Publications by authors named "George V Dous"

3 Publications

  • Page 1 of 1

Elevated troponin in patients with acute stroke - Is it a true heart attack?

Egypt Heart J 2017 Sep 14;69(3):165-170. Epub 2017 Feb 14.

Richmond University Medical Center, Department of Cardiology, Staten Island, New York, United States.

Although the prognostic value of a positive troponin in an acute stroke patient is still uncertain, it is a commonly encountered clinical situation given that Ischemic Heart Disease (IHD) and cerebrovascular disease (CVD) frequently co-exist in the same patient and share similar risk factors. Our objectives in this review are to (1) identify the biologic relationship between acute cerebrovascular stroke and elevated troponin levels, (2) determine the pathophysiologic differences between positive troponin in the setting of acute stroke versus acute myocardial infarction (AMI), and (3) examine whether positive troponin in the setting of acute stroke has prognostic significance. We also will provide an insight analysis of some of the available studies and will provide guidance for a management approach based on the available data according to the current guidelines.
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http://dx.doi.org/10.1016/j.ehj.2017.01.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883484PMC
September 2017

Menopausal hormone treatment in postmenopausal women: risks and benefits.

South Med J 2014 Nov;107(11):689-95

From the Richmond University Medical Center, Department of Medicine, Cardiology and Endocrinology, Staten Island, NY.

Our objectives in this review were to examine the relevant menopausal hormone treatment (MHT) trials in postmenopausal women during the past 3 decades, provide an insight analysis of these studies from a clinical point of view, determine the efficacy and applicability of hormone therapy in the prevention of cardiovascular diseases, and provide suggestions on the use of MHT as a cardiovascular disease prophylaxis based on the available data. MHT may have a more complicated role in cardiovascular protection, and there is a need for further research to elucidate the dose and type of estrogen, its route of administration, the time of MHT initiation, and the preventive role of MHT in women's health.
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http://dx.doi.org/10.14423/SMJ.0000000000000192DOI Listing
November 2014

Quality of life in body dysmorphic disorder.

CNS Spectr 2012 Dec 3;17(4):167-75. Epub 2012 Sep 3.

Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.

Body dysmorphic disorder (BDD) has a significant impact on the patients' quality of life (QOL). This is an initial literature review of QOL in patients with BDD, examining the extent of QOL impairments, the impact of psychiatric comorbidity on QOL, and the effect of treatment on QOL in BDD. Studies were identified through PubMed, MEDLINE, and PsycINFO searches from 1960-2011 using the keywords: "quality of life," "body dysmorphic disorder," "dysmorphophobia," and "body image." Studies included in this review were selected using specific criteria by two authors reaching consensus. Most BDD research studies have used symptom severity measures mainly to study BDD and its treatments. BBD with or without comorbidities is significantly associated with poor QOL and functioning. Studies show that treatment of BDD, either by psychopharmacological treatments such as selective serotonin reuptake inhibitors (SSRIs) or cognitive behavior therapy, might have positive effects on QOL, although these results need to be replicated in larger studies. In conclusion, QOL could add significant value to the assessment of BDD if used as one of the primary measures in research and clinical work in BDD, by providing more information and clearer understanding on the impact of the illness on satisfaction with activities of daily life and overall sense of wellbeing before and after treatment.
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http://dx.doi.org/10.1017/S1092852912000624DOI Listing
December 2012