Comorbidities in clinical practice. Algorithms for diagnostics and treatment

@article{Oganov2019ComorbiditiesIC,
  title={Comorbidities in clinical practice. Algorithms for diagnostics and treatment},
  author={R. G. Oganov and Vladimir I. Simanenkov and Igor G. Bakulin and Natalya V. Bakulina and Olga Leonidovna Barbarash and Sergey A. Boytsov and Svetlana A. Boldueva and N. P. Garganeeva and V. L. Doshchitsin and Andrei E. Karateev and Yu. V. Kotovskaya and A. M. Lila and M. M. Lukyanov and T. E. Morozova and Anton P. Pereverzev and Marina M. Petrova and Yu. M. Pozdnyakov and A. V. Syrov and A. V. Tarasov and Olga N. Tkacheva and S. A. Shalnova},
  journal={Cardiovascular Therapy and Prevention},
  year={2019}
}
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References

SHOWING 1-10 OF 107 REFERENCES
[Guidelines on cardiovascular disease prevention in clinical practice].
These recommandations are largely based on the "European Guidelines on Cardiovascular Disease Prevention in Clinical Practice" proposed by the "Third Joint Task Force of European and other Societies
2018 ESC/ESH Guidelines for the management of arterial hypertension.
TLDR
New guidelines for the management of arterial hypertension focus on improving the diagnosis and treatment of hypertension and promoting simple and effective treatment strategies, for poorly controlled blood pressure (BP).
NSAID-induced Gastrointestinal Injury: A Focused Update for Clinicians.
  • J. Scheiman
  • Medicine
    Journal of clinical gastroenterology
  • 2016
TLDR
The injury induced by these agents throughout the GI tract is discussed as well as strategies to prevent acute injury and reduce the development of serious adverse events.
Practical geriatric assessment
TLDR
Practical tools to assess function and conditions that impact function in a busy clinic setting are presented and healthcare providers are encouraged to use these tools to help care for their older patients, all while keeping in mind individual patient function, safety and goals of care.
Neuropsychiatric syndromes in patients with systemic lupus erythematosus and rheumatoid arthritis.
TLDR
NP syndromes, regardless of etiology, are common in both SLE and RA patients, and depression scores were significantly higher in SLE patients with a history of cumulative NP events compared to RA patients with NP events.
POLYPHARMACY: OPTIMIZING MEDICATION USE IN ELDERLY PATIENTS
Barbara Farrell, BScPhm, PharmD, FCSHP, (bfarrell@bruyere.org) is a pharmacist with the Bruyère Continuing Care Geriatric Day Hospital; clinical and research coordinator for the Pharmacy Department,
Functional Dyspepsia in Review: Pathophysiology and Challenges in the Diagnosis and Management due to Coexisting Gastroesophageal Reflux Disease and Irritable Bowel Syndrome
TLDR
Diagnostic testing such as pH impedance manometry of the distal esophagus to the current common diagnostic tests might be helpful in distinguishing between functional dyspepsia and reflux disease.
Frailty in older adults: evidence for a phenotype.
TLDR
This study provides a potential standardized definition for frailty in community-dwelling older adults and offers concurrent and predictive validity for the definition, and finds that there is an intermediate stage identifying those at high risk of frailty.
International prevalence, recognition, and treatment of cardiovascular risk factors in outpatients with atherothrombosis.
TLDR
This large, international, contemporary database shows that classic cardiovascular risk factors are consistent and common but are largely undertreated and undercontrolled in many regions of the world.
...
...