Polskie Archiwum Medycyny Wewnętrznej
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Pol. Arch. Med. Wewn. · Nov 2024
Prognostic value of preoperative echocardiography in predicting myocardial injury after open abdominal aortic surgery.
Abdominal aortic aneurysms (AAAs) and peripheral arterial and aortic diseases (PAAD) are associated with increased risk of myocardial injury after noncardiac surgery (MINS). ⋯ Our study suggests that routine preoperative TTE may have a low but possible value in the prediction of MINS among patients undergoing high-risk vascular surgery.
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Pol. Arch. Med. Wewn. · Nov 2024
Meta AnalysisNeuropsychiatric adverse events in tenofovir disoproxil fumarate- and tenofovir alafenamide-based HIV therapy and prophylaxis: a systematic review and meta-analysis.
Tenofovir is integral to antiretroviral therapy (ART) and pre‑exposure prophylaxis (PrEP) for HIV; however, neuropsychiatric adverse events (NPAEs) associated with its use have not been systematically investigated. ⋯ Common occurrence of NPAEs in tenofovir‑based HIV multidrug regimens highlights the need to screen HIV patients for neuropsychiatric complications. The lack of effect of tenofovir, as compared with placebo, for most analyzable NPAEs suggests its favorable safety profile. However, a possible increase in the dizziness risk on tenofovir, and a potentially elevated risk of headache on tenofovir alafenamide- as compared with tenofovir disoproxil fumarate-based regimens in HIV therapy merit further investigation.
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Pol. Arch. Med. Wewn. · Nov 2024
The prevalence of hyperlipoproteinemia(a) in outpatient cardiology clinic patients of European ancestry: results from a STAR-Lp(a) cross-sectional study.
Elevated levels of lipoprotein(a) [Lp(a)] are independently associated with an increased risk of cardiovascular disease (CVD). ⋯ The observed prevalence of increased Lp(a) concentration among patients of European ancestry treated at outpatient cardiology clinics was 21.5%. Female sex, hypertension, atrial fibrillation, migraine, and concentrations of LDL‑C and HbA1c were independently related to the level of Lp(a) in this population.
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Pol. Arch. Med. Wewn. · Nov 2024
Addition of Tilburg frailty indicator to the classic Global Registry of Acute Coronary Events risk score improves its prognostic value in elderly patients with acute coronary syndrome.
Since proper risk stratification in a growing population of patients with acute coronary syndrome (ACS) is challenging, a potential advantage of adding the elements of geriatric assessment to the commonly used Global Registry of Acute Coronary Events (GRACE) 2.0 scale in predicting the risk of 6‑month death requires investigation. ⋯ Adding the FS assessment to the traditional GRACE scale improves its prognostic value in elderly patients with ACS.