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Specialty: Internal Medicine
Source: European Journal of Internal Medicine

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Total 213 results found since Jan 2013.

Mechanical thrombectomy as an alternative to thrombolysis in embolic stroke.
PMID: 26440552 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - October 1, 2015 Category: Internal Medicine Authors: Jolobe OM Tags: Eur J Intern Med Source Type: research

Challenges and misconceptions in the aetiology and management of atrial fibrillation-related strokes.
Abstract Strokes, whether ischaemic or haemorrhagic, are the most feared complications of atrial fibrillation (AF) and its treatment. Vitamin K antagonists have been the mainstay of stroke prevention. Recently, direct oral anticoagulants have been introduced. The advantages and disadvantages of these treatment strategies have been extensively discussed. In this narrative review, we discuss dilemmas faced by primary care clinicians in the context of stroke and transient ischaemic attack (TIA) in patients with AF. We discuss the classification of stroke, the different types of stroke seen with AF, the prognosis of A...
Source: European Journal of Internal Medicine - July 8, 2015 Category: Internal Medicine Authors: Thijs V, Butcher K Tags: Eur J Intern Med Source Type: research

Duration of clopidogrel-based dual antiplatelet therapy and clinical outcomes after endeavor sprint zotarolimus-eluting stent implantation in patients presenting with acute coronary syndrome.
CONCLUSION: DAPT for >6months do not seem to be associated with improved clinical outcomes in patients with ACS undergoing percutaneous coronary intervention (PCI) with ZES. PMID: 26153337 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - July 4, 2015 Category: Internal Medicine Authors: Song PS, Hahn JY, Kim DI, Song YB, Choi SH, Choi JH, Ryu DR, Hur SH, Jeong JO, Park HS, Kim HS, Gwon HC 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

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

Brain and kidney, victims of atrial microembolism in elderly hospitalized patients? Data from the REPOSI study.
CONCLUSIONS: Elderly hospitalized patients with AF are more likely affected by CI and CKD, two conditions that expose them to a higher mortality risk. Oral anticoagulant therapy, still underused and not optimally enforced, may afford protection from thromboembolic episodes that probably concur to the high mortality. PMID: 25749554 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - March 4, 2015 Category: Internal Medicine Authors: Corrao S, Argano C, Nobili A, Marcucci M, Djade CD, Tettamanti M, Pasina L, Franchi C, Marengoni A, Salerno F, Violi F, Mannucci PM, Perticone F, on behalf of REPOSI Investigators 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

Do persons with stroke benefit from statin-fibrate combination therapy?
PMID: 25620642 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - January 22, 2015 Category: Internal Medicine Authors: Castilla-Guerra L, Fernandez-Moreno MD 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

Cryptogenic stroke, atrial fibrillation and primary prevention.
PMID: 25468252 [PubMed - in process]
Source: European Journal of Internal Medicine - December 1, 2014 Category: Internal Medicine Authors: Schattner A, Hadad A 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

Thromboprophylaxis in patients with stroke: A delicate decision.
PMID: 25044093 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - July 16, 2014 Category: Internal Medicine Authors: Porfidia A, Morretti T, Pola R, Landolfi R Tags: Eur J Intern Med Source Type: research

Endovascular stroke therapy.
This article reviews the available endovascular therapeutic options and their evidence-base. SUMMARY: Initial studies demonstrated that endovascular treatment of ischaemic stroke with intra-arterial thrombolysis and/or the use of clot-retrieval, thrombus aspiration and stent-retriever devices produced early recanalisation and reperfusion and improved neurological outcome. More recent randomised trials, however, have failed to show translation of recanalisation into successful clinical outcome with 'time to treatment' proving crucial. In this rapidly evolving field, combined therapy incorporating intravenous and intra-...
Source: European Journal of Internal Medicine - July 14, 2014 Category: Internal Medicine Authors: Birns J, Qureshi S, Chen R, Bhalla A 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

Exaggerated exercise blood pressure response and risk of stroke in patients referred for stress testing.
CONCLUSION: We did not observe any significant association between exercise SBP and the future occurrence of stroke in patients with known or suspected CAD referred for exercise echocardiography. PMID: 24930070 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - June 11, 2014 Category: Internal Medicine Authors: Bouzas-Mosquera MD, Bouzas-Mosquera A, Peteiro J, Broullón FJ, Alvarez-García N, Castro-Beiras A Tags: Eur J Intern Med Source Type: research