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The 12-lead ECG shown in the Figure was obtained from a 21-year-old, endurance-sport, male athlete. What important cardiac abnormality might be present? What else might this ECG be reflective of?
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Whether coronary angiography is indicated in patients with cocaine-associated myocardial infarction, let alone chest pain, is not clear. This paper from the Medical College of Virginia examined the issue, using primarily prospective observational data on consecutive patients admitted for evaluation of chest pain associated with historical or laboratory evidence of cocaine use.
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In conjunction with the Centers for Disease Control and Prevention, the ArboNet surveillance network of state and local public health departments was established to monitor West Nile virus activity reported in humans, animals, and mosquitoes for three years.
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This prospective, multicenter, outcome study was designed to evaluate a diagnostic strategy based on clinical pretest probability, spiral computed tomography, and venous compression ultrasonography of the legs in patients with suspected pulmonary embolism.
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La Puma J. Vitamin A and fracture risk. Altern Med Alert 2003;6(3):36.
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An influential congressman is calling for a broad investigation of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), alleging that the accrediting body is ineffective, torn by conflicts of interest, and rife with financial improprieties.
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News: A 59-year-old man was admitted to the hospital for elective angioplasty. Ten hours after surgery, he experienced a severe adverse reaction to anti-clotting medication and suffered intracranial bleeding. He had a seizure, went into a coma, and died one week later. The patients estate brought suit against the cardiologist and the hospital for negligence. While the doctor was exonerated, the hospital was found liable, and the jury awarded the plaintiff $830,000 in damages, which included $100,000 for the widows loss-of-consortium claim.
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