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Search Results: 1 - 10 of 452 matches for " Tiziano Lenzi "
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Palpitations
Primiano Iannone,Tiziano Lenzi
Emergency Care Journal , 2008, DOI: 10.4081/ecj.2008.2.9
Abstract: In the vast majority of cases, palpitations are a symptom of little clinical importance that does not warrant any particular diagnostic investigations other than a careful medical history, physical examination and standard 12-lead ECG. However, it should not be underestimated as it can be the only important symptom preceding a sudden death (sometimes in young subjects). It is not always possible to evaluate these cases swiftly. However, it requires all the physician’s skill to weigh up the medical history, clinical and electrocardiographic elements that constitute warning signs. We have observed that a history of palpitations or valve disease, fainting, especially due to exertion and poorly tolerated paroxysmal palpitations are all alarm elements. In the early weeks of life, we observed that certain subgroup of patients is at very high risk of sudden death and is unfortunately not diagnosed properly for slight and relatively unknown ECG alterations (Brugada syndrome, ARVD, long QT syndrome, idiopathic ventricular tachycardia) and the underestimation of warning signs (palpitations caused by exertion, unexplained episodes of fainting). The aim of this short work is to provide elements for guiding the identification of this very generic, misleading and complex symptom.
Talking about “appropriateness”
Primiano Iannone,Tiziano Lenzi
Emergency Care Journal , 2007, DOI: 10.4081/ecj.2007.3.8
Abstract: Not available
Syncope in Prinzmetal’s variant angina
Nicola Parenti,Fabrizio Mucci,Tiziano Lenzi
Emergency Care Journal , 2006, DOI: 10.4081/ecj.2006.2.7
Abstract: Syncope is a very common disease in Emergency Department. Prinzmetal’s variant angina has an high prevalence in Italy. It could begin as a syncope. Early diagnosis of both is important because their prognosis is sometimes unfavourable. During initial evaluation, physical and instrumental exams aren’t often diagnostic. On the contrary, the history is often useful. If there is a diagnostic hypothesis of cardiac syncope, ECG monitoring, also for 48-72 hours, is fundamental.
Emergency clinical path of ST Elevation Acute Myocardial Infarction
Tiziano Lenzi,Nicola Parenti,Cesare Antenucci,Mauro Metalli
Emergency Care Journal , 2007, DOI: 10.4081/ecj.2007.4.21
Abstract: ST Elevation Acute Myocardial Infarction (STEMI) represents a clinical condition that witnessed a new therapeutic progress in the last years, from thrombolysis era to primary percutaneous coronary intervention (PPCI) era. New European and North American guidelines and the Consensus document produced from Italian Cardiologist Federation (FIC) with Emergency Physicians (SIMEU) and Territorial System of Emergency 118 (SIS 118) require clinical and organized pathway with the involvement of Cardiologist, in and out hospital Emergency Physicians and 118. Main aim is to develop a network able to give to all patients the best treatment in the shortest time. The efficiency and functionality of these pathways must be verified through evaluation systems. The Imola’s experience confirms as the network can be put into practice and that it’s possible to analyse and to develop models of improvement.
Plasmapheresis in hypertriglyceridemia-related pancreatitis: a case report
Andrea Tampieri,Patrizia Cenni,Claudia Morselli,Tiziano Lenzi
Emergency Care Journal , 2012, DOI: 10.4081/ecj.2012.2.9
Abstract: Hypertriglyceridemia (HTG) is the third most common cause of acute pancreatitis (AP), accounting for up to 7% of cases. The clinical manifestations are similar to those of AP from other causes, but it may be difficult to recognize because of confounding laboratory investigations induced by HTG, such as a falsely normal serum amylase. Prompt recognition is important to provide adequate treatment. The maintenance of blood triglyceride (TG) levels below 500 mg/dl has been shown to accelerate the clinical improvement in patients with hypertriglyceridemic pancreatitis (HTGP). In many cases series apheresis was effective in reducing HTG and an early initiation is likely to be beneficial in order to prevent recurrence of AP and the development of necrotizing pancreatitis. Definitive guidelines for the treatment of HTGP and randomized trials that compare the effectiveness of apheresis with the medical therapy alone are still lacking.
Acute abdominal pain: emergency diagnosis and treatment (Part II)
Lorenzo Cristoni,Valeria Palmonari,Primiano Iannone,Tiziano Lenzi
Emergency Care Journal , 2008, DOI: 10.4081/ecj.2008.4.23
Abstract: Acute abdominal pain is a medical challenge for emergency physician due to the variety of possible diagnosis, lack of diagnostic and treatment standard in emergency department and the need of a rapid patient management. It is of paramount importance to quickly rule out or diagnose life threatening clinical conditions as acute myocardial infarction or aortic abdominal aneurism rupture. A few more time is allowed to confirm other diseases that lead to major complications if left untreated as acute appendicitis, testicular torsion and acute pyelonefritis. While acute abdominal pain in the elderly reflect often surgical conditions, it has a benign origin in the majority of young patients who can be generally managed as out patient, after a short clinical observation, with a diagnosis at discharge of non specific abdominal pain. The reason for the development of practical clinical pathways for patient with acute abdominal pain is to facilitate physician in differentiating patient who need hospital admission or a short intensive observation from those who can be safely discharged home.
Acute abdominal pain: emergency diagnosis and managing (Part I)
Lorenzo Cristoni,Valeria Palmonari,Primiano Iannone,Tiziano Lenzi
Emergency Care Journal , 2008, DOI: 10.4081/ecj.2008.3.11
Abstract: Acute abdominal pain is a medical challenge for emergency physician due to the variety of possible diagnosis, lack of diagnostic and treatment standard in emergency department and the need of a rapid patient management. It is of paramount importance to quickly rule out or diagnose life threatening clinical conditions as acute myocardial infarction or aortic abdominal aneurism rupture. A few more time is allowed to confirm other diseases that lead to major complications if left untreated as acute appendicitis, testicular torsion and acute pyelonefritis. While acute abdominal pain in the elderly reflect often surgical conditions, it has a benign origin in the majority of young patients who can be generally managed as out patient, after a short clinical observation, with a diagnosis at discharge of non specific abdominal pain. The reason for the development of practical clinical pathways for patient with acute abdominal pain is to facilitate physician in differentiating patient who need hospital admission or a short intensive observation from those who can be safely discharged home.
Reliability and effectiveness of a 4-level emergency triage
Nicola Parenti,Maria Letizia Bacchi Reggiani,Diego Sangiorgi,Tiziano Lenzi
Emergency Care Journal , 2008, DOI: 10.4081/ecj.2008.5.30
Abstract: Italian guidelines require a 4-level in hospital triage based on an acuity scale measurement, but they don’t suggest common guidelines neither which triage models to adopt. Thus each hospital developed own triage guidelines based on consensus. But, to our knowledge, there aren’t data on the reliability and predictive validity of triage systems adopted by Italian Emergency Department. Also in the ED of Imola, a triage working group developed Guidelines on triage in 2001. In this study we measured the reliability and predictive validity of the Imola Triage Guidelines (LGTI).
Remarks on the Harnak Inequality for Local-Minima of Scalar Integral Functionals with General Growth Conditions  [PDF]
Tiziano Granucci
Journal of Applied Mathematics and Physics (JAMP) , 2014, DOI: 10.4236/jamp.2014.25024
Abstract: In this paper we proof a Harnack inequality and a regularity theorem for local-minima of scalar intagral functionals with general growth conditions.
Continuity of care and integration between hospital and primary care: the experience of the Local Health Authority of Ravenna
Tiziano Carradori
International Journal of Integrated Care , 2012,
Abstract:
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