Polskie Archiwum Medycyny Wewnętrznej
-
Pol. Arch. Med. Wewn. · May 2005
Clinical Trial[Accuracy of blood glucose concentration values outcome performed at various skin sites with personal glucose meters].
The aim of this study was the comparison of capillary blood glucose values performed at different skin sites with various glucose meters. ⋯ 1. Glucose meters are precise and reliable tool for capillary glucose measurement. 2. Capillary glucose measurements can differ depend on various skin sites. 3. Capillary glucose measurements at finger are reliable and comparable with the suitable venous and the interstitial glucose levels.
-
Pol. Arch. Med. Wewn. · Mar 2005
[Effect of atrial fibrillation on left ventricle function in the elderly].
Atrial fibrillation (FA) coexists with heart failure, and its occurrence frequency increases with age. This arrhythmia can precede heart failure as well as can be a consequence of cardiac function deterioration. ⋯ Atrial fibrillation in the elderly causes greater systolic and diastolic dysfunction of left ventricle compared to younger patients with this kind of arrhythmia. The left ventricle contractility deterioration in older patients with atrial fibrillation correlates with high maximal and mean diurnal heart rate.
-
Pol. Arch. Med. Wewn. · Feb 2005
Comparative Study[Effectiveness of iodine prophylaxis in hypertensive patients on salt restricted diet].
Iodine prophylaxis in Poland started in 1935 however it has been interrupted during Second World War, and also in 1980. In January 1997 a new approach of preventing iodine deficiency was introduced as obligatory iodination model of household salt to be extent of 30 mg KI/kg. The aim of the study was to determine iodine intake after introduction of mandatory salt iodization in group of persons being on low salt diet because of hypertension. Investigated group and methods: The study was performed on 227 persons (94 males and 133 females), aged 18-89 years (average age 56 +/- 15,2 years). Each person answered questions concerning salt consumption and other products being additional source of iodine (fishes, pharmaceutical preparations containing iodine). Subjects were divided into two groups: according to the amount of salt consumption (119 persons restricted to household salt and 108 persons used kitchen salt) and according to the value of blood pressure (170 persons was hypertensive and 57 persons was normotensive). The urine iodine concentration (UIC) was determined in morning urine samples by the method of Sandell and Kolthoff. ⋯ The model of iodine prophylaxis has used in Poland is effective. It also concerns persons consuming limited amount of salt in the our studies group. The amount of consumed salt should be determined by measuring of Na+ concentration in 24-hour urine collection. Additional monitoring of iodine supply is necessary because of possible consumption of iodine from other sources than salt.
-
Pol. Arch. Med. Wewn. · Dec 2004
[Six-month outcomes and prediction of mortality in 458 patients with acute coronary syndromes without persistent ST segment elevation assigned to early invasive strategy].
Utilization of early invasive strategy for patients with acute coronary syndromes (ACS) without persistent ST-segment elevation remains controversial. In this study we characterized a group of high-risk patients who underwent early invasive assessment and treatment. ⋯ Early invasive strategy in high-risk ACS patients yields good long-term results with low mortality rate, especially during in-hospital observation. Diabetes mellitus and heart failure were independently associated with increased mortality rate, whereas male sex, previous MI and PCI during index hospitalization predicted major adverse cardiovascular events in 6-month follow-up.
-
Pol. Arch. Med. Wewn. · Dec 2004
Case Reports[28-year-old woman with Goodpasture's syndrome and nonspecific colitis].
Goodpasture's syndrome usually becomes manifest with progressive glomerulonephritis and pulmonary hemorrhage. The diagnostic hallmark is the demonstration of anti-basement membrane anti-alpha3 type IV collagen antibodies (anti-GMB antibodies) in patient sera. Herein is reported the case of 28-year-old woman with Goodpasture's syndrome who developed the acute symptoms of nonspecific colitis which required surgical intervention. Immunosuppression along with plasmapheresis was successful in the treatment of life-threatening pulmonary hemorrhage, but not for the improvement of renal function.