Cardiology
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Enterococcus faecalis Endocarditis Risk Factors
A large, prospective observational study of echocardiography in all patients with Enterococcus faecalis bacteremia showed a high incidence of infective endocarditis.
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Life Expectancy After Aortic Valve Replacement
This Swedish national study of longevity following aortic valve surgery showed that, overall, life expectancy declined by about two years, but was higher for patients younger than 50 years of age.
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EEG Reactivity for Prediction of Neurological Outcomes After Cardiac Arrest
Researchers found that EEG-R testing, by itself, is not sufficiently reliable to predict neurological outcomes after cardiac arrest.
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Medication Errors When Patients Transition Out of ICU
Three factors associated with decreased odds of an error occurring were daily patient care rounds in the ICU, discontinuing and rewriting medication orders during the transition of care from the ICU to a non-ICU setting, and 16-20 ICU beds in the transferring ICU.
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Blood Pressure Control: Exercise vs. Meds
A random-effects network meta-analysis demonstrated comparable reductions in systolic blood pressure among normotensive and hypertensive participants using either antihypertensive medication or exercise interventions.
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Eat Vegetables and Prevent Type 2 Diabetes
A large meta-analysis of high-quality observational studies shows that adherence to a plant-based diet is inversely related with developing type 2 diabetes.
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Is There Group Beating?
How should one proceed in analyzing this challenging rhythm strip?
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Dupilumab Injection (Dupixent)
This is the first FDA-approved treatment for chronic rhinosinusitis with nasal polyposis.
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Mechanism of Persistence of Moraxella catarrhalis in Patients With COPD
Investigators examined the mechanism that allows Moraxella catarrhalis to persist in some patients with COPD.
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Early vs. Delayed Cardioversion: A Nonshocking Result
For patients presenting to an ED with recent-onset atrial fibrillation, using rate control and outpatient cardioversion only as needed was associated with a high rate of spontaneous conversion within 48 hours of arrhythmia onset and noninferior short-term outcomes compared to immediate cardioversion in the ED.