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Specialty: Internal Medicine
Source: European Journal of Internal Medicine

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Total 213 results found since Jan 2013.

Decision making for oral anticoagulants in atrial fibrillation: The ATA-AF study.
CONCLUSIONS: Oral anticoagulants are more frequently used in CARD than in MED, plausibly due to greater complexity of MED patients. Stratification of thrombotic and hemorrhagic risk significantly drives the choice for VKA. However the fraction of patients in whom prescription or non-prescription is based on other individual characteristics is not negligible. PMID: 23684591 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - May 16, 2013 Category: Internal Medicine Authors: Gussoni G, Di Pasquale G, Vescovo G, Gulizia M, Mathieu G, Scherillo M, Panuccio D, Lucci D, Nozzoli C, Fabbri G, Colombo F, Riva L, Baldo CI, Maggioni AP, Mazzone A, ATA-AF Steering Committee and Investigators Tags: Eur J Intern Med Source Type: research

Air particulate matter and cardiovascular disease: A narrative review.
Abstract Consistent evidences from both epidemiological and experimental studies have demonstrated that short- and long-term exposure to particulate matter (PM), in particular to the finest particles (i.e. airborne PM with aerodynamic diameter less than 2.5μm, PM2.5), is associated with cardiovascular morbidity and mortality. PM concentration has been linked with several clinical manifestations of cardiovascular diseases (CVD), including myocardial infarction, stroke, heart failure, arrhythmias, and venous thromboembolism. Noteworthy, some groups of subjects, like elderly, diabetics, or those with known coronary ...
Source: European Journal of Internal Medicine - May 3, 2013 Category: Internal Medicine Authors: Martinelli N, Olivieri O, Girelli D Tags: Eur J Intern Med Source Type: research

Hospitalized patients with atrial fibrillation compared to those included in recent trials on novel oral anticoagulants: A population-based study.
CONCLUSION: In patients recently discharged from the hospital with the diagnosis of nonvalvular AF, warfarin use decreases and aspirin treatment increases with patients' age. These patients are older, more frequently female, and on multiple medications. The benefit of NOACs in these subjects needs to be confirmed in phase IV clinical studies. PMID: 23528931 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - March 22, 2013 Category: Internal Medicine Authors: Joppi R, Cinconze E, Mezzalira L, Pase D, Poggiani C, Rossi E, Pengo V, Italian Horizon Scanning Project Tags: Eur J Intern Med Source Type: research

Transcatheter aortic valve implantation in nonagenarians: Effective and safe.
CONCLUSIONS: TAVI is safe and effective even in a selected population of nonagenarians. Consequently, these patients should not be refused such a procedure based only on their age. Multi-disciplinary assessment is essential in order to properly select candidates. PMID: 23932885 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - August 7, 2013 Category: Internal Medicine Authors: Noble S, Frangos E, Samaras N, Ellenberger C, Frangos C, Cikirikcioglu M, Bendjelid K, Frei A, Myers P, Licker M, Roffi M Tags: Eur J Intern Med Source Type: research

Unexpected inverse relationship between impaired glucose metabolism and lipoprotein-associated phospholipase A2 activity in patients with stable vascular disease.
CONCLUSION: In present study, we cannot confirm any additive risk of impaired glucose metabolism in terms of increased activity of Lp-PLA2. On the contrary, presence of inadequately controlled diabetes mellitus was independently associated with lower risk of elevated aLp-PLA2 . PMID: 24930071 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - June 11, 2014 Category: Internal Medicine Authors: Mayer O, Seidlerová J, Filipovský J, Timoracká K, Bruthans J, Vaněk J, Cerná L, Wohlfahrt P, Renata C, Trefil L Tags: Eur J Intern Med Source Type: research

When should a doctor see me when I get sick? A study of the time of day acutely ill medical patients present and the time they wait to see a doctor in Ireland.
CONCLUSION: Waiting to be seen by a doctor may increase the risk of death to some patients. For these patients it is probably safer to be seen quickly by any doctor, rather than travel many miles and wait several hours to see a better one. PMID: 25468249 [PubMed - in process]
Source: European Journal of Internal Medicine - December 1, 2014 Category: Internal Medicine Authors: Kellett J, Deane B Tags: Eur J Intern Med Source Type: research

Cardiovascular profile in critically ill elderly medical patients: Prevalence, mortality and length of stay.
CONCLUSIONS: Prevalence of cardiovascular risk factors and cardiovascular disease was high, and basal cardiovascular treatment was underused. Primary diagnosis for cardiovascular disease at ICU admission should be assessed as predictor of ICU mortality. Intensifying cardiovascular basal treatment could decrease 1-year mortality. Cardiovascular profile did not show an effect on in-hospital mortality and length of stay. PMID: 25582073 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - January 9, 2015 Category: Internal Medicine Authors: Puchades R, González B, Contreras M, Gullón A, de Miguel R, Martín D, Gutiérrez C, Navarro R Tags: Eur J Intern Med Source Type: research

Chronic conditions, disability, and quality of life in older adults with multimorbidity in Spain.
CONCLUSION: The presence of disability and diverse chronic conditions has a negative effect on QoL of older adults affected by multimorbidity in Spain. Public health and primary care interventions focusing on the integrated care of older adults with multimorbidity might give special attention to mental health and osteoarticular conditions. PMID: 25724771 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - February 24, 2015 Category: Internal Medicine Authors: Forjaz MJ, Rodriguez-Blazquez C, Ayala A, Rodriguez-Rodriguez V, de Pedro-Cuesta J, Garcia-Gutierrez S, Prados-Torres A Tags: Eur J Intern Med Source Type: research

High rate of abnormal blood values and vascular complications before diagnosis of myeloproliferative neoplasms.
CONCLUSION: We therefore conclude that a large proportion of MPN patients suffer severe thromboembolic complications prior to diagnosis. If MPN were diagnosed earlier, a large proportion of these events might be prevented. An MPN should always be suspected and ruled out in patients with unexplained elevated hematocrit, leukocyte and/or platelet counts. PMID: 25863408 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - April 8, 2015 Category: Internal Medicine Authors: Enblom A, Lindskog E, Hasselbalch H, Hersby D, Bak M, Tetu J, Girodon F, Andréasson B Tags: Eur J Intern Med Source Type: research

Pre-existing diabetes and risks of morbidity and mortality after liver transplantation: A nationwide database study in an Asian population.
CONCLUSION: DM is associated with elevated risk of 90-day post-LTx. Moreover, DM patients with coexisting renal manifestations exhibited an increased postoperative risk of mortality after LTx. PMID: 26048000 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - June 2, 2015 Category: Internal Medicine Authors: Tsai MS, Wang YC, Wang HH, Lee PH, Jeng LB, Kao CH Tags: Eur J Intern Med Source Type: research

Atrial fibrillation, CHA2DS2-VASc score, antithrombotics and risk of non-traffic-, non-cancer-related bone fractures: A population-based cohort study.
CONCLUSION: Patients with AF are more vulnerable to non-traffic-, non-cancer-related bone fractures especially when with specified characteristics. For those with higher CHA2DS2-VASc scores, the use of anticoagulant but not antiplatelet agents could be associated with lower risk of such events. PMID: 26493861 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - October 19, 2015 Category: Internal Medicine Authors: Lai HC, Chien WC, Chung CH, Lee WL, Wu TJ, Wang KY, Liu CN, Liu TJ Tags: Eur J Intern Med Source Type: research

An investigation of multimorbidity measures as risk factors for pneumonia in elderly frail patients admitted to hospital.
CONCLUSIONS: In a small cohort of elderly frail hospitalized patients, measures of multimorbidity, like CIRS, are significantly associated with the risk of pneumonia. COPD and dementia are the main conditions concurring to define this risk. PMID: 26686926 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - December 10, 2015 Category: Internal Medicine Authors: Ticinesi A, Nouvenne A, Folesani G, Prati B, Morelli I, Guida L, Lauretani F, Maggio M, Meschi T Tags: Eur J Intern Med Source Type: research

Ankle brachial index most important to identify polyvascular disease in patients with non-ST elevation or ST-elevation myocardial infarction.
CONCLUSIONS: PvD is underdiagnosed in patients suffering from MI, both NSTEMI and STEMI. ABI is a useful and simple measurement that appears predictive of widespread atherosclerosis in these patients. PMID: 26776925 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - January 8, 2016 Category: Internal Medicine Authors: Jönelid B, Johnston N, Berglund L, Andrén B, Kragsterman B, Christersson C Tags: Eur J Intern Med Source Type: research

The impact of fever/hyperthermia in the diagnosis of Fabry: A retrospective analysis.
Abstract BACKGROUND: Fabry disease (FD) is an X-linked lysosomal storage disorder caused by a deficiency of alpha-galactosidase A enzyme, which leads to the accumulation of its substrate, the globotriaosylceramide or Gb3, in many organs and tissues. Main clinical manifestations of FD are neuropathic pain, angiokeratomas, proteinuria and renal failure, left ventricular hypertrophy and stroke. Fever is also a possible symptom at the onset of the disease during childhood and adolescence, but it is frequently misdiagnosed, causing a delay in FD diagnosis. METHODS: We retrospectively analysed the medical records i...
Source: European Journal of Internal Medicine - April 11, 2016 Category: Internal Medicine Authors: Verrecchia E, Zampetti A, Antuzzi D, Ricci R, Ferri L, Morrone A, Feliciani C, Dagna L, Manna R Tags: Eur J Intern Med Source Type: research

Influence of age on perioperative major adverse cardiovascular events and mortality risks in elective non-cardiac surgery.
CONCLUSION: The risk of mortality and major adverse cardiovascular events within 30days after surgery increased with advanced age. However, despite advanced age, the absolute event rates appeared to be relatively modest and around 4% for people aged above 90years. PMID: 27306404 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - June 12, 2016 Category: Internal Medicine Authors: Hansen PW, Gislason GH, Jørgensen ME, Køber L, Jensen PF, Torp-Pedersen C, Andersson C Tags: Eur J Intern Med Source Type: research