Internal medicine journal
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Internal medicine journal · Jun 2022
ReviewPlatypnoea-Orthodeoxia Syndrome as an Uncommon Cause of Dyspnoea: a Literature Review.
Platypnoea-orthodeoxia syndrome (POS) is an uncommon but challenging clinical condition characterised by positional dyspnoea (platypnoea) and arterial desaturation (orthodeoxia) in the upright position that improve in the supine position. Since its first description, many cases have been reported and many conditions have been associated with this syndrome. Herein, we review the clinical presentation, pathophysiology, diagnostic work-up and management of patients with POS, aiming to increase the awareness of this often misdiagnosed condition.
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Internal medicine journal · Jun 2022
ReviewArtificial Intelligence in Cardiology: Fundamentals and Applications.
Artificial intelligence (AI) is an overarching term that encompasses a set of computational approaches that are trained through generalised learning to autonomously execute specific tasks. AI is a rapidly expanding field in medicine. In particular cardiology, with its high reliance on numerical patient data in decision making, has great potential to benefit from AI. ⋯ Healthcare systems will undoubtedly become more automated and shift to more AI-driven methods to improve efficiency and reduce cost. Patients in the end will benefit from these changes with improved diagnostic accuracy, better tailored treatments resulting in a greater quality and quantity of life. In this article, we will describe some of the fundamental principles underlying AI that physicians should have an understanding of, along with current clinical applications.
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Internal medicine journal · Jun 2022
Regional variation in cardiac implantable electronic device implants trends in New Zealand over the past decade (ANZACS-QI 54).
Permanent pacemaker (PPM) and implantable cardioverter defibrillator (ICD) implant rates have increased in New Zealand over the past decade. ⋯ There was significant variation in PPM and ICD implant rates across regions and DHB, suggesting potential inequity in patient access across New Zealand.
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Internal medicine journal · Jun 2022
Inflammation-based modified Glasgow prognostic score and renal outcome in chronic kidney disease patients: is there a relationship?
Chronic kidney disease (CKD) progression is presumably related to inflammatory response. The modified Glasgow prognostic score (mGPS), based on a combination of albumin and C-reactive protein, has been derived from oncology and validated in multiple diseases. ⋯ The inflammation-based mGPS score was associated with eGFR decline in CKD patients. Therefore, could prove useful in improving risk stratification of CKD patients.