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Zika virus infection and acute transverse myelitis: a comprehensive systematic review.
Rev Inst Med Trop Sao Paulo
December 2024
Universidade Federal da Bahia, Hospital Universitário Professor Edgard Santos, Salvador, Bahia, Brazil.
The Zika virus (ZIKV) has been associated with several complications, including acute transverse myelitis (ATM), an acute inflammation of the spinal cord, with rapid development of motor, sensory and dysautonomic symptoms. It is a rare disease, and its clinical features, as well as differences in relation to idiopathic ATMs, are still not completely known. The objective of this paper is to review the literature in search of clinical features and complementary exams of ATM post-ZIKV infection, alone or in association with other neurological conditions (mixed diseases), as well as its treatments and prognoses.
View Article and Find Full Text PDFLifestyle Effects on an Unusual Presentation of Syncope: A Case Report.
Cureus
September 2024
Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA.
Article Synopsis
- A 53-year-old Hispanic male, who had a history of palpitations and chronic marijuana use, experienced sudden loss of consciousness episodes after starting night shifts, leading to severe sleep deprivation.
- An EKG in the emergency department showed sinus bradycardia with a heart rate dropping to 37 bpm, and overnight monitoring revealed sinus pauses and incomplete right bundle branch block (RBBB).
- The patient was ultimately diagnosed with recurrent syncope, received an implantable loop recorder, which detected several sinus pauses, and was advised on lifestyle and dietary changes to help prevent future episodes.
A large language model-based clinical decision support system for syncope recognition in the emergency department: A framework for clinical workflow integration.
Eur J Intern Med
January 2025
Department of Cardiovascular Medicine, Humanitas Research Hospital, IRCCS, Rozzano, Milan, Italy.
Differentiation of syncope from transient loss of consciousness can be challenging in the emergency department (ED). Natural Language Processing (NLP) enables the analysis of free text in the electronic medical records (EMR). The present paper aimed to develop a large language models (LLM) for syncope recognition in the ED and proposed a framework for model integration within the clinical workflow.
View Article and Find Full Text PDFEvaluation of consequential risk in ED patients with non-cardiac syncope.
Am J Emerg Med
October 2024
Academy of Emergency Medicine and Care (AcEMC), 27100 Pavia, Italy.
Background: Following standard syncope care, after exclusion of cardiac syncope, further workup is generally only recommended in cases of severe syncope due to consequential risk such that syncope is associated with injury or negative impacts on quality of life. This study is aimed to identify incidence and risk factors of severe syncope due to consequential risk, in a cohort of ED patients with non-cardiac syncope.
Methods: In a sample of 356 cases, we we conducted a case-control study comparing personal data, drug regimen, comorbidities, characteristics of syncope and previous episodes in patients with vs.
Serious outcomes among emergency department patients with presyncope: A systematic review.
Acad Emerg Med
June 2024
Department of Emergency Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Background: Syncope is transient loss of consciousness, and in presyncope, patients experience same prodromal symptoms without losing consciousness. While studies have extensively reported the risk of serious outcome among emergency department (ED) syncope, the outcome for patients with presyncope and their management are not well studied. We undertook a systematic review to assess the occurrence/identification of short-term (30-day) serious outcomes among ED patients with presyncope.
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