Internal Medicine Alert – November 15, 2019
November 15, 2019
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Is It Safe to Stop Digoxin for Heart Failure?
In a large older patient heart failure with reduced ejection fraction hospitalizations database, the outcome of withdrawing digoxin vs. continuing digoxin was examined at 30 days and up to four years of follow-up. Withdrawing preadmission digoxin in hospital resulted in higher mortality at 30 days and more readmissions at six months, one year, and four years.
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Effects of Probiotics on Cognition and Fall Risk in Patients With Cirrhosis
Patients with cirrhosis and mild cognitive impairment and falls were randomized to a probiotic formulation vs. placebo. Probiotic treatment improved cognitive outcomes and reduced the risk of falls.
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Ginkgo Benefits for Tinnitus?
Twelve weeks of twice-daily Ginkgo biloba extract improved symptoms as effectively as pentoxifylline in 200 adults with chronic tinnitus.
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Trifarotene Cream (Aklief)
Trifarotene should be prescribed for the topical treatment of acne vulgaris in patients ≥ 9 years of age.
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Is This Acute?
There is a stack of ECGs in need of interpretation. The tracing in the figure is among those tracings. No clinical information is available. How would one interpret this ECG? Are the changes acute?