Internal Medicine Alert – January 15, 2016

January 15, 2016

• Effect of Modified Valsalva Maneuver for Emergency Treatment of Supraventricular Tachycardia

  In patients presenting with supraventricular tachycardia, a modified Valsalva maneuver with leg elevation and supine positioning at the end of strain was demonstrated to be more effective than the standard Valsalva maneuver at restoring normal sinus rhythm.

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• Utility of Non-traditional Risk Factors in Patients Ineligible for Statin Therapy

  Adding additional risk factors not in the pooled risk equation to low-risk subjects identified a sub-group with an observed event rate > 7.5% who may warrant statin therapy.

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• Carotid Occlusion Rarely Develops from Asymptomatic Carotid Artery Stenosis

  Recent study indicates that the risk of progression to carotid occlusion is well below the risk of carotid stenting or carotid endarterectomy.

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• Mepolizumab Injection (Nucala)

  Mepolizumab is indicated for add-on maintenance treatment of adult patients ≥ 12 years of age with severe asthma and with an eosinophilic phenotype.

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• Clinical Briefs

  In this section: potential good cardiovascular news; spironolactone best add-on for resistant hypertension; and questions about Vitamin D for primary care practice.

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• ECG Review: Early Repolarization or Something More?

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