16 results match your criteria: "Amager and Hvidovre University Hospital[Affiliation]"

Utilizing echocardiography and unsupervised machine learning for heart failure risk identification.

Int J Cardiol

January 2025

Department of Cardiology, Herlev and Gentofte University Hospital, Copenhagen, Denmark; The Copenhagen City Heart Study, Bispebjerg and Frederiksberg University Hospital, Copenhagen, Denmark; Department of Cardiology, Rigshospitalet, Copenhagen, Denmark; Institute of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark; Steno Diabetes Center Copenhagen, Denmark.

Article Synopsis
  • Global longitudinal strain (GLS) is an important indicator of heart failure risk, but analyzing the entire strain curve may uncover additional valuable information about heart health.
  • This study used unsupervised machine learning (uML) to examine strain curves from over 3700 participants, finding 10 distinct clusters that revealed unique patterns predicting heart failure risk independent of GLS.
  • One specific cluster (cluster 9) showed a significant association with heart failure, even among younger and seemingly healthier individuals, indicating that other strain characteristics beyond peak GLS value are crucial for risk assessment.
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Article Synopsis
  • Atrial fibrillation (AF) is a common heart condition causing irregular heartbeats, which increases risks for strokes and heart failure, and can negatively affect quality of life.
  • The study aims to evaluate the benefits and potential drawbacks of exercise-based cardiac rehabilitation (ExCR) compared to non-exercise methods for individuals with AF or those who have received treatment for it.
  • Researchers conducted a thorough search for randomized clinical trials assessing ExCR interventions, ensuring include participants over 18 with any subtype of AF, and analyzed data to determine the effectiveness and reliability of the evidence gathered.
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Aims: To examine educational outcomes among adolescents with type 1 diabetes and determine the role of comorbidity.

Methods: We conducted a nationwide register-based cohort study including 3370 individuals born between 1991 and 2003 and diagnosed with type 1 diabetes before the age of 16. They were all matched with up to four individuals without type 1 diabetes on age, gender, parents' educational level and immigration status.

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Urinary incontinence before and after pelvic organ prolapse surgery-A national database study.

Int Urogynecol J

August 2021

Department of Obstetrics and Gynecology, Herlev Gentofte University Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark.

Introduction And Hypothesis: To investigate how pelvic organ prolapse (POP) surgery affects symptoms of urinary incontinence (UI) in women with POP and concomitant UI.

Methods: Data from the Danish Urogynaecological Database were collected from 2013 to 2016. Inclusion criteria were urinary incontinent women who underwent POP surgery alone.

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Objective: We assessed the association of suPAR (soluble urokinase plasminogen activator receptor) plasma levels with fibrotic and vascular manifestations in patients with systemic sclerosis (SSc).

Methods: suPAR plasma levels were measured in 121 consecutive patients with SSc and correlated to pulmonary and vascular features of SSc, including interstitial lung disease as characterized by percentage of predicted CO diffusing capacity (DLco) and forced vital capacity (FVC), pulmonary fibrosis by computed tomography, and pulmonary arterial hypertension, telangiectasias, and digital ulcers.

Results: Overall, 121 SSc patients (84% females; mean age, 57 ± 12 [range: 22-79] years) were enrolled; 35% had diffuse cutaneous SSc.

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Background: Peripheral nerve blocks (PNBs) are increasingly popular in acute ankle fracture surgery but rebound pain may outweigh the benefits. The AnAnkle Trial was designed to assess the postoperative pain profile of PNB anaesthesia compared with spinal anaesthesia (SA).

Methods: The AnAnkle Trial was a randomised, two-centre, blinded outcome analysis trial.

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Background: Long-term treatment with corticosteroids causes loss of bone density, but the effects of using short-term high-dose systemic-corticosteroid therapy to treat acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are unclear. Our aim was to determine whether high-dose corticosteroid therapy affected bone turnover markers (BTMs) to a greater extent compared to low-dose corticosteroid therapy.

Methods: The CORTICO-COP trial (NCT02857842) showed that an eosinophil-guided corticosteroid intervention led to approximately 60% lower accumulated corticosteroid dose for hospitalized patients with AECOPD (low-dose group) compared with 5-day standard corticosteroid treatment (high-dose group).

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Background: Heart failure (HF) in patients with type 2 diabetes mellitus (T2D) has received growing attention. We examined the effect of HF development on prognosis compared with other cardiovascular or renal diagnoses in patients with T2D.

Methods And Results: Patients with new T2D diagnosis patients were identified between 1998 and 2015 through Danish nationwide registers.

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Background: Dyslipidaemia and low-grade inflammation are central in atherogenesis and linked to overweight and physical inactivity. Lifestyle changes are important in secondary prevention of coronary artery disease (CAD). We compared the effects of combined weight loss and interval training with interval training alone on physical fitness, body composition, dyslipidaemia and low-grade inflammation in overweight, sedentary participants with CAD.

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Pseudomonas aeruginosa and risk of death and exacerbations in patients with chronic obstructive pulmonary disease: an observational cohort study of 22 053 patients.

Clin Microbiol Infect

February 2020

Department of Internal Medicine, Section of Respiratory Medicine, Herlev and Gentofte University Hospital, Copenhagen, Denmark; PERSIMUNE: Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen Ø, Denmark.

Objectives: The role of Pseudomonas aeruginosa in the long-term prognosis of chronic obstructive pulmonary disease (COPD) is unknown. The purpose of this study was to determine whether P. aeruginosa is associated with increased risk of exacerbations or death in patients with COPD.

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Background: Prevalent diabetes at the time of heart failure (HF) diagnosis is associated with a higher risk of death, but the incidence and prognostic importance of new-onset diabetes in patients with established HF remains unknown.

Methods: Patients with a first hospitalization for HF in the period 2003-2014 were included and stratified according to history of diabetes. Annual incidence rates of new-onset diabetes were calculated and time-dependent multivariable Cox regression models were used to compare the risk of death in patients with prevalent and new-onset diabetes with patients without diabetes as reference.

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Editorial commentary: Subclinical thyroid dysfunction and cardiovascular risk: Nothing to lose, everything to gain?

Trends Cardiovasc Med

February 2020

Herlev and Gentofte University Hospital, Department of Endocrinology, University of Copenhagen, Herlev, Denmark; Faculty of Health and Medical Sciences, University of Copenhagen, Denmark.

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Background: The positive impact of pulmonary rehabilitation (PR) in patients with COPD is well documented. However, little is known regarding the effect of this treatment in community-based settings. Since 2007, all Danish municipalities have been offering PR to patients with moderate to severe COPD, whereas patients with very severe disease or those suffering from many comorbidities were referred to outpatient hospital-based PR.

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Background: The inflammatory biomarker soluble urokinase plasminogen activator receptor (suPAR) is elevated in severe acute and chronic medical conditions and has been associated with short-term mortality. The role of suPAR in predicting risk of death following an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) has never been studied. We hypothesized that increased suPAR is an independent predictor of short-term mortality in patients admitted to hospital with COPD or acute respiratory failure.

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Long-Term Outcome in Levothyroxine Treated Patients With Subclinical Hypothyroidism and Concomitant Heart Disease.

J Clin Endocrinol Metab

November 2016

Department of Cardiology (M.N.A., A.-M.S.O., S.L.K., G.H.G.), Gentofte University Hospital, 2900 Hellerup, Denmark; Elective Laboratory of the Capital Region (J.C.M.), 1112 Copenhagen, Denmark; Department of Endocrinology (J.F.), Herlev University Hospital, 2730 Herlev, Denmark; Faculty of Health Sciences (J.F., G.H.G.), University of Copenhagen, 1165 Copenhagen, Denmark; Department of Health Science and Technology (C.T.-P.), University of Aalborg, 9100 Aalborg, Denmark; The Danish Heart Foundation (G.H.G.), 1120 Copenhagen, Denmark; The National Institute of Public Health (G.H.G.), University of Southern Denmark, 1399 Copenhagen, Denmark; and Department of Endocrinology (C.S.), Amager and Hvidovre University Hospital, 2650 Copenhagen, Denmark.

Context: Subclinical hypothyroidism is a common condition that may lead to impaired cardiac function.

Objective: This study sought to examine the effects of levothyroxine treatment in patients with subclinical hypothyroidism and heart disease.

Design: This was a register-based historical cohort study.

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Hyponatremia, all-cause mortality, and risk of cancer diagnoses in the primary care setting: A large population study.

Eur J Intern Med

December 2016

Faculty of Health and Medical Sciences, University of Copenhagen, Denmark; Department of Endocrinology, Herlev University Hospital, Herlev, Denmark.

Background: Hyponatremia has been associated with increased all-cause mortality in hospitalized individuals. In this study we examine the risk of all-cause mortality in primary care subjects with hyponatremia, while also exploring the association with subsequent diagnosis of cancer.

Methods: Retrospective cohort study on subjects who underwent blood tests, consulting their general practitioner 2000-2012 in Copenhagen, Denmark.

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