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Comparing CT Angiography to Invasive Angiography for Stable Chest Pain Patients
A trial of initial coronary CT angiography vs. invasive angiography revealed outcomes over a median 3.5-year follow-up were similar, but procedure-related complications were more common in the invasive group.
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Is the Canadian Syncope Risk Score Valid?
Researchers found the Canadian Syncope Risk Score accurately predicts which patients are low risk for discharge. However, since it is driven largely by the physician’s final risk classification at ED discharge, the score’s clinical utility is uncertain.
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Smoking Cessation After Atrial Fibrillation Diagnosis Could Lower Dementia Risk
A cohort study of patients with atrial fibrillation (AF) in South Korea revealed patients who stopped smoking after AF diagnosis were at lower risk for developing dementia than those who continued smoking.
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Researchers Suggest Checking Blood Pressure in Both Arms
After taking two readings, use the higher measurement for diagnosis. Guidelines recommend this practice, but data were lacking.
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Considering Weight Loss and More to Alleviate Obstructive Sleep Apnea
Obesity is a primary cause of obstructive sleep apnea (OSA), and improvements in weight and other lifestyle factors can yield benefits for OSA and related comorbidities.
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Physical Activity and Diet Following Bariatric Surgery
Patients who underwent bariatric surgery reported more physical activity and less energy intake than those who were eligible for, but did not undergo, bariatric surgery; however, physical activity still did not reach recommended levels.
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Dancing to Improve Balance and Quality of Life in Healthy Seniors
This prospective cohort study found that healthy volunteers aged 63-80 years who participated in 18 months of a dance intervention experienced an increase in more hippocampal regions and greater improvements in balance compared to their age- and sex-matched peers who underwent 18 months of an aerobic fitness intervention.
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Infectious Disease Alert Updates
Remaining Questions in Syphilis Treatment; The Great Imitator Imitates Again
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Molecular Test Panel Use for Children with Possible Meningitis
In children thought to have meningitis, the use of a molecular test pathogen panel reduced the time to optimal antimicrobial use and reduced the duration of intravenous antibiotic use. However, there was no difference in the time to effective antimicrobial administration or the length of hospital stay between those with treatable pathogens who were and were not evaluated using molecular testing.
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Outbreaks of Infectious Enteritis in the United States: Norovirus Wins Again
More than 1 million people acquired enteric infections in the course of almost 40,000 outbreaks in the United States over the 11 years of this study.