Diagnosis and management of polycystic ovarian syndrome
Jan 29, 2024 · Box 1: Evidence used in this review. We drew on the international guideline on the management of polycystic ovarian syndrome (PCOS) published by the European Society of Human Reproduction and Embryology and the American Society for Reproductive Medicine in 2023 and the hirsutism guideline published by the Endocrine Society in 2018.1, 3, 7 We also searched articles in PubMed from 2018–2023 ...
Diagnosis and management of postural orthostatic tachycardia …
Mar 14, 2022 · The orthostatic tachycardia must occur in the absence of classical orthostatic hypotension, but transient initial orthostatic hypotension10 does not preclude a diagnosis of POTS.5 The patient’s heart rate should rise by at least 30 beats/min (or ≥ 40 beats/min if patient is aged 12–19 yr) in at least 2 measurements taken at least 1 minute apart ().
CMAJ
Nevena Rebić, Lucy Cheng, Michael R. Law, Jacquelyn J. Cragg, Lori A. Brotto and Mary A. De Vera
Hyperferritinemia - CMAJ
Oct 4, 2021 · Ferritin is a cellular iron storage protein and an acute phase reactant. Clinicians obtain ferritin levels when they suspect iron deficiency or overload; they may also obtain ferritin levels during the work-up of some hematologic or autoimmune conditions.1 – 4 Levels may be elevated in many chronic conditions or during acute illness, which can confound interpretation.2 Levels that return to ...
Apolipoprotein B in cardiovascular risk assessment | CMAJ
Aug 28, 2023 · Apolipoprotein (apo) B measurement is a recommended alternative to low-density lipoprotein cholesterol (LDL-C) The 2021 Canadian Cardiovascular Society guideline on dyslipidemia recommends that physicians may use levels of either non-high-density lipoprotein cholesterol (HDL-C) or apo B instead of LDL-C for screening and targets of treatment.1 Non-HDL-C represents total cholesterol minus ...
Postinfectious cough in adults - CMAJ
Feb 12, 2024 · Postinfectious cough affects 11%–25% of adults after a respiratory infection. Postinfectious cough is defined as a subacute cough, with symptoms lasting between 3 and 8 weeks.1 The preceding infection triggers an inflammatory cascade, increasing bronchial sensitivity and mucus production, while reducing mucus clearance.1
Management of patients after coronary artery bypass grafting
May 10, 2021 · KEY POINTS About 15 000 people in Canada undergo coronary artery bypass grafting (CABG) surgery each year.[1][1] According to the 2019 Canadian Institute for Health Information Cardiac Care Quality Indicators Report, 9.4% of these patients are urgently readmitted to hospital within 30 days of CABG
Obesity in adults: a clinical practice guideline | CMAJ
Aug 4, 2020 · Decreased food intake and increased physical activity lead to a negative energy balance and trigger a cascade of metabolic and neurohormonal adaptive mechanisms.25, 26 Therapies that target these alterations in neurohormonal mechanisms can become effective tools in the long-term management of obesity.27 Novel approaches to diagnose and assess obesity in clinical practice have been proposed.11 ...
A pragmatic approach to the management of menopause - CMAJ
May 15, 2023 · What is the prevalence and impact of menopausal symptoms? The median age of menopause is 51 years, which has remained consistent over the last century, despite a trend toward an earlier age of menarche.1, 2 “Symptoms of menopause often start during the perimenopausal period, even as early as 10 years before the last menstrual period.1, 3 Globally, 1.0%–3.7% of women experience premature ...
Boerhaave syndrome - CMAJ
Sep 27, 2021 · A 46-year-old man presented to the emergency department having had 2 large, nonbloody vomits and abdominal pain over the preceding 3 hours. He had no history of gastresophageal reflux disease or other relevant medical conditions. He had a 20-year history of drinking 10–15 cans of beer a week. On