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Cardiology

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  • Coffee Consumption and Mortality: Reanalyzing the Data

    Regular ingestion of caffeine, either as coffee, tea or chocolate was followed in 2 large cohorts of men and women for more than two decades. When caffeine was consumed regularly, there was no increase in the overall mortality. Indeed, a modest benefit of caffeine consumption was noted on overall mortality and in particular death related to cardiovascular disorders. This effect was more pronounced in women.
  • How Important IS Sex, Anyway?

    Women who had sexual dysfunction that was believed to be a side effect of antidepressants were more likely to report improved sexual function if they were assigned to the sildenafil, rather than to the placebo arm of a placebo-controlled trial.
  • Aliskiren and Hydrochlorothiazide Tablets (Tektura®HCT)

    The combination of the first direct renin inhibitor and hydrochlorothiazide was approved by the FDA this year for the treatment of hypertension.
  • Clinical Briefs by Louis Kuritzky, MD

    After skin cancer, prostate cancer (P-CA) is the most common cancer among American men. Despite the absence of major consensus group endorsement, androgen deprivation therapy (ADT) has been sufficiently popular that in a 2003 report, ADT was employed second only to surgery for localized disease.
  • How Much Do Surrogate Decision Makers Understand About Their Loved Ones' Care?

    Surrogate decision makers rated communication as good but could not answer questions about resuscitation status or the care their family member was receiving.
  • For the Record...

    As of early 2008, a minority (about 17%) of physicians have a basic or extensive electronic health record (EHR) system. Those who use electronic health records believe they improve the quality of care, and tend to be primary physicians, those practicing in large groups, hospitals, or medical centers, and those located in the western region of the United States.
  • Rate vs Rhythm Control in Heart Failure Patients

    The atrial fibrillation and congestive heart Failure (AF-CHF) trial was designed to test the hypothesis that a treatment strategy that involved rhythm control would be superior to rate control in patients with heart failure and left ventricular systolic dysfunction.
  • Full September 1, 2008 Issue in PDF

  • Should Patients with COPD Exacerbations Receive Beta Blockers?

    The findings of this retrospective study of 825 patients hospitalized with COPD exacerbations indicate that the use of beta blockers in such patients is not harmful and may actually be associated with reduced mortality.
  • Femoral vs Jugular Venous Catheterization and Risk of Infection

    In this study, 750 severely ill patients requiring initial hemodialysis were randomized to receive either jugular or femoral vein catheterization. Jugular catheterization significantly increased the incidence of catheter colonization in patients with body mass index (BMI) < 24.2, whereas jugular catheterization decreased the incidence in patients with BMI > 28.4. Across all BMI strata, there was no significant difference in catheter-related blood stream infections in patients who underwent femoral vs jugular catheterization.