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Gastroenterology

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  • ECG Review: Adenosine for a Wide Tachycardia?

    Scenario: The 12-lead ECG shown above was obtained from a previously healthy 30-year-old man who presented to the emergency department with new-onset palpitations. No prior ECG was available for comparison. The patient was alert and hemodynamically stable at the time this tracing was recorded. What is the rhythm? Is this rhythm likely to respond to adenosine?
  • Antipsychotics and the Risk of Myocardial Infarction in Elderly with Dementia

    Antipsychotic drug use may increase the risk of myocardial infarction in elderly patients with dementia.
  • Azelastine HCl and Fluticasone Propionate Nasal Spray (Dymista™)

    A combination histamine-1 receptor antagonist and a corticosteroid nasal spray has been approved by the FDA for the treatment of seasonal allergic rhinitis.
  • Clinical Briefs By Louis Kuritzky, MD

    Radiation exposure from ct is quite substantial. A "typical" abdominal CT (AB-CT) examination exposes a patient to X-radiation equivalent to more than 500 chest X-rays.
  • Estrogen and Breast Cancer

    New data from the Women's Health Initiative Study estrogen-only arm demonstrates that estrogen treatment not only was associated with a lower incidence of breast cancer diagnosis, but also fewer breast cancer deaths.
  • Bisphenol A and Canned Soup

    This brief but important intervention trial was detailed recently in the pages of the Journal of the American Medical Association. The conclusion was that eating canned soup on a regular basis could rapidly increase the body load of BPA, high levels of which have been associated with a variety of illnesses.
  • Niacin and Coronary Heart Disease

    Among patients with coronary heart disease and LDL-cholesterol levels less than 70 mg/dL, there is no incremental clinical benefit from the addition of niacin to statin therapy during a 36-month follow-up, despite improvements in HDL-cholesterol and triglyceride levels.
  • Aspirin for Everyone?

    Aspirin can reduce the risk of nonfatal myocardial infarction, but not mortality, in people without coronary vascular disease, at the expense of increased risk of bleeding. It should not be routinely recommended.
  • Pycnogenol and Coronary Artery Disease

    Results from this small, 8-week crossover study suggest that the antioxidant Pycnogenol, which also possesses anti-inflammatory actions, could help improve endothelial function in people with stable coronary artery disease.
  • Carnitine for Cardiovascular Diseases

    L-carnitine is both an amino acid and a conditionally essential nutrient, defined as an organic compound which is usually produced in sufficient quantities by the body.