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Journal of Clinical Medicine, Volume 6, Issue 8

2017 August - 6 articles

Cover Story: Cardiovascular disease is predicted to account for >23 million by 2030. There is now consensus that dyslipidaemia induces atherosclerosis. Statins have become the cornerstone for management of dyslipidaemia and have a very good safety profile. Nevertheless, potential risk of an adverse event must be considered when using statin therapy for patients. Statin-associated muscle disease (SAMS) is the most common reason for discontinuation of therapy. Reported incidence varies, ranging between 5% and 29%. Milder disease is common. The more serious form, rhabdomyolysis is rarer, with an incidence of roughly 1 in 10000. The pathophysiology of SAMS is not yet fully understood. Although literature points towards statin-induced mitochondrial dysfunction, exact mechanism is not yet elucidated. This paper details some of the different aetiological hypotheses related to mitochondrial dysfunction put forward in the literature. View this paper.
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Articles (6)

  • Feature Paper
  • Article
  • Open Access
66 Citations
9,335 Views
14 Pages

Use of FGF-21 as a Biomarker of Mitochondrial Disease in Clinical Practice

  • Alireza Morovat,
  • Gayani Weerasinghe,
  • Victoria Nesbitt,
  • Monika Hofer,
  • Thomas Agnew,
  • Geralrine Quaghebeur,
  • Kate Sergeant,
  • Carl Fratter,
  • Nishan Guha and
  • Joanna Poulton
  • + 1 author

21 August 2017

Recent work has suggested that fibroblast growth factor-21 (FGF-21) is a useful biomarker of mitochondrial disease (MD). We routinely measured FGF-21 levels on patients who were investigated at our centre for MD and evaluated its diagnostic performan...

(This article belongs to the Special Issue Current Strategies for the Biochemical Diagnosis and Monitoring of Mitochondrial Disease)
  • Article
  • Open Access
51 Citations
5,882 Views
8 Pages

The Fragility Index in a Cohort of Pediatric Randomized Controlled Trials

  • Travis J. Matics,
  • Nadia Khan,
  • Priti Jani and
  • Jason M. Kane

14 August 2017

Data suggest inadequacy of common statistical techniques for reporting outcomes in clinical trials. The Fragility Index can measure how many events the statistical significance hinges on, and may facilitate better interpretation of trial results. Thi...

  • Brief Report
  • Open Access
10 Citations
5,957 Views
4 Pages

Impact of Larger Sputum Volume on Xpert® MTB/RIF Assay Detection of Mycobacterium tuberculosis in Smear-Negative Individuals with Suspected Tuberculosis

  • Sharlaa Badal-Faesen,
  • Cynthia Firnhaber,
  • Michelle A. Kendall,
  • Xingye Wu,
  • Beatriz Grinsztejn,
  • Rodrigo Otavio da Silva Escada,
  • Michel Fernandez,
  • Evelyn Hogg,
  • Ian Sanne and
  • Tuberculosis Trials Consortium Study 34 Teams
  • + 6 authors

As a strategy to improve the sensitivity of nucleic acid-based testing in acid-fast bacilli (AFB) negative samples, larger volumes of sputum (5–10 mL) were tested with Xpert® MTB/RIF from 176 individuals with smear-negative sputum undergoing tubercul...

  • Feature Paper
  • Review
  • Open Access
46 Citations
14,570 Views
11 Pages

Ultrasound for Early Detection of Joint Disease in Patients with Hemophilic Arthropathy

  • Matteo Nicola Dario Di Minno,
  • Gianluigi Pasta,
  • Sonia Airaldi,
  • Federico Zaottini,
  • Antonio Storino,
  • Ernesto Cimino and
  • Carlo Martinoli

Joint bleeding represents the most commonly reported type of hemorrhage in patients affected by hemophilia. Although the widespread use of prophylaxis has been able to significantly reduce the onset of arthropathy, it has been shown that a non-neglig...

(This article belongs to the Special Issue Outstanding Advances in Hemophilia Therapies)
  • Feature Paper
  • Review
  • Open Access
164 Citations
20,593 Views
22 Pages

Background: Most pregnancy-related medical complications appear to resolve at delivery or shortly thereafter. Common examples are preterm labor, placental abruption, preeclampsia, and gestational diabetes. Women who developed such complications are k...

  • Feature Paper
  • Review
  • Open Access
85 Citations
11,975 Views
13 Pages

Statins, Muscle Disease and Mitochondria

  • Radha Ramachandran and
  • Anthony S. Wierzbicki

Cardiovascular disease (CVD) accounts for >17 million deaths globally every year, and this figure is predicted to rise to >23 million by 2030. Numerous studies have explored the relationship between cholesterol and CVD and there is now consensu...

(This article belongs to the Special Issue Current Strategies for the Biochemical Diagnosis and Monitoring of Mitochondrial Disease)
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J. Clin. Med. - ISSN 2077-0383