9,445 results match your criteria Polskie Archiwum Medycyny Wewnetrznej Polish Archives of Internal Medicine[Journal]


Normative values for magnetic resonance elastography-based liver stiffness in a healthy population.

Pol Arch Intern Med 2019 Feb 22. Epub 2019 Feb 22.

INTRODUCTION Chronic liver disease resulting in fibrosis, and ultimately cirrhosis, is a significant cause of morbidity and mortality worldwide. None of the conventional imaging techniques are able to detect early fibrosis and compare its grade with the histopathologic scale. Liver biopsy, as the diagnostic standard for liver fibrosis, also has limitations and is not well accepted by patients. Read More

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http://dx.doi.org/10.20452/pamw.4456DOI Listing
February 2019

Clinical and linguistic validation of the Polish version of VascuQoL, a disease-specific quality of life questionnaire assessing patients with chronic limb ischemia.

Pol Arch Intern Med 2019 Feb 22. Epub 2019 Feb 22.

INTRODUCTION Objective clinical assessments should include patient-reported outcome measures. VascuQoL is an established disease specific questionnaire assessing quality of life in patients with peripheral artery disease (PAD). Quality of life questionnaires require geographical localization and validation. Read More

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http://dx.doi.org/10.20452/pamw.4455DOI Listing
February 2019

Noninvasive assessment of liver status in adult Fontan patients.

Pol Arch Intern Med 2019 Feb 19. Epub 2019 Feb 19.

INTRODUCTION A hemodynamic derangement in Fontan circulation causes liver pathology identified as Fontan associated liver disease. Although liver biopsy in a standard for recognition of liver fibrosis, noninvasive methods are being developed, including shear wave elastography (SWE). Objectives: The aim of the study was to evaluate the degree of liver stiffness (LS) using SWE among Fontan patients in a long-term follow-up and to investigate the relationship between patient characteristics and LS. Read More

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http://dx.doi.org/10.20452/pamw.4452DOI Listing
February 2019

Clinical classification of rare cardiac arrhythmogenic and conduction disorders, and rare arrhythmias.

Pol Arch Intern Med 2019 Feb 19. Epub 2019 Feb 19.

INTRODUCTION Rare cardiovascular diseases and disorders (RCDD) constitute important clinical problems and their proper classification is crucial for expanding knowledge in the field of RCDD. The aim of this paper is to provide an updated classification of rare arrhythmogenic and conduction disorders, and rare arrhythmias (RACDRA). METHODS We performed a search for RACDRA using the Orphanet rare diseases inventory, which includes diseases having a prevalence of 5 per 10 000 in the general population or less. Read More

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http://dx.doi.org/10.20452/pamw.4451DOI Listing
February 2019

Hymenoptera sting in the head and neck region is not a risk factor for grade IV allergic reaction in venom allergic patients.

Pol Arch Intern Med 2019 Feb 14. Epub 2019 Feb 14.

INTRODUCTION Hymenoptera insects stings (ISs) in the head and neck (H&N) region are commonly considered to be a risk factor for grade IV systemic reactions (IV-SYS-R) in Hymenoptera Venom Allergic patients (HVA). However, clinical data addressing this topic is scarce. OBJECTIVES The aim of our study was to verify whether ISs in the H&N region were related to a higher risk of IV-SYS-R in HVA patients. Read More

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http://pamw.pl/en/node/4448
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http://dx.doi.org/10.20452/pamw.4448DOI Listing
February 2019
3 Reads

Lens autofluorescence ratio as a noninvasive marker of peripheral diabetic neuropathy.

Pol Arch Intern Med 2019 Feb 14. Epub 2019 Feb 14.

INTRODUCTION Diabetes and its complications are a significant cause of morbidity and mortality. Advanced glycation endproducts (AGEs) play a major role in the pathogenesis of  diabetes complications. OBJECTIVES To investigate the possible uses of a biomicroscope (ClearPath DS-120) that shows age-adjusted lens fluorescence ratios (LFRs) for the diagnosis of diabetic peripheral neuropathy (DPN). Read More

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http://dx.doi.org/10.20452/pamw.4449DOI Listing
February 2019
1 Read

Obstructive and non-obstructive coronary artery disease in long-lasting type 1 diabetes: a 7-year prospective cohort study.

Pol Arch Intern Med 2019 Feb 13. Epub 2019 Feb 13.

INTRODUCTION It is widely believed that patients with diabetes are at increased risk of severe and premature coronary artery disease (CAD) when compared to non-diabetic individuals. OBJECTIVES To evaluate the prevalence, 7-year incidence, predictors, and outcomes of obstructive and non-obstructive CAD in patients with long-lasting type 1 diabetes. PATIENTS AND METHODS We enrolled 2330 patients at a median age of 50 years with a median diabetes duration of 32 years. Read More

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http://dx.doi.org/10.20452/pamw.4440DOI Listing
February 2019
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Platelet to red cell distribution width ratio for predicting clopidogrel efficacy in patients undergoing percutaneous coronary interventions: insights from ONSIDE-TEST study.

Pol Arch Intern Med 2019 Feb 13. Epub 2019 Feb 13.

INTRODUCTION Dual antiplatelet therapy (DAPT) with aspirin and clopidogrel remains a cornerstone of pharmacotherapy after percutaneous coronary intervention (PCI). It has been demonstrated that even up to 30% of patients receiving DAPT is characterized by inadequate response to clopidogrel, namely high on-treatment platelet reactivity (HPR). The platelet to red cell distribution width (P-RDW) ratio represents an indicator of cardiovascular risk and may be related to HPR. Read More

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http://dx.doi.org/10.20452/pamw.4441DOI Listing
February 2019

Corrections.

Authors:

Pol Arch Intern Med 2019 Jan 31;129(1):868. Epub 2019 Jan 31.

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http://dx.doi.org/10.20452/pamw.4434DOI Listing
January 2019

World Thrombosis Day 2018 in Poland.

Pol Arch Intern Med 2019 Jan 31;129(1):865-867. Epub 2019 Jan 31.

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http://dx.doi.org/10.20452/pamw.4432DOI Listing
January 2019

A sleep apneic's gene: perspectives for development of diabetes.

Authors:
Prachi Singh

Pol Arch Intern Med 2019 01 31;129(1):800-801. Epub 2019 Jan 31.

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http://dx.doi.org/10.20452/pamw.4431DOI Listing
January 2019

Effect of short-term fluctuations in outdoor air pollution on the number of hospital admissions due to acute myocardial infarction among inhabitants of Krakow, Poland.

Pol Arch Intern Med 2019 Jan 28. Epub 2019 Jan 28.

INTRODUCTION Air pollution is reaching alarming proportions worldwide; however, previous studies concerning the association between air pollution and myocardial infarction (MI) provided conflicting results. OBJECTIVES We evaluated a relationship between short-term fluctuations in outdoor particulate matter (PM) and nitrogen dioxide (NO2) levels and the number of hospitalisations due to MI among the inhabitants of Krakow, Poland. PATIENTS AND METHODS Data on hospitalisations, daily pollutant concentrations, infections, and meteorological parameters were collected from December 2012 to September 2015. Read More

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http://dx.doi.org/10.20452/pamw.4424DOI Listing
January 2019

Role of gestational weight gain, gestational diabetes, breastfeeding, and hypertension in mother-to-child obesity transmission.

Pol Arch Intern Med 2019 Jan 28. Epub 2019 Jan 28.

Given the reported 30% prevalence of early-life obesity in Western countries, the non-genetic maternally-derived risk factors for excess body mass in offspring have been widely investigated recently. This review article aimed to analyze the results of 67 articles published from 2014 onwards that investigated causative non-genetic-based associations between maternal and infantile excess body mass. Excessive gestational weight gain was found to increase the incidence of excess body mass in offspring, reaching nearly 20% by 2 years of age. Read More

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http://pamw.pl/en/node/4426
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http://dx.doi.org/10.20452/pamw.4426DOI Listing
January 2019
7 Reads

Differences in clinical characteristics and one-year outcomes of hospitalized heart failure patients in succeeding European Society of Cardiology-Heart Failure Registries - Pilot and Long-Term.

Pol Arch Intern Med 2019 Jan 16. Epub 2019 Jan 16.

INTRODUCTION The management of heart failure (HF) has significantly changed in recent decades. OBJECTIVES The paper analyzes clinical profile, one-year outcomes, predictors of mortality and hospital readmissions in hospitalized patients enrolled in the European Society of Cardiology HF-Pilot (ESC-HF-Pilot) and HF-Long Term (ESC-HF-LT) Registries. PATIENTS AND METHODS The analysis included hospitalized Polish patients from the ESC-HF-Pilot and ESC-HF-LT Registries. Read More

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http://pamw.pl/en/node/4418
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http://dx.doi.org/10.20452/pamw.4418DOI Listing
January 2019
8 Reads

Filiform polyposis of ulcerative colitis.

Pol Arch Intern Med 2019 Jan 4. Epub 2019 Jan 4.

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http://dx.doi.org/10.20452/pamw.4416DOI Listing
January 2019
1 Read

Prospective study on the prognostic value of repeated carotid intima-media thickness assessment in patients with coronary and extra coronary steno-occlusive arterial disease.

Pol Arch Intern Med 2019 Jan 29;129(1):808-817. Epub 2018 Dec 29.

INTRODUCTION It is debatable whether the rate of change in carotid intima‑media thickness (CIMT) may be used as a risk indicator of major adverse cerebral and coronary events (MACCEs) in patients with either coronary (CAD) and peripheral artery disease (PAD). OBJECTIVES This prospective study aimed to evaluate the association between CIMT changes and the incidence of MACCEs, in patients with symptomatic CAD and PAD. PATIENTS AND METHODS The study comprised 466 patients admitted with steno‑occlusive disease, in whom revascularization was performed for an index lesion. Read More

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http://pamw.pl/en/node/4407
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http://dx.doi.org/10.20452/pamw.4407DOI Listing
January 2019
2 Reads

Impact of polymorphism of selected genes on the diagnosis of type 2 diabetes in patients with obstructive sleep apnea.

Pol Arch Intern Med 2019 Jan 29;129(1):802-807. Epub 2018 Dec 29.

INTRODUCTION Although the coexistence of type 2 diabetes mellitus (T2DM) and obstructive sleep apnea (OSA) may be attributed to environmental risk factors common for both diseases, a genetic background should also be considered. Data on the role of genetic factors in the development of T2DM in patients with OSA are lacking. OBJECTIVES The study was aimed to evaluate the prevalence of polymorphisms of selected genes that are known to be associated with diabetes or obesity in patients with OSA and concomitant T2DM and to assess these polymorphisms in the context of OSA severity. Read More

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http://dx.doi.org/10.20452/pamw.4406DOI Listing
January 2019
4 Reads

Diagnostic imaging in patients after endovascular aortic aneurysm repair with special focus on ultrasonographic contrast agents.

Pol Arch Intern Med 2018 Dec 29. Epub 2018 Dec 29.

INTRODUCTION Endovascular treatment of abdominal aortic aneurysms (AAA) constitutes an alternative to the classical surgical approach. The procedure may be complicated by specific complications including persistent flow within the aneurysm sac, otherwise known as endoleak. OBJECTIVES To assess the utility of ultrasonographic contrast agents in diagnosis of endoleaks after endovascular abdominal aortic aneurysm repair. Read More

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http://dx.doi.org/10.20452/pamw.4409DOI Listing
December 2018
1 Read

Perioperative management of patients who are receiving antiplatelet therapy: a case-based, evidence-informed approach.

Pol Arch Intern Med 2018 Dec 21;128(12):771-778. Epub 2018 Dec 21.

Addressing the optimal management approach for patients who are receiving single or dual antiplatelet therapy is a common and sometimes challenging clinical problem, especially for patients with coronary stents who are receiving dual antiplatelet therapy with acetylsalicylic acid (ASA) combined with a P2Y12 inhibitor. Using a case-based format, we summarize the findings of recent clinical trials and key observational studies which help inform best practices for the perioperative antiplatelet management of noncardiac surgery and coronary artery bypass graft surgery. In this review, we explore the evidence to address 3 key questions: What is the minimum duration that a surgery should be delayed after coronary stent implantation? In patients who are receiving single antiplatelet therapy with ASA, how to manage patients who require noncardiac and cardiac surgery? In patients who are receiving dual antiplatelet therapy for a coronary stent, how to manage patients who require noncardiac and cardiac surgery? Read More

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http://dx.doi.org/10.20452/pamw.4403DOI Listing
December 2018
3 Reads

Aortic stenosis - a moving target.

Pol Arch Intern Med 2018 Dec 21;128(12):719-720. Epub 2018 Dec 21.

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http://dx.doi.org/10.20452/pamw.4402DOI Listing
December 2018
1 Read