Cardiology
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What Can Be Said With LBBB?
The ECG in the figure was obtained from a patient with new-onset chest pain. It was interpreted as showing complete left bundle branch block (LBBB). Thus, the provider reasoned that “it is impossible to tell if anything acute is going on because there is LBBB.” Do you agree with that assessment?
Clinical Briefs
In this section: Managing postprandial glucose excursions in diabetic patients, strategies for improving long-term outcomes for obesity patients, and effectively treating Crohn's disease.
Vancomycin HCl for Oral Solution (Firvanq)
Vancomycin oral solution is indicated for adults and pediatric patients < 18 years of age for Clostridium difficile-associated diarrhea and enterocolitis caused by Staphylococcus aureus (including methicillin-resistant strains).
Aerobic Exercise and Cognitive Impairment
Progressive aerobic exercise training appears to be a low-risk and effective intervention for improving cognitive function in community-dwelling adults with mild subcortical ischemic vascular cognitive impairment.
Type 2 Diabetes Is Reversible
Type 2 diabetes is reversible (or can be put in remission) in a primary care practice through an intense low-carbohydrate weight management program.
Chiropractic Spinal Manipulation for Migraine
Chiropractic spinal manipulation offers no benefit over placebo for migraineurs.
Noncow Milk for Young Children: An Observational Study Regarding Height
Data from more than 5,000 Canadian children reveals a dose-dependent association between drinking noncow milk and lower height in early childhood.
Plant-pharmaceutical Interactions in the Scientific Literature
Case reports and observational studies revealed that certain medical conditions and a select few botanical medicines have adverse plant-pharmaceutical interactions.
B Vitamins and Lung Cancer Risk
These researchers investigated the use of supplemental vitamin B6, folate, and B12 and the risk of lung cancer in 77,118 participants in the Vitamins and Lifestyle cohort, finding an increased risk of lung cancer in men, which was exacerbated by smoking.
A Review of Heart Failure and Current Therapeutic Strategies
The management of heart failure falls primarily on the primary care physician. Because of the Medicare financial penalty on hospitals for readmissions, primary care physicians need to be cognizant of the updated treatment options and work with colleagues across multiple disciplines to prevent unnecessary hospitalizations and improve outcomes.