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Improving patient adherence to secondary prevention medications 6 months after an acute coronary syndrome: observational cohort study
ConclusionsFailure to discharge patients on indicated therapies is the most important modifiable predictor of adherence failure 6 months after an ACS. Implementing protocols to automate prescription of indicated discharge therapies, has the potential to dramatically reduce non‐adherence in the 6 months following discharge.
Source: Internal Medicine Journal - January 18, 2018 Category: Internal Medicine Authors: D.B. Brieger, C. Chow, J. Gullick, K. Hyun, M. D'Souza, T. Briffa, Tags: Original Article Source Type: research

Recurrent contrast ‐induced encephalopathy following coronary angiography
Contrast‐induced encephalopathy (CIE) is an acute and reversible neurological disturbance associated with the intra‐arterial administration of iodinated contrast medium during cardiac catheterisation. It may manifest with encephalopathy, motor and sensory disturbances; vision disturbances, including cortical blindness, ophthalmoplegia, aphasia; and seizures. Disruption of the blood–brain barrier and direct neuronal toxicity are believed to be implicated in the pathophysiology of the syndrome. Symptoms appear soon after contrast administration and resolve completely within 24–48 h. Risk factors may include hypertens...
Source: Internal Medicine Journal - February 14, 2017 Category: Internal Medicine Authors: Roberto Spina, Neil Simon, Romesh Markus, David W. M. Muller, Krishna Kathir Tags: Brief Communication Source Type: research

Determinants of Cerebral White Matter Changes in Patients With Stroke
ConclusionsOur results suggest a region‐specific pathogenesis of cerebral white matter in Asian patients with ischemic stroke that may differ from those in the general population.
Source: Internal Medicine Journal - February 2, 2015 Category: Internal Medicine Authors: Ping‐Song Chou, Chun‐Hung Chen, Meng‐Ni Wu, Yi‐Hui Lin, Chiou‐Lian Lai, Ruey‐Tay Lin, Yuan‐Han Yang Tags: Original Article Source Type: research

Does measurement of ankle‐brachial index contribute to prediction of adverse health outcomes in older Chinese people?
ConclusionsABI measurement (<0.9) predicted adverse outcomes with high specificity but low sensitivity. However it added little incremental value to prediction of adverse outcomes using traditional cardiovascular risk factors.
Source: Internal Medicine Journal - February 21, 2013 Category: Internal Medicine Authors: J Woo, J Leung Tags: Original Article Source Type: research