Articles: disease.
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Pol. Arch. Med. Wewn. · Dec 2022
The associations between vitamin D, bone mineral density and the course of inflammatory bowel disease in Polish patients.
There are various factors contributing to the pathogenesis of osteoporosis in inflammatory bowel disease (IBD), including steroid therapy, malnutrition, and vitamin D deficiency. ⋯ Vitamin D may not be the only factor affecting BMD. Patients with IBD should supplement a higher dose of vitamin D than healthy adults.
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Pol. Arch. Med. Wewn. · Dec 2022
Atherosclerotic renovascular disease and cardiovascular risk: new concepts.
Renal vascular hypertension (RVHT) is one of the most common secondary forms of hypertension. It is estimated that 1% to 5% of all cases of hypertension can be attributed to RVHT. RVHT is generally caused by progressive stenosis of the renal artery most often due to atherosclerosis, and less often caused by fibromuscular dysplasia. ⋯ Atherosclerotic renovascular disease is recognized as a relevant risk factor for cardiovascular morbidity and mortality. Studies published so far documented ARAS as a predictor of higher cardiovascular risk and showed that mortality after incidental ARAS diagnosis is much higher than that observed in the general population. Proper recognition of the patients with ARAS who would benefit from interventional treatment is crucial, particularly for identification of patients with true resistant hypertension, flash pulmonary edema, and progressive impairment of renal function.
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Pol. Arch. Med. Wewn. · Dec 2022
Smoking cessation after coronary angiography and percutaneous coronary intervention.
Smoking is a crucial modifiable risk factor for coronary artery disease. However, effective support in smoking cessation (SC) and data regarding factors related to SC are still inadequate. ⋯ A substantial number of patients who underwent CA were current smokers, with low SC rates in the follow‑up. A prolonged hospital stay, scheduled second hospitalization, low nicotine dependence but also a high load of pack‑years increased the chances of SC, which underscores the need for intensive and repetitive in‑hospital counseling in the whole population of smokers.