Should We Perform a Heart Failure Risk Score?

Should we perform a heart failure risk score?

The MESA heart failure risk score: can't we do more?

In 1987, Framingham Heart Study pioneer Dr William B Kannel wrote, ‘Epidemiologic data on incidence and prognosis of cardiac failure in the general population are actually quite sparse.’ Dr Kannel proceeded to report risk factors for heart failure identified in Framingham that included hypertension, ECG LV hypertrophy, obesity, diabetes, radiographic cardiac enlargement and cigarette use. Over ...

Should we perform polypectomy or not?

Hong Kong Med J ⎥ Volume 20 Number 4 ⎥ August 2014 ⎥ www.hkmj.org A 78-year-old woman, with a known history of rheumatoid arthritis, complained of dizziness and was found to have iron-deficiency anaemia with a haemoglobin level of 105 g/L in January 2013. She was on treatment with methotrexate, sulphasalazine, and non-steroidal anti-inflammatory medications. Oesophagogastroduodenoscopy performi...

Should We Perform Semen Analysis, DNA Fragmentation, and Hypo-osmotic Swelling Tests together?

Semen analysis, sperm DNA fragmentation (SDF) and hypo-osmotic swelling test (HOST) are usually performed for the evaluation of sperm fertilizing ability. There are some debates over the necessity of SDF and HOST incorporation in male infertility work-up.Semen of 77 men was evaluated by SDF and HOST through three semen analyses. Sperm parameters were arranged into different categories: <5%, 5-1...

Atrial fibrillation in heart failure: what should we do?

Heart failure (HF) and atrial fibrillation (AF) are two conditions that are likely to dominate the next 50 years of cardiovascular (CV) care. Both are increasingly prevalent and associated with high morbidity, mortality, and healthcare cost. They are closely inter-related with similar risk factors and shared pathophysiology. Patients with concomitant HF and AF suffer from even worse symptoms an...