Internal Medicine Alert – April 15, 2009

April 15, 2009

• A Diet by Any Other Name Is Still a Diet ...

  Regardless of proportions of fat, protein, and carbohydrate, all diets with lowered caloric intake modestly reduced weight.

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• Low-Tech Screen for Heart Disease

  An elevated resting heart rate is a risk factor for heart disease.

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• Question Authority!

  The joint cardiovascular practice guidelines of the American College of Cardiology (ACC) and the American Heart Association (AHA) are largely based on expert opinion, case studies, or "standard of care," rather than on scientific evidence.

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• Ranolazine Extended-release Tablets (Ranexa®)

  Ranolazine has gained expanded approval from the FDA for the treatment of chronic angina.

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• Clinical Briefs By Louis Kuritzky, MD

  A severe ankle sprain (ANK-S) might seem like a minor injury, but clinicians may be underestimating the burden of consequence.

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• ECG Review: Acute Stroke and More

  The ECG shown above was obtained from a 60-year-old woman who presented with an acute stroke. Is her ECG consistent with this diagnosis, and/or suggestive of something more?

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