Internal Medicine
Clinical Significance of Ankle-Brachial Index
The ankle-brachial index is the ratio between systolic arterial pressures measured on the arms and the ankles. It is a highly sensitive and specific test for detecting peripheral arterial occlusive…
Read more ›Is Gender Difference in Development of Athlete’s Heart Related to 24-Hour Blood Pressure?
Long term athletic training is associated with an increase in left ventricular diastolic cavity dimensions, wall thickness, and mass. These changes are described as the »athlete's heart«. In men, athlete's…
Read more ›Comparison of Endothelial Function and Magnetic Resonance Characteristics of Vessel Wall among Patients with Classic and Dilatative Atherosclerosis
Background. Dilatative atherosclerosis is a rare form of degenerative process manifested by arterial aneurysms. It is believed that endothelial dysfunction is involved in dilatative atherosclerosis. For estimation of systemic endothelial…
Read more ›Anaesthesia in Patients with Myasthenia Gravis
Myasthenia gravis is an autoimmune disorder of the motor plate. The degree of reduction in the number of functional acetylcholine receptors correlates with the severity of myasthenia gravis as manifested…
Read more ›Indicators of Activated Coagulation in Patients with Venous Thrombosis and Mutation in the Genes for Prothrombin and Factor V
Mutation in the prothrombin gene (G20120A) and in the factor V gene (G1691A), which is manifested as resistance to the activated protein C (nAPC), are important risk factors for thromboembolic…
Read more ›Breaking Bad News
Breaking bad news is one of the most difficult challenges in doctor-patient communication. It is very important, however, to both the quality of the patient's life and the future connection…
Read more ›Insulin Resistance in Patients with Polycystic Ovary Syndrome
Polycystic ovary syndrome (PCOS) is the most common endocrine disease in fertile women. It is also closely associated with insulin resistance (IR). The purpose of this trial was to investigate…
Read more ›Incidence of Major Adverse Cardiac Events after Bare Metal and Drug Eluting Stent Implantation
Percutaneous coronary intervention with stent implantation is the therapy of choice for the treatment of patients with decreased blood flow through the coronary arteries. According to the Taxus II-Trial definition,…
Read more ›Anorectal History Taking and Digitorectal Examination
The pathology of the anorectum is rich. Evaluation of some symptoms frequently associated with diseases of the anus and rectum is presented. The general principles of history taking and digitorectal…
Read more ›Alcohol and Heart Disease
Small amounts of alcohol consumption are associated with a decrease in the incidence of coronary artery disease and total mortality, whereas with higher alcohol consumption an increase in total and…
Read more ›Aortic Dissection
Aortic dissection is a relatively rare but life-threatening disease, characterized by a formation of a tear in the aortic wall. Any part of aorta can be affected, most commonly ascending…
Read more ›Cardiovascular Diseases in Pregnancy
Pregnancy is associated with substantial cardiocirculatory changes that contribute to greater morbidity and mortality in women with underlying heart disease. An understanding of cardiovascular physiology during pregnancy is vital for proper…
Read more ›Dopppler Ultrasonography and Color-Power-Angio Imaging: Methods for Evaluation of Flow in Transjugular Intrahepatic Portosystemic Shunt – Case Report
Transjugular intrahepatic portosystemic shunt is an alternative therapeutic approach in the treatment of portal hypertension and its complications. Two cases with implanted transjugular intrahepatic portosystemic shunt are described. Doppler ultrasonography…
Read more ›Acute Hepatitis of Unexplained Aetiology
Speaking of acute hepatitis, acute viral hepatitis is what we usually have in mind, although a similar liver inflammation can also be caused by many other etiologic agents such as…
Read more ›The Effect of Menstrual Cycle on Hemostatic Tests
We studied 31 healthy volunteers with a normal menstrual cycle, who were divided according to their age into a group of younger women and a group of premenopausal women. During…
Read more ›Pulmonary Lymphangitic Carcinomatosis
Diffuse interstitial lung diseases, in the strict sense, are immunologically mediated inflammations accounting for up to 5% of all pulmonary diseases, while diffuse interstitial lung diseases in the broader sense…
Read more ›Collaterals of the Coronary Arteries
The main features of functional anatomy, physiology, pathophysiology and coronary angiography are presented and the clinical importance of coronary artery collaterals in patients with ischemic heart disease is discussed. Coronary…
Read more ›The Predictive Value of Hypertensive Reaction at Stress Testing
The aim of the study was to find out whether hypertensive reaction induced by exercise test, as well as the patient's body weight and heart rate can predict the development…
Read more ›Detection of Early Atherosclerotic Changes of Peripheral Arteries: Determining the Extent of Atherosclerotic Process and Effects of Risk Factors
Non-invasive ultrasound methods have been increasingly used for detecting morphological and functional changes in the arterial wall, indicating the beginning of atherosclerotic process. Early detection of atherosclerosis is of utmost…
Read more ›Can We Die from Fear?
The relationship between stressful emotions and sudden cardiac death is supported not only by anecdotal reports, but also by experimental, epidemiologic and clinical data. Links between emotional stress, neural control…
Read more ›Latest Views on Pathogenesis, Epidemiology, Clinical Picture and Diagnosis of Infective Endokarditis
Infective endocarditis is a disease with protean manifestations. The diagnosis is based mainly on the typical clinical signs and on a few laboratory parameters. The clinical and epidemiological aspects of…
Read more ›Prehospital Management of Patients with Cerebovascular Diseases
Acute stroke is increasingly recognized as one of the leading factors of morbidity and mortality in adult worldwide population, with a mortality rate in the acute stage of more than…
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