Cardiology
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Chiropractic Spinal Manipulation for Migraine
Chiropractic spinal manipulation offers no benefit over placebo for migraineurs.
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The Pulmonary Embolism Rule-out Criteria in Low-risk Patients
A cluster randomized trial of the pulmonary embolism rule-out criteria (PERC) compared to usual care for patients estimated to be at low risk of pulmonary embolus (PE) in EDs showed that PERC was non-inferior to usual care at identifying patients who would be free of symptomatic PE at three months, resulting in less use of healthcare resources.
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Saffron as Adjunctive Therapy for Opioid Withdrawal
A small, poorly designed study hints at some adjunctive treatment benefit for saffron powder in people weaning off narcotic medications.
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Mindfulness-based Intervention in Patients With Generalized Anxiety Disorder
Reductions in stress markers for patients with generalized anxiety disorder were found using mindfulness-based stress reduction intervention.
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Tai Chi or Aerobics: Which Is Better for Fibromyalgia?
In this randomized, controlled trial, researchers found that tai chi shows equal or greater effect than aerobic exercise for addressing symptoms of fibromyalgia, and that more effect is obtained with longer duration of tai chi practice.
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Dairy Intake and Risk of Parkinson’s Disease
Frequent consumption of dairy products is associated with a modest increased risk of Parkinson’s disease (PD) in women and men. In addition, intake of high-fat dairy is associated with decreased risk of PD.
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Is It Acceptable to Die of Aortic Stenosis Without a TAVR?
Investigators performed a retrospective analysis of 544 patients undergoing transcatheter aortic valve replacement (TAVR) at one center to assess the contribution of a frailty score to the Society of Thoracic Surgeons (STS) risk score for predicting mortality post-procedure. The frailty score was found to be an independent predictor of 30-day and one-year mortality and additive to the STS score.
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Prognostic Value of Left Ventricular Strain in Chronic Aortic Regurgitation
A retrospective observational study of the incremental value of echocardiographic global longitudinal strain (GLS) for predicting mortality in asymptomatic patients with moderate to severe aortic regurgitation and normal left ventricular function showed that GLS was a predictor of mortality. However, GLS was not as robust as undergoing surgery was for predicting mortality.
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Vegetarian Diet vs. Mediterranean Diet to Reduce Cardiovascular Risk
A randomized, open, cross-over study of a vegetarian diet (VD) compared to the Mediterranean diet (MD) over three months showed that both reduced body weight and body fat mass. The VD decreased LDL cholesterol, and MD reduced triglyceride levels. The MD reduced inflammatory markers, and the VD reduced vitamin B12 levels.
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Is the Type of Myocardial Infarction Important?
An observational study of hospitalized patients with type 1 or 2 myocardial infarction (MI) or myocardial injury showed that mortality is higher in type 2 MI or myocardial injury patients compared to type 1 MI patients.