Internal Medicine Alert – March 30, 2020

March 30, 2020

• Incidence of Cardiovascular Disease and All-Cause Mortality: Does the Type of Meat Consumed Matter?

  Investigators found consuming more processed meat, unprocessed red meat, or poultry (but not fish) was closely connected to a higher risk for incident cardiovascular disease. Meanwhile, consuming processed meat or unprocessed red meat (but neither fish or poultry) was strongly associated with a higher risk of all-cause mortality.

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• Are Epidural Steroid Injections Cost-Effective?

  In a retrospective review of patients treated for low back pain and lumbar radiculopathy at the Cleveland Clinic, at three- and six-month follow-up, epidural steroid injections were no better than conservative therapies in quality of life measures or overall cost of medical care.

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• Using Apple Cider Vinegar for Weight Management on a Restricted Diet

  Supplementation with 30 mL of apple cider vinegar combined with a restricted calorie diet may lower body weight, body mass index, and serum triglyceride levels in people with obesity.

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• Heart Rate and Diastolic Blood Pressure in Chronic Aortic Regurgitation Patients

  A retrospective observational study of patients with moderate to severe aortic regurgitation showed the independent predictive value of diastolic blood pressure and resting heart rate for all-cause mortality under medical management.

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• Bempedoic Acid (Nexletol)/Bempedoic Acid and Ezetimibe (Nexlizet)

  Bempedoic acid and bempedoic acid/ezetimibe should be prescribed as a supplement to diet and maximally tolerated statin therapy in adults with heterozygous familial hypercholesterolemia or established atherosclerotic cardiovascular disease who need additional LDL-C lowering.

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