sinisalo Olli Repo Tomi Sarkanen Heikki Numminen Essi Ry ödi Pauli Ylikotila Risto O Roine Riikka Lautam äki Antti Saraste Tuuli Miettinen Jaana Autere Pekka J äkälä Marja He Source Type: research

The SARS-CoV-2 responsible for phlegmasia cerulea dolens: a case report
CONCLUSION: Although the severe acute respiratory syndrome coronavirus 2 remains a thrombogenic pathology, systematic anticoagulation is the subject of hypothesis. Hence the importance of regular monitoring of markers of vascular thrombosis.PMID:37008170 | PMC:PMC10060091 | DOI:10.1097/MS9.0000000000000152
Source: Annals of Medicine - April 3, 2023 Category: Internal Medicine Authors: Youssef Banana Husam Bashir Sara Boukabous Intissar Haddiya Yassamine Bentata Abdellah Rezziki Adnane Benzirar Omar El Mahi Source Type: research