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At least 1,369 records · Page 76Linked to original sources
PubMed2000

Somatizing patients: part II. Practical management.

Somatization is the experiencing of physical symptoms in response to emotional distress. It is a common and costly disorder that is frustrating to patients and physicians. Successful treatment of somatization requires giving an acceptable explanation of the symptoms to the patient, avoiding unwarranted interventions and arranging brief but regular office visits so that the patient does not need to develop new symptoms in order to receive medical attention. Antidepressants may be helpful in many patients, as well as cognitive psychotherapy when patients are willing to participate in it. Typical problems in managing such patients can be addressed by relying on the continuity established through regular visits to the same primary care physician.

Diagnosis, Differential↗
PubMed2000

Chronic heart failure. A guide for practical management.

BACKGROUND: Chronic heart failure is an increasingly common problem in Australia and most management occurs in the outpatient setting. OBJECTIVE: To review the options available in the management of chronic heart failure. DISCUSSION: Appropriate management can dramatically improve the prognosis, symptoms and quality of life of chronic heart failure patients.

Arrhythmias, Cardiac↗
PubMed2001

[Ventricular arrhythmia in the athlete: practical management].

The aim of athletic competition is to exceed ones present limits, which exposes the athlete to increased risk is helshe has a cardiac disorder. Ventricular excitability is not part of the athletic heart syndrome, and only the presence of resting ventricular extrasystoles that are monomorphic, ungrouped and disappear with exercise can be considered physiological. Significant ventricular arrhythmia can reflect a cardiac disorder that should be routinely sought in order to determine if there is a potential risk of sudden death favoured by physical effort. The confirmation of arrhythmia and seeking a cardiac disorder require a rigorous approach based on history-taking, clinical examination and initial performance of non-invasive, orienting examinations. Invasive examinations, based on the case, are often required if a disorder is suspected or if there is a question concerning the severity of the arrhythmia. Decisions concerning aptitude for competition are decided case by case, according to the disorder, with reference to the 26th Bethesda Conference. If the ventricular arrhythmia is shown to be benign and no underlying cardiac disorder exists, athletic competition may be pursued without restrictions. In case of contrary findings, physical activity will be limited and the authorized level will be precisely determined according to the context and the results of exertion tests made during treatment.

Arrhythmias, Cardiac↗