55 research outputs found
The ESC 2019 CCS guidelines: Have we left our patients and scientific evidence behind?
No full textThe ESC CCS 2019 guidelines recognize that successful management of anginal symptoms relies on effective therapy tailored to individual patient characteristics but do not provide any specific advice or clarity on how to utilize pharmacotherapy in order to achieve these goals. In this review, we are going to summarize and discuss the main points of disagreement
The diagnostic approach and management of hypertension in the emergency department
No full textHypertension urgency and emergency represents a challenging condition in which clinicians should determine the assessment and/or treatment of these patients. Whether the elevation of blood pressure (BP) levels is temporary, in need of treatment, or reflects a chronic hypertensive state is not always easy to unravel. Unfortunately, current guidelines provide few recommendations concerning the diagnostic approach and treatment of emergency department patients presenting with severe hypertension. Target organ damage determines: the timeframe in which BP should be lowered, target BP levels as well as the drug of choice to use. It's important to distinguish hypertensive emergency from hypertensive urgency, usually a benign condition that requires more likely an outpatient visit and treatment
Miscellanea. Folyóirat-referátumok. Beszámoló
No full textHypertonia
A déli sziesztának
(alvás-szunyókálás) és
időtartamának hatása a vérnyomás
alakulására magas vérnyomásban
szenvedő betegek körében
(Asociation of mid-day naps
occurence and duration with blood
pressure levels in hypertensive
patients. A prospective study)
Kallistratos, M., Poulimenos, L.,
Karamanou, A., et al.
(Asklepeion
General Hospital, Cardiology
Department, 1 Vasileos Pavlou Ave
Voula, Athens, 16673, Görögország;
e-mail: [email protected]):
J. Hypertension,
June 2015.
doi: 10.1097/01. hjh.0000468209.
39013.ca | Kardiológia
Túlélés hirtelen szívleállás után
a sportpályán vagy azon kívül
(Survival from sports-related
sudden cardiac arrest: In sports
facilities versus outside of sports
facilities)
Marijon, E., Bougouin, W.,
Karam, N., et al.
Cardiology
Department, European Georges
Pompidou Hospital, 20–40 rue
Leblanc, 75908 Paris, CEDEX 15,
Franciaország;
e-mail: [email protected]):
Am. Heart J.,
2015,
170
(2),
339–345.e1. | Szülészet-nőgyógyászat
Az alsó húgyúti elzáródás (AHE)
– klinikai kép, praenatalis kórisme
és kezelési lehetőségek
(Lower urinary tract obstruction
[LUTO] – Krankheitsbild,
pränatale Diagnostik, und
Therapiemöglichkeiten)
Bildau, J.,
Enzensberger, C., Degenhardt, J.,
et al.
(Levelező szerző: R. Axt-
Fliedner, R.: Abteilung für
Pränatalmedizin und gynäkologische
Sonografie, Zentrum für
Frauenheilkunde und Geburtshilfe,
Justus-Liebig Universität Gießen und
UKGM, Klinikstrasse 33,
35392 Gießen, Németország):
Z. Geburtsh. Neonatol., 2014,
218
(1), 18–26. | Magzati terápia – tudományos alap
és a jelenlegi klinikai előny kritikus
felmérése (Fetale Therapie –
wissenschaftliche Basis und
kritische Bestandsaufnahme des
derzeitigen klinischen Nutzens)
Axt-Fliedner, R., Schmidt, S.
(Abteilung für Pränatalmedizin,
Klinikstrasse 33, 35392 Gießen,
Németország):
Z. Geburtsh.
Neonatol.,
2014,
218
(1), 1. | Nem gyermekágyi emlőgyulladás
(Mastitis non-puerperalis)
Böhm, D.
(e-mail: [email protected]):
Geburtshilfe Frauenheilkd.,
2014,
74
(2), 134–137. | Gondolatmozaikok
a Magyar Endokrin
Társaság 50 éves jubileumi
kongresszusáról
Szeged, 2016. május 5–7. | A NICE pozitív szakmai
irányelvtervezetet tett közzé | A Coeliakia Nemzetközi
Napja
2016. május 16. | Az ARNA projekthez
kapcsolódó hazai
antibiotikum szakmai na
LOW BLOOD PRESSURE IS ASSOCIATED WITH WORSE OUTCOME IN PATIENTS WITH SYSTOLIC HEART FAILURE: PP.3.121
No full text
BLOOD PRESSURE RESPONSE AT PEAK EXERCISE IS A STRONG PREDICTOR OF OUTCOMES IN PATIENTS WITH SYSTOLIC HEART FAILURE: PP.1.01
No full textPractical Recommendations for the Diagnosis and Medical Management of Stable Angina: An Expert Panel Consensus
No full textStable angina affects a significant number of coronary artery disease patients, impairing their quality of life and worsening their prognosis. It manifests even despite a history of revascularization and is often poorly controlled with drug therapy. Comorbid conditions are frequently encountered in coronary artery disease patients, affecting their prognosis and rendering the diagnosis and management of angina more challenging. In this article, derived by an expert panel meeting, we attempt a practical approach to stable angina, focusing on symptomatic patients subjected to previous coronary revascularization or not suitable for revascularization and providing handy diagnostic and therapeutic algorithms and comorbidity-adjusted therapeutic approaches in accordance with existing evidence, current recommendations, and locally available therapeutic options. © 2020 Institute of Electrical and Electronics Engineers Inc.. All rights reserved
Effectiveness of an intervention to facilitate prompt referral to memory clinics in the United Kingdom: Cluster randomised controlled trial
No full textBACKGROUND:
Most people with dementia do not receive timely diagnosis, preventing them from making informed plans about their future and accessing services. Many countries have a policy to increase timely diagnosis, but trials aimed at changing general practitioner (GP) practice have been unsuccessful. We aimed to assess whether a GP’s personal letter, with an evidence-based leaflet about overcoming barriers to accessing help for memory problems—aimed at empowering patients and families—increases timely dementia diagnosis and patient presentation to general practice.
METHODS AND FINDING:
Multicentre, cluster-randomised controlled trial with raters masked to an online computer-generated randomisation system assessing 1 y outcome. We recruited 22 general practices (August 2013–September 2014) and 13 corresponding secondary care memory services in London, Hertfordshire, and Essex, United Kingdom. Eligible patients were aged ≥70 y, without a known diagnosis of dementia, living in their own homes. There were 6,387 such patients in 11 intervention practices and 8,171 in the control practices. The primary outcome was cognitive severity on Mini Mental State Examination (MMSE). Main secondary outcomes were proportion of patients consulting their GP with suspected memory disorders and proportion of those referred to memory clinics. There was no between-group difference in cognitive severity at diagnosis (99 intervention, mean MMSE = 22.04, 95% confidence intervals (CIs) = 20.95 to 23.13; 124 control, mean MMSE = 22.59, 95% CI = 21.58 to 23.6; p = 0.48). GP consultations with patients with suspected memory disorders increased in intervention versus control group (odds ratio = 1.41; 95% CI = 1.28, 1.54). There was no between-group difference in the proportions of patients referred to memory clinics (166, 2.5%; 220, 2.7%; p = .077 respectively). The study was limited as we do not know whether the additional patients presenting to GPs had objective as well as subjective memory problems and therefore should have been referred. In addition, we aimed to empower patients but did not do anything to change GP practice.
CONCLUSIONS:
Our intervention to access timely dementia diagnosis resulted in more patients presenting to GPs with memory problems, but no diagnoses increase. We are uncertain as to the reason for this and do not know whether empowering the public and targeting GPs would have resulted in a successful intervention. Future interventions should be targeted at both patients and GPs
THE ASSOCIATION OF EXAGGERATED EXERCISE AND 24H BLOOD PRESSURE WITH LEFT VENTRICULAR HYPERTROPHY IN NORMOTENSIVE MEN AND WOMEN ADJUSTED FOR CARDIORESPIRATORY FITNESS
No full text- …
