Cardiology
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Chocolate Consumption and MI Risk
A prospective cohort study and confirmatory meta-analysis on Swedish adults determined chocolate consumption is associated with lower risk of myocardial infarction and coronary artery disease.
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Suicide and Religious Service Attendance
Women who report regular attendance at religious services have a lower suicide rate than those who report not attending services at all.
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Calcium and Cardiovascular Risk Updates: The Bare Bones
Calcium plays a significant role in the function and diseases of the muscles (skeletal and smooth), nerves, cardiovascular, gastrointestinal, and renal systems. As a nutrient, it is one of the most recognized by the public for its use for osteoporosis and bone health. However, its association with cardiovascular disease risk is a more recent example of the growing understanding of calcium’s role in our health. A number of recent updates over the past year (cardiovascular disease risk in particular) are noteworthy.
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Strategies to Manage the Failed Airway
In this large, multicenter, retrospective study, video laryngoscopy, the most common approach to failed airway management, demonstrated a high rate of success, even when difficult ventilation existed.
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Antibiotic Treatment in Community-acquired Pneumonia
In patients with newly diagnosed community-acquired pneumonia, basing the duration of antibiotic treatment on clinical stability criteria led to a significant reduction in duration of antibiotic treatment without an increased risk of adverse outcomes.
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Is There an Optimal Blood Pressure Target in Patients Presenting with Intracerebral Hemorrhage?
Recently, two large randomized, controlled trials compared intensive blood pressure control with permissive hypertension in the setting of acute intracerebral hemorrhage. The authors of the two trials reached seemingly differing conclusions, leading to confusion on how to best manage patients.
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Troponin Highly Prognostic in Decompensated Heart Failure with Preserved Ejection Fraction
Among patients with acute decompensated heart failure and preserved ejection fraction, elevated troponin is associated with worse in-hospital outcomes and long-term survival, independent of other predictors.
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Utility of Serial Coronary Calcium Scores
Researchers determined recently that if serial scans are performed, the most recent scan should be used for risk assessment, and the degree of CT calcium score progression adds no further prognostic information.
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A New Risk Score for Stroke in Atrial Fibrillation
A new, simpler score for stroke risk prediction in atrial fibrillation patients uses biomarkers to supplant many clinical variables and outperforms the CHA2DS2-VASc score in two large cohorts.
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Orbiting the Truth of Heart Failure Incidence and Implications in Those with Prevalent Atrial Fibrillation
Patients presenting with atrial fibrillation are at elevated risk for the development of heart failure, typically with preserved ejection fraction, which is associated with increased risk of death and hospitalization.