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Quality of warfarin control in atrial fibrillation patients in South East Queensland, Australia
ConclusionsThe observed mean TTR of over 80% is superior to the minimum recommended threshold of 60%. The TTR achieved by the Queensland pathology practice demonstrates that dedicated warfarin programs can produce high quality warfarin care ensuring full benefit of warfarin for Australian patients.
Source: Internal Medicine Journal - April 3, 2016 Category: Internal Medicine Authors: Nijole Bernaitis, Tony Badrick, Andrew K Davey, Shailendra Anoopkumar‐Dukie Tags: Original Article Source Type: research

Anabolic androgenic steroids, an easily forgotten cause of polycythaemia and cerebral infarction
We report a case of exogenous anabolic androgenic steroid‐induced polycythaemia and stroke and explore possible pitfalls for clinicians.
Source: Internal Medicine Journal - April 6, 2016 Category: Internal Medicine Authors: M. S. Y. Low, S. Vilcassim, P. Fedele, G. Grigoriadis Tags: Brief Communication Source Type: research

CHA2DS2VASc score predicts unsuccessful electrical cardioversion in patients with persistent atrial fibrillation
ConclusionThe CHA2DS2VAS score routinely used in thromboembolic risk assessment may be a simple, easy and reliable scoring system that can be used to predict unsuccessful electrical cardioversion.
Source: Internal Medicine Journal - November 8, 2016 Category: Internal Medicine Authors: Elzbieta Mlodawska, Anna Tomaszuk ‐Kazberuk, Paulina Lopatowska, Marcin Kaminski, Wlodzimierz Jerzy Musial Tags: Original Article Source Type: research

Disparities in the incidence of acute myocardial infarction: Long term trends from the Hunter Region
ConclusionsBetween 1996 and 2013 in the Hunter region, the adjusted incidence of AMI increased for regional patients compared to metropolitan patients with a trend towards a higher adjusted incidence of AMI in the indigenous population.
Source: Internal Medicine Journal - February 13, 2017 Category: Internal Medicine Authors: Allan J Davies, Crystal Naudin, Mohammed Al Omari, Arshad Khan, Chris Oldmeadow, Mark Jones, Bruce Bastian, Rohan Bhagwandeen, Peter Fletcher, James Leitch, Andrew Boyle 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

Giant Cell Arteritis – Beyond temporal artery biopsy and steroids
Abstract Giant cell arteritis is the commonest primary vasculitis of the elderly. The acute complications of untreated Giant cell arteritis such as vision loss or occasionally stroke can be devastating. The diagnosis is however not altogether straightforward due to variable sensitivities of the temporal artery biopsy as a reference diagnostic test. In this review, we discuss the increasing role of imaging in the diagnosis of Giant cell arteritis. Glucocorticoid treatment is the backbone of therapy but it is associated with significant adverse effects. A less toxic alternative is required. Conventional and novel immunosuppr...
Source: Internal Medicine Journal - May 9, 2017 Category: Internal Medicine Authors: Jem V Ninan, Susan Lester, Catherine L Hill Tags: Review Source Type: research

Environmental heat stroke and long ‐term clinical neurological outcomes: a literature review of case reports and case series 2000–2016
Source: Internal Medicine Journal - May 8, 2017 Category: Internal Medicine Authors: Lawton E, Gabb G, Pearce H Tags: Abstracts Source Type: research

Disparities in the incidence of acute myocardial infarction: long ‐term trends from the Hunter region
ConclusionBetween 1996 and 2013 in the Hunter region, the adjusted incidence of AMI increased for regional patients compared to metropolitan patients with a trend towards a higher adjusted incidence of AMI in the indigenous population.
Source: Internal Medicine Journal - May 14, 2017 Category: Internal Medicine Authors: Allan J. Davies, Crystal Naudin, Mohammed Al ‐Omary, Arshad Khan, Chris Oldmeadow, Mark Jones, Bruce Bastian, Rohan Bhagwandeen, Peter Fletcher, James Leitch, Andrew Boyle Tags: Original Article Source Type: research

Perioperative management of new oral anticoagulants in patients undergoing elective surgery at a tertiary hospital
ConclusionConsiderable discordance exists between guideline recommendations and perioperative NOAC management. Assistive tools are required that better align decision making with current best practice.
Source: Internal Medicine Journal - June 7, 2017 Category: Internal Medicine Authors: Henry Wamala, Ian A Scott, Xenia Caney Tags: Original Article Source Type: research

Impact and implementation of a sustainable regional telestroke network
DiscussionTelestroke was associated with a significant increase in thrombolysis rate and reduction in door‐to‐needle time in provincial hospitals indicating improved patient care. Quantification of the extra neurologist workload allowed for a seamless transition to ‘business as usual’ using a novel funding and service model.
Source: Internal Medicine Journal - July 25, 2017 Category: Internal Medicine Authors: Annemarei Ranta, Jeremy Lanford, Suzanne Busch, Carolyn Providence, Ivan Iniesta, Ian Rosemergy, Andrew Wilson, Pietro Cariga, Victoria Richmond, John Gommans Tags: Original Article Source Type: research

Giant cell arteritis: beyond temporal artery biopsy and steroids
Giant cell arteritis is the most common primary vasculitis of the elderly. The acute complications of untreated giant cell arteritis, such as vision loss or occasionally stroke, can be devastating. The diagnosis is, however, not altogether straightforward due to variable sensitivities of the temporal artery biopsy as a reference diagnostic test. In this review, we discuss the increasing role of imaging in the diagnosis of giant cell arteritis. Glucocorticoid treatment is the backbone of therapy, but it is associated with significant adverse effects. A less toxic alternative is required. Conventional and novel immunosuppres...
Source: Internal Medicine Journal - November 5, 2017 Category: Internal Medicine Authors: Jem V. Ninan, Susan Lester, Catherine L. Hill Tags: Review Source Type: research

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

Urolithiasis is associated with an increased risk of stroke: a population ‐based 5‐year follow‐up study
Internal Medicine Journal,Volume 48, Issue 4, Page 445-450, April 2018.
Source: Internal Medicine Journal - April 6, 2018 Category: Internal Medicine Authors: Ping ‐Song Chou , Wei‐Pin Chang , Yii‐Her Chou Source Type: research

Is Occupation as an Air Transport Pilot Employed in Longer ‐Haul Flying Work a Risk Factor for Ischaemic Stroke? A Case‐Control Study
Internal Medicine Journal,Volume 48, Issue S5, Page 26-26, May 2018.
Source: Internal Medicine Journal - May 11, 2018 Category: Internal Medicine Source Type: research

Stroke in Young: Substance Abuse
Internal Medicine Journal,Volume 48, Issue S5, Page 10-10, May 2018.
Source: Internal Medicine Journal - May 11, 2018 Category: Internal Medicine Source Type: research

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