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Tight glycemic control during surgery and 12 hours after CABG in diabetic patients improves perioperative outcomes and survival, and decreases wound infections and episodes of recurrent ischemia.
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Using a radial raft, as opposed to a vein graft as the second bypass in patients receiving a LITA to the LAD, resulted in less late mortality without a lot of quality data to support it.
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Enalapril improves effort tolerance and reduces dyspnea in patients with symptomatic aortic stenosis, but may cause hypotension in those with congestive heart failure, left ventricular dysfunction, or systolic blood pressure < 100 mm Hg.
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The AFFIRM study was a randomized comparison of 2 strategies for management of patients with atrial fibrillation. Patients with atrial fibrillation requiring therapy, who also had one or more risk factors for stroke or death, were randomized to either a rate control strategy of cardioversion and treatment with antiarrhythmic drugs or a rate control strategy using atrioventricular (AV) nodal blocking agents to control ventricular response. Results of this study suggest that if an effective method for maintaining sinus rhythm with fewer adverse effects were available, it might improve survival.
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The FDA has approved another rapid-acting insulin to cover mealtime blood sugar spikes.
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Seizures should be a red flag to consider treatment to modify stroke risk.
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In this cross-sectional population based study from California, it is apparent that screening is currently applied to older women without consideration of health status.
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This is a fascinating report of a cluster of human Plasmodium knowlesi cases misdiagnosed as Plasmodium malariae in a rural rainforest area of Sarawak.
