International journal of clinical practice. Supplement
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Int J Clin Pract Suppl · May 2015
ReviewHeadache: muscle tension, trigger points and referred pain.
Scientific interest in the pathogenesis of tension-type headache (TTH) has lagged behind that of migraine, although TTH is the most common headache disorder and considered the most important in terms of socioeconomic impact. As a result, understanding of the underlying mechanisms of TTH has remained relatively incomplete.
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Int J Clin Pract Suppl · May 2013
Qualitative echocardiography parameters for prediction of pulmonary hypertension.
Current guidelines recommend echocardiography as the preferred screening method for pulmonary hypertension (PH). The probability of PH is primarily assessed by estimating the right ventricular systolic pressure while the value of qualitative parameters is uncertain. The aim of our study was to evaluate the diagnostic yield of qualitative and quantitative parameters from routine echocardiography reports for PH diagnosis. ⋯ Qualitative parameters are frequently described in routine echocardiography reports and are valuable for the prediction of PH with a similar diagnostic accuracy as the estimation of right ventricular systolic pressure.
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Int J Clin Pract Suppl · Jan 2013
ReviewHeadache: insight, understanding, treatment and patient management.
Tension-type headache and migraine are the most frequent primary headaches. Diagnosis is based on the patient's history and a normal neurological examination. Most patients with these two headache entities treat headache episodes with over-the-counter analgesics or non-steroidal anti-inflammatory drugs (NSAIDs). ⋯ In patients with migraine who do not respond to analgesics or NSAIDs, triptans should be prescribed. Frequent primary headaches should not be treated with frequent intake of analgesics or triptans. In these cases, preventive therapy needs to be implemented.