The RAMSES study showed a higher prevalence of OAC use among NVAF patients than that reported in previous studies. Although NOACs were preferred over VKAs in daily cardiology practice, there is a need for improved OAC therapies for NVAF patients.
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General HealthHealth
Effects of ivabradine on 6-minute walk test and quality of life in patients with previously implanted crt-d
by clinicby clinicIvabradine treatment produced dose-dependent reductions in heart rate at rest and at peak exercise (91.9 ± 6.3 to 71.7 ± 4.8 and 114.4 ± 7.6 to 96.8 ± 4.8; P = 0.001 and P = 0.001, respectively). There were also significant improvements in life quality score (52.4 ± 9.5 to 37.9±7.8; P = 0.001) and 6-minute walking distance (278.7 ± 85.8 to 373.3 ± 94.0; P = 0.001) of patients. All patients with New York Heart Association class III became class II after 3 months of ivabradine treatment.
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Deterioration of heart rate recovery index in patients with erectile dysfunction
by clinicby clinicAll HHR indices were found to be significantly decreased in patients with erectile dysfunction (p<0.001). Effort capacity was markedly lower (9.1±2.3 vs. 10.4±2.3 METs, p=0.002) among patients with erectile dysfunction. HRR1 and HRR3 were found to be an independent risk factor for erectile dysfunction (Beta=0.462, p<0.001; Beta=0.403, p<0.001; respectively) in linear regression analysis.
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Epicardial fat tissue predicts increased long-term major adverse cardiac event in patients with moderate cardiovascular risk
by clinicby clinicWe investigated the relationship between epicardial fat volume (EFV) measured by multislice computed tomography (MDCT) and long-term major adverse cardiac events (MACEs). Consecutive patients (n = 564) were enrolled in this retrospective study. Patients were divided into tertiles according to EFV. Patients were followed up for an average of 18 months. Patients in each tertile were similar in terms of gender and risk factors. Patients with greater EFV in the third group were more likely to be overweight (P = .001) and older (P = .001). High-density lipoprotein cholesterol levels were relatively lower in the third tertile (45 ± 9, 45 ± 11, and 43 ± 9 mg/dL, respectively; P = .018). The third group had a significantly higher rate of myocardial infarction (0.6%, 1.1%, and 3.7%, respectively; P = .043). The incidence of MACEs during the follow-up period was highest in the third group 15.9% (4.1%, 7.7%, and 15.9%, respectively; P = .001). Epicardial fat volume measured by MDCT was associated
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Evaluation of echocardiographic epicardial fat thickness as a sign of cardiovascular risk in positive exercise test patients
by clinicby clinicEFT was significantly correlated with the severity and prevalence of coronary artery disease in positive exercise test patients. Keywords: Angiography, Coronary artery disease, Epicardial adipose tissue volume
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Epicardial fat and liver disease; the contribution of cardio autonomic nervous system function
by clinicby clinicAs a consequence, we believe that the impairment of the cardiac autonomic nervous system function may be helpful in explaining the results of the article by Petta et al., [[1] ]. We hope that the above-mentioned items would add to the value of the well-written article of Petta et al. on the relationship between epicardial fat and NAFLD.
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Letter to the editor: the effect of autonomic nervous system on the association between epicardial adipose tissue and cognitive function
by clinicby clinicAs a consequence, we believe that the relationship between on ANS function may be helpful in explaining the result of the article by Mazzoccoli et al. (3). We hope that the above-mentioned items would add to the value of the well-written article of Mazzoccoli et al. regarding the relationship between epicardial adipose tissue and impairment of CF.
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Peripheral artery disease and atrial fibrillation: the dangerous combination.
by clinicby clinicOn the other hand, there are some doubts about the anticoagulation regime of the patients of this study. In this study, about 6% of patients had a diagnosis of atrial fibrillation. Presence of risk factors such as hypertension, diabetes, coronary artery disease, and old age in the study population is associated with thromboembolism, bleeding, and high mortality risk. Therefore, CHADS2 or CHA2DS2-VASc (5) scores should have been calculated and possible effects should have been explained before discussing the study results
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Health
The effect of group counseling based on solution-focused counseling on rumination and learned helplessness.
by clinicby clinicThe Effect of Group Counseling Based on Solution-Focused Counseling Approach on Rumination and Learned Helplessness
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Emotional eating is an overeating behavior triggered by emotions. Emotional eating is also defined as an impaired eating behavior. Most people feel happy when they eat, but the main negative emotions trigger emotional eating. Negative emotions such as anger, fear, stress, and sadness trigger impaired eating behaviors. Emotional eaters tend to overeat to suppress these feelings. Emotional eaters eat high-calorie diets based on carbohydrates and fats. This is due to the stimulation of the reward pathway in the brain. Emotional eating is also linked to diseases such as obesity, heart disease, eating disorders, and depression. As individuals with obesity have a tendency to emotional eating, emotional eaters are more prone to obesity. In addition, the emotional changes experienced by bariatric surgery candidates, which is a treatment for obesity, push these individuals to emotional eating. Emotional eating causes deterioration of health, weight gain, and various diseases in humans.
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