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Cardiology

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Articles

  • What’s the Frequency, BP?

    A strategy of annual screening of blood pressure was as sensitive and more specific than the usual practice of measuring it at every office visit.
  • Clinical Briefs

    Whats the Durability of Lifestyle Change in Type 2 Diabetes?; Perimenstrual Asthma: A High-Risk Phenotype; Risk of New Onset Diabetes with Statins
  • Pharmacology Update: Ezetimibe and Atorvastatin Tablets (Liptruzet™)

    A second ezetimbe/statin combination has been approved by the FDA for the treatment of hyperlipidemia. Ezetimibe is now combined with atorvastatin and is marketed by Merck & Co. as Liptruzet.
  • Exercise Benefits Patients with Parkinson’s Disease

    Exercise, both aerobic as well as stretching and strengthening, improves motor function and gait in patients with Parkinsons disease.
  • Brief Report: Bedbug Detection Squad

    Remember that scene in Doc Martin when he travels to London for a conference, and while his lady awaits his affection in a tiny negligee, he methodically strips the bed looking for bed bugs? How many of us make that a habit now when traveling?
  • Internal Medicine Alert - Full June 29, 2013 Issue in PDF

  • Adverse Effects of Deep Sedation in Mechanically Ventilated Patients

    Deep sedation during the early period of mechanical ventilatory support delays extubation and increases mortality, yet is a modifiable risk factor that requires innovative intervention to reduce these adverse outcomes.
  • Are Morbidly Obese Patients Receiving Invasive Mechanical Ventilation at Higher Risk of Death?

    Using a national database, the authors found that morbidly obese patients undergoing invasive mechanical ventilation had a similar risk of in-hospital mortality compared to non-obese individuals, despite having higher rates of invasive mechanical ventilation and tracheostomy.
  • Noninvasive Ventilation: Still Underused in Acute Respiratory Failure

    Nationwide from 2000-2009, there was a steady increase in the use of noninvasive ventilation (NIV) in managing acute respiratory failure, although the percentage of potentially eligible patients who receive it remains small. Importantly, the proportional increase was less for chronic obstructive pulmonary disease ([COPD] in which the evidence is compelling and NIV is the standard of care) than for non-COPD causes of respiratory failure (in which the evidence is weaker or conflicting).
  • Five Key Injuries of the Wrist and Hand

    Scaphoid fractures are by far the most frequent bony injuries of the wrist in both pediatric and adult patients. The peak incidence is in adolescence, around 15 years of age. Skiers thumb is an acute injury to the ulnar collateral ligament (UCL) caused by forced abduction and hyperextension of the thumb; frequently it is associated with any sport that involves grasping a pole, such as skiing, hockey, lacrosse, or pole vaulting. Bennett fractures are fractures of the first metacarpal, with the fracture line extending from the base of the metacarpal (MC) to the CMC joint. Bennett fractures are the most common thumb MC fractures. Involvement of the CMC makes this fracture unstable. A Rolando fracture is defined as a comminuted fracture of the base of the thumb metacarpal. The mechanism of a Rolando fracture is most often simultaneous hyperextension and hyperabduction. This fracture type is typically unstable and occurs less commonly than a Bennett fracture in the pediatric population.