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Toenail Chromium in Men With Diabetes and Cardiovascular Disease; Combination of Fenofibrate and Rosiglitazone and HDL Cholesterol; Outcomes for Patients with Diet-Controlled Diabetes
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Use of ß-blockers is associated with reduced risk of
fracture. The magnitude of reduction is similar to that seen with use of thiazides.
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Treatment of systolic hypertension in older patients with systolic blood pressure of at least 160 mm Hg is supported by strong evidence. The evidence to support treatment of patients to the level of 140 mm Hg or those with baseline SBP of 140 to 159 mm Hg is less strong; thus, these treatment decisions should be more sensitive to patient preferences and tolerance of therapy.
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O'Mathuna DP. Creatine to improve muscle strength. Altern Med Alert 2004;7(11):128-131.
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Greenfield RH. Acunpuncture for PONV. Altern Med Alert 2004;7(11):131-132.
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A retrospective study of 24,112 patients with coronary heart disease showed increased 30-day mortality in patients who received one or more blood transfusions for anemia compared to comparable patients not transfused.
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The first part of this series discussed abdominal pain in pediatric patients. This second and final part will cover abdominal pain in elderly, immunocompromised, and pregnant patients. Those 65 years of age and older constitute the fastest-growing segment of the population, and currently comprise about 12% of the U.S. population. This means that abdominal pain in the elderly will be a commonplace occurrence in EDs.
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B-type natriuretic peptide (BNP) is a biomarker released by cardiac ventricular myocytes. Its usefulness is mainly in the emergency room for the evaluation of acute dyspnea, to evaluate for cardiac failure. BNP may have usefulness as a screening test for preclinical heart disease, for risk stratification and for guidance with therapy.