Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Nov 2014
Sex differences in independent factors associated with coronary artery disease.
Women undergoing coronary angiography (CA) due to chest pain are more likely to present with less extensive coronary artery disease (CAD) than men, which might be attributed to different effects of cardiovascular risk factors on coronary atherogenesis between sexes. The aim of the present study was to evaluate sex differences in independent factors associated with obstructive and non-obstructive CAD in a large consecutive cohort of patients undergoing elective CA. ⋯ The impact of smoking and hypercholesterolaemia on coronary atherosclerosis is different between women and men. This might be taken into account when planning individual interventions to reduce cardiovascular risk.
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Wien. Klin. Wochenschr. · Nov 2014
Case ReportsFontan-like circulation as a criterion for heart transplantation in arrhythmogenic right ventricular dysplasia.
Arrhythmogenic right ventricular dysplasia (ARVD) is often associated with progressive right ventricular dysfunction. Although heart transplantation (HTx) is suggested in these patients, indication and optimal timing for listing can be challenging. ⋯ In patients with ARVD, evidence of FLC may serve as an additional criterion for HTx. This applies particularly to patients who do not clearly fulfill standard transplant criteria and to patients with electrical instability.
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Wien. Klin. Wochenschr. · Oct 2014
Hypertension management in primary care: how effective is a telephone recall for patients with low appointment adherence in a practice setting?
Studies showed a positive association between appointment adherence and blood pressure control. In randomized-controlled trials blood pressure therapy was improved by recall systems. We analyze the effectiveness of an active telephone recall on blood pressure control for patients with low appointment adherence in regular primary care. ⋯ Active telephone recall improved blood pressure control of hypertensive patients with low appointment adherence in regular primary care. An active recall can be recommended for other primary care scenarios.
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Wien. Klin. Wochenschr. · Oct 2014
Comparative StudyPatient-specific evaluation of knee disorders in clinical practice.
Nowadays, an increasing number of patients expect their physician to provide a measureable and, therefore, comparable treatment effect that quantifies success or failure of the applied therapy. Unfortunately, different knee classification schemes applied to the same patient may provide diverging results. Therefore, the objective of this paper was to present recommendations to clinicians for a meaningful outcome assessment of their patients. ⋯ To our opinion the IKDC should be applied to athletic patients suffering from post-traumatic knee symptoms who are younger than 50 years. For non-athletes aged 50 years and older the WOMAC is considered suitable whereas the KOOS is recommended to all other patients with knee disorders.
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Wien. Klin. Wochenschr. · Oct 2014
Is suprascapular neuropathy common in high-performance beach volleyball players? A retrospective analysis.
Pain in the shoulder is a common problem in overhead sports and at times goes along with atrophy of the supra- and infraspinatus muscles. A neuropathy of the suprascapular nerve is one possible reason. The aim of the study was to examine the suprascapular nerve in Austrian high-performance beach volleyball players. ⋯ A lesion of the suprascapular nerve could not be shown in any of the players. Therefore, a biomechanical cause has to be considered for the clinical symptoms in the present study population.