Internal Medicine Alert
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Hydrogel Capsules (Plenity)
Hydrogel capsules provide a nonsystemic alternative as an aid to weight management.
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The Right Ventricle During Heart Failure With Preserved Left Ventricular Ejection Fraction
A retrospective longitudinal study of heart failure with preserved left ventricular ejection fraction shows that right ventricular function deteriorates more rapidly than left ventricular function and is associated with increased mortality.
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New Insights Into Young Acute Myocardial Infarction Patients
A retrospective contemporary review of STEMI patients younger than 35 years of age shows that these patients are predominantly overweight men who smoke (some abuse drugs and present with dyslipidemia).
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Similar Long-Term Outcomes for Stenting and Endarterectomy for Carotid Stenosis
Researchers conducted a pooled analysis of four large, randomized, controlled trials designed to assess the relative efficacy of carotid artery stenting vs. carotid endarterectomy for treatment of symptomatic carotid artery stenosis.
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Avoid Surprise Migraine Triggers
The degree of unexpectedness or “surprisal” associated with known migraine triggers is a predictor of headache attacks. Social avoidance behavior is positively correlated with headache disability, pain, and depression, but there is a negative correlation between headache pain endurance and anxiety.
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Alcohol Consumption and Migraine
In this observational, cross-sectional survey performed via an online questionnaire, researchers confirmed that alcohol consumption is a common trigger for migraine, and red wine is the type of alcohol cited as a trigger most frequently.
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Can You Predict the Anatomy?
The ECG in the figure was recorded from an elderly woman with new-onset chest pain. How would one assess this ECG? Is there a “culprit” artery?
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Romosozumab-aqqg Injection (Evenity)
Romosozumab is prescribed to treat osteoporosis in postmenopausal women at high risk for fracture.
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REM Behavior Disorder, Dementia, and Parkinson’s Disease
In this well-designed prospective cohort study of patients with REM behavior disorder, the investigators reported that 73.5% of patients developed a neurodegenerative disorder after a 12-year follow-up.
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When to Screen for and Treat Asymptomatic Bacteriuria
New guideline recommendations indicate that the only unequivocal indications for screening and treatment of asymptomatic bacteriuria are pregnancy and undergoing endoscopic urologic procedures associated with mucosal injury.