The impact of new-onset atrial fibrillation in the setting of acute coronary syndrome.

Approximately 10 % of patients who have suffered from myocardial infarction develop new-onset atrial fibrillation (AF). Coronary artery disease implicating atrial branches has been associated with AF. The following variables have been associated with new-onset AF in the setting of acute coronary syndrome: older age, history of hypertension, history of angina, history of stroke, chronic renal failure, body mass index, no statin use, worse nutritional status, worse Killip class, admission heart rate ≥ 85 bpm, complete atrioventricular block, Glasgow prognostic score, Syntax score, CHEST score > 3, PRECISE-DAPT score ≥ 25, left ventricular ejection fraction ≤40 %, increased left atrial diameter, E/E' ratio > 12, epicardial fat tissue thickness, and thrombolysis in myocardial infarction flow < 3.

Post-concussion symptom burden and dynamics: Insights from a digital health intervention and machine learning.

Individuals who sustain a concussion can experience a range of symptoms which can significantly impact their quality of life and functional outcome. This study aims to understand the nature and recovery trajectories of post-concussion symptomatology by applying an unsupervised machine learning approach to data captured from a digital health intervention (HeadOn). As part of the 35-day program, patients complete a daily symptom diary which rates 8 post-concussion symptoms.

Recurrent Low-grade endometrial stromal sarcoma metastasized to the common iliac veins, extending into the inferior vena cava and right atrium after 12 years: A case report.

Introduction: Extrauterine recurrent metastasis of Low-grade endometrial stromal sarcoma (LG-ESS) to major blood vessels is largely rare with few reported cases.

Case: Herein, we present a case of a 51-year-old female with recurrent LG-ESS that has metastasized after 12 years to the inferior vena cava (IVC) and extended into the right atrium and common iliac veins. Computed tomography showed an intracardiac larger thrombus within the right atrium extending into the inferior vena cava and common iliac veins.

An Intradural Extramedullary Enterogenous Cyst in the Conus Medullaris: A Report of a Rare Presentation.

Intraspinal enterogenous cysts are rare congenital abnormalities that mainly develop in the spinal canal, more commonly in the cervical and thoracic regions, and rarely in the lumbar spine. We present a case of neurenteric (NE) cyst in the conus medullaris and cauda equina junction at the level of L1 in a patient presenting with a nine-year history of progressive lower limb weakness, paresthesia, and muscle wasting. The patient underwent complete resection of the cyst and had no postoperative complications with marked improvement of paresthesia and some localized pain in the lower back manageable by analgesics.

Clinical Neuroscience Research in Saudi Arabia: A Comparative Evaluation of Performance at Country and Worldwide Levels Based on the Relative Specialization Index.

This review is an appraisal of the performance of clinical neuroscience research in Saudi Arabia based on the measurement of the Relative Specialization Index (RSI). The latter is an established quantitative performance indicator that determines whether a country has a relatively higher or lower share in world publications in a specialty than its overall part in the world total publications. The study aimed to assess the trends in the specialty's RSI, comparing it to other medical specialties in Saudi Arabia and to that of the top 50 countries worldwide in clinical neuroscience.