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Managing cardiac arrhythmias is a unique and complex challenge in the primary care setting. The clinician must balance proper initial assessment, long-term management schemes and effective acute and chronic treatment approaches with appropriate triage to a cardiac specialist and/or an electrophysiologist. The treating clinician must be able to diagnose the arrhythmia (if possible), understand the risks to the patients, and plan an acceptable therapeutic strategy. Available treatment options are evolving rapidly.
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The first oxaborole antifungal has been approved for the treatment of fungal toenail infection. Tavaborole is a topical solution that is applied daily to the infected nail. It is marketed by Anacor Pharmaceuticals as Kerydin¢â
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After caring for patients with Clostridium difficile infection, nearly 25% of health care workers were found to have hand contamination with C. difficile spores.
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The risk of developing atrial fibrillation is increased by the use of oral or intravenous bisphosphonates, but the risk is relatively greater when the drug is given intravenously.
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In this prospective study of older ICU patients (mean age, 67 years), frailty as assessed by a simple scale was present in one-third and was strongly associated with increased risk of adverse events, morbidity, and mortality.
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The ECG in the Figure was obtained from a patient with atypical chest pain. Is this a normal ECG? If not, why not?