PURPOSE The role of surgery in the management of diverticular disease after an episode of acute diverticulitis (AD) managed in a conservative form is evolving. Age, number of episodes of AD, type of episode, and symptoms after the episodes are factors related to the need for elective surgery. The aim of this study is to evaluate the safety of conservative management and the risk factors for eme...

Management of anticoagulant and antiplatelet therapy is a common clinical problem in case urgent or elective gastrointestinal endoscopic procedures. Anticoagulants agents are widely used drugs for cardiovascular prevention reducing the risk thromboembolic events. Gastrointestinal bleeding represents serious complication their use. It’s recommended temporary interruption anticoagulants clinicall...

Background and Purpose: Preoperative fast is the essential part of preoperative care for those patients who are candidates for elective surgery. Fast prolongation results in side effects such as: sweating, irritability, decrease in blood sugar and restlessness. Despite the noticeable changes in fasting guidelines and their application in many countries, it seems that in Iran, these rules are no...

A significant progress in the treatment of heart failure occurred during the last 20 years. These advances were associated with the introduction and subsequent widespread use of angiotensin- -converting enzyme inhibitors and beta blockers, but also with progress in device therapy and cardiac surgery. Overall, prognosis in patients with severe heart failure is similar to outcomes reported in mul...

OBJECTIVE To record disease progression and the timing of adverse events in patients on a waiting list for elective percutaneous coronary intervention (PCI). DESIGN Observational prospective study. SETTINGS A UK tertiary cardiothoracic centre, at a time when waiting lists for PCI were up to 18 months. PATIENTS 145 patients (116 men, median age 59.5 years) placed on an elective waiting lis...

Background—The benefit of catheter-based reperfusion for acute myocardial infarction (MI) is limited by a 5% to 15% incidence of in-hospital major ischemic events, usually caused by infarct artery reocclusion, and a 20% to 40% need for repeat percutaneous or surgical revascularization. Platelets play a key role in the process of early infarct artery reocclusion, but inhibition of aggregation vi...

OBJECTIVE Informed consent is central to ethical medical practice, but little is known about how the process takes place in clinical practice. Percutaneous coronary intervention (PCI) is a common revascularisation procedure. Studies report that patients overestimate benefits, forget the risks and are unaware of alternative treatments. The aim of this study was to describe PCI patients' and card...