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  1. Artikel ; Online: An unusual case of marathon-related exercise associated collapse: Case report and some considerations for medical care at endurance mass participation events.

    Carenzo, Luca / Ghio, Federico Emiliano / Mariani, Nicholas / Adami, Paolo Emilio / Cecconi, Maurizio / Bonizzato, Sara

    Journal of science and medicine in sport

    2023  Band 27, Heft 1, Seite(n) 20–24

    Abstract: This article presents a unique exercise-associated collapse case during a marathon, highlighting the significance of evidence-based management for athletes on field. The patient, a 61-year-old experienced runner, collapsed near the finish line of the ... ...

    Abstract This article presents a unique exercise-associated collapse case during a marathon, highlighting the significance of evidence-based management for athletes on field. The patient, a 61-year-old experienced runner, collapsed near the finish line of the Milano City Marathon. He was aided immediately with CPR and AED. After excluding, through validated algorithms, common and life-threatening causes of collapse, the patient was transferred to hospital. The patient underwent diagnostic procedures, including CT and MRI scans, and hormonal tests that revealed pituitary hemorrhage and underlying coronary artery disease. Follow-up assessments and personalized care were instrumental in the patient's successful recovery and safe return to exercise.
    Mesh-Begriff(e) Humans ; Male ; Middle Aged ; Athletes ; Exercise/adverse effects ; Marathon Running ; Running
    Sprache Englisch
    Erscheinungsdatum 2023-10-20
    Erscheinungsland Australia
    Dokumenttyp Case Reports
    ZDB-ID 1437829-2
    ISSN 1878-1861 ; 1440-2440
    ISSN (online) 1878-1861
    ISSN 1440-2440
    DOI 10.1016/j.jsams.2023.10.010
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Role of emergency teleradiology in a mass motorcycle event: the experience of the 2021 International Six Days of Enduro (ISDE).

    Stomeo, Niccolò / Ghio, Federico Emiliano / Pallavicini, Paolo / Bonizzato, Sara / Serini, Carlo / Perera Molligoda Arachchige, Arosh S / Carenzo, Luca

    Emergency radiology

    2023  Band 30, Heft 6, Seite(n) 725–731

    Abstract: Purpose: Provision of healthcare support at mass gathering sporting events is of paramount importance for the success of the event. Many of such events, like motorsports, have been increasingly taking place in remote and austere environments. In these ... ...

    Abstract Purpose: Provision of healthcare support at mass gathering sporting events is of paramount importance for the success of the event. Many of such events, like motorsports, have been increasingly taking place in remote and austere environments. In these settings, the use of first-line diagnostic tools, such as point of care ultrasound and portable X-ray, could aid in definitive care on the field for patients with minor trauma while also ensuring fast access to the appropriate level of care for patients requiring hospitalization.
    Methods: As part of the ISDE 2021 medical response plan, a field hospital equipped with portable digital X-ray and telemedicine was established. Data on patient admission, triage, treatments, diagnostics, and outcomes were collected for analysis.
    Results: During the 6-day competition, 79 patients sought medical care at the field hospital, with traumatic injuries accounting for 77% of cases. Of these, 47 were athletes and 32 were non-athletes. The majority (91%) arrived spontaneously, while 9% were transported directly. Upon admission, 68 patients were triaged as non-urgent (code 3) and 11 as urgent (code 2). Of those admitted, 69 received treatment and were discharged at the field hospital, while 10 were transferred elsewhere. Notably, four patients had major trauma, two had isolated fractures, and one needed a CT scan after losing consciousness. Overall, 29 missions were conducted on the race field, including 13 primary transports to local hospitals and 6 to the field hospital. Primary transport was primarily due to major trauma. Among 31 patients who had radiological exams, 11 (35.5%) had traumatic injuries. Of these, 5 were treated with braces and casts and discharged without hospitalization, 3 were advised for post-event care, and 3 were hospitalized. In contrast, patients with negative X-rays received on-site treatment, with 7 able to continue competing.
    Conclusions: In summary, the successful implementation of portable X-ray machines and teleradiology at remote and austere high-risk sporting events holds great promise for enhancing on-site medical capabilities, allowing clinicians informed decisions, avoiding unnecessary hospitalization, and allowing athletes to continue with their competition. Provided that challenges related to cost, safety, connectivity, and power supply are effectively addressed.
    Mesh-Begriff(e) Humans ; Teleradiology ; Motorcycles ; Triage ; Fractures, Bone ; Hospitalization
    Sprache Englisch
    Erscheinungsdatum 2023-11-10
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1425144-9
    ISSN 1438-1435 ; 1070-3004
    ISSN (online) 1438-1435
    ISSN 1070-3004
    DOI 10.1007/s10140-023-02183-0
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Epicardial adipose tissue thickness and acute coronary syndrome: a matter of how much or how?

    Aprigliano, Gianfranco / Scuteri, Lea / Iafelice, Ida / Li Volsi, Laura / Cuko, Besart / Palloshi, Altin / Pisani, Matteo / Bonizzato, Sara / Bianchi, Michele / Morici, Nuccia

    International journal of cardiology

    2015  Band 199, Seite(n) 8–9

    Mesh-Begriff(e) Acute Coronary Syndrome/diagnostic imaging ; Adipose Tissue/diagnostic imaging ; Aged ; Echocardiography ; Female ; Humans ; Male ; Pericardium/diagnostic imaging ; Risk Factors ; Severity of Illness Index
    Sprache Englisch
    Erscheinungsdatum 2015-11-15
    Erscheinungsland Netherlands
    Dokumenttyp Letter
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2015.06.168
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Elevate concentrazioni sieriche di antigene carcinoembrionario in corso di ipotiroidismo.

    Bertola, Giorgio / Balza, Gianni / Oriani, Alessandro / Morganti, Daniela / Sironi, Claudiano / Bonizzato, Sara

    Recenti progressi in medicina

    2004  Band 95, Heft 4, Seite(n) 204–206

    Abstract: In this case-report we describe two patients with hypothyroidism and increased carcinoembryonic antigen (CEA) serum concentration. The former patient was a woman affected by primary autoimmune hypothyroidism, the latter by secondary hypothyroidism in ... ...

    Titelübersetzung Elevated concentration of serum carcinoembryonic antigen in hypothyroidism.
    Abstract In this case-report we describe two patients with hypothyroidism and increased carcinoembryonic antigen (CEA) serum concentration. The former patient was a woman affected by primary autoimmune hypothyroidism, the latter by secondary hypothyroidism in empty sella syndrome. In both of the patients we found no evidence of neoplastic disease and CEA serum concentrations reverted almost completely to the normal range values after the patients were given the hormonal replacement therapy with L-thyroxine. Although the association of hypothyroidism with elevated CEA serum concentrations has been already reported in the literature, hypothyroidism is usually disregarded when a physician is facing with a patient with increased CEA levels. On the contrary, our data suggest that hypothyroidism should be taken into account in the diagnostic work-up of these patients, such as smoking, cholestasis, impaired liver function, chronic inflammatory bronchial and bowel disease.
    Mesh-Begriff(e) Aged ; Aged, 80 and over ; Carcinoembryonic Antigen/blood ; Female ; Humans ; Hypothyroidism/blood
    Chemische Substanzen Carcinoembryonic Antigen
    Sprache Italienisch
    Erscheinungsdatum 2004-04
    Erscheinungsland Italy
    Dokumenttyp Case Reports ; English Abstract ; Journal Article
    ZDB-ID 138266-4
    ISSN 0034-1193
    ISSN 0034-1193
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel: Five-year follow-up by transesophageal echocardiographic studies in primary antiphospholipid syndrome.

    Turiel, Maurizio / Sarzi-Puttini, Piercarlo / Peretti, Rossana / Bonizzato, Sara / Muzzupappa, Sabrina / Atzeni, Fabiola / Rossi, Edoardo / Doria, Andrea

    The American journal of cardiology

    2005  Band 96, Heft 4, Seite(n) 574–579

    Abstract: This prospective study describes valvular abnormalities assessed by transesophageal echocardiography (TEE) in patients with primary antiphospholipid syndrome (APLS) over a 5-year follow-up. Of the 56 patients with APLS evaluated at baseline, 47 (84%) had ...

    Abstract This prospective study describes valvular abnormalities assessed by transesophageal echocardiography (TEE) in patients with primary antiphospholipid syndrome (APLS) over a 5-year follow-up. Of the 56 patients with APLS evaluated at baseline, 47 (84%) had repeat TEE examinations, including 3 patients who died before the end of the follow-up. The first TEE study showed cardiac involvement (thickening or vegetations and embolic sources) in 34 subjects (61%), with mitral valve thickening, the most common abnormality, present in 30 patients (54%). Embolic sources were found in 14 patients (25%; 9 severe spontaneous echocardiographic contrast, 5 Libman-Sacks endocarditis), associated with mitral valve thickening or stenosis in 10 patients. Over the 5-year follow-up, cardiac involvement was unchanged in 30 subjects (64%). New cardiac abnormalities were observed in 17 patients (36%), 15 (88%) with high immunoglobulin-G (IgG) anticardiolipin antibody (aCL) titers and 2 (12%) with low IgG aCL titers. In conclusion, this study showed that mitral valve thickening and embolic sources are frequently observed in patients with APLS. Anticoagulant and/or antiplatelet treatment was ineffective in terms of valvular lesion regression. New appearances of cardiac involvement are significantly related to high IgG aCL titers.
    Mesh-Begriff(e) Adult ; Aged ; Antiphospholipid Syndrome/complications ; Antiphospholipid Syndrome/diagnostic imaging ; Antiphospholipid Syndrome/physiopathology ; Disease Progression ; Echocardiography, Transesophageal ; Female ; Follow-Up Studies ; Humans ; Incidence ; Italy/epidemiology ; Male ; Middle Aged ; Mitral Valve Insufficiency/complications ; Mitral Valve Insufficiency/diagnostic imaging ; Mitral Valve Insufficiency/physiopathology ; Mitral Valve Stenosis/complications ; Mitral Valve Stenosis/diagnostic imaging ; Mitral Valve Stenosis/physiopathology ; Pregnancy ; Prospective Studies ; Regression Analysis ; Reproducibility of Results ; Risk Factors ; Thromboembolism/diagnostic imaging ; Thromboembolism/etiology ; Thromboembolism/prevention & control ; Time Factors
    Sprache Englisch
    Erscheinungsdatum 2005-08-15
    Erscheinungsland United States
    Dokumenttyp Clinical Trial ; Comparative Study ; Journal Article ; Randomized Controlled Trial
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2005.04.022
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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