Internal Medicine
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The Efficacy of Spironolactone for the Treatment of Drug-resistant Hypertension
Compared to selected other hypotensive drugs, spironolactone was found to be the most effective drug addition for resistant hypertension when added to previous angiotensin-converting enzyme inhibitor/angiotensin II receptor blocker, calcium channel blocker, and thiazide therapy.
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Welcome Back, Saturated Fat
It has become apparent that clinicians have been giving wrong dietary advice to patients for many decades. The low-fat and non-fat food industry was a mistake.
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Cardiovascular Events Associated with Masked Hypertension and White-coat Hypertension
Analysis from the Dallas Heart Study consisting of 3027 adults revealed that both white-coat hypertension and masked hypertension were independently associated with increased cardiovascular events, and, therefore, home blood pressure monitoring is recommended for U.S. adults, whether symptomatic or asymptomatic.
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ICH May Clinically Mimic TIA
In a large retrospective review of 2137 patients with intracerebral hemorrhage, 34 had transient symptoms that could have been misclassified as “transient ischemic attack” if brain imaging had not been performed.
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Is Anticoagulant Bridging Needed in Patients with Atrial Fibrillation Going to Surgery?
In patients with atrial fibrillation who had warfarin treatment interrupted for an elective operation or other elective invasive procedure, forgoing bridging anticoagulation was not inferior to perioperative bridging with low molecular weight heparin for the prevention of arterial thromboembolism and decreased the risk of major bleeding.
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Postoperative Atrial Fibrillation Management — You Can’t Go Wrong
Rate control and rhythm control strategies for cardiac surgery patients with postoperative atrial fibrillation lead to similar hospital durations, similar complication rates, and similar very low rates of atrial fibrillation at 60-day follow-up.
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One Quarter of General Medicine Readmissions May Be Preventable
The major concept behind the effort to reduce 30-day readmission rates is the impression that some readmissions are preventable and some are not preventable.
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Current Management of Abscesses
Abscesses are common skin and soft tissue infections, and their incidence has continued to rise substantially over the years. Despite the high prevalence of abscesses in current care, the management of abscesses varies widely between care providers. This article reviews the current management options for simple cutaneous abscesses in patients, including review of the epidemiology, differential diagnosis, diagnostic studies, and changing practice of wound cultures and antibiotic therapy. In addition, this article outlines the essential steps of abscess management, informing practitioners of current best practice options as evidenced by current literature or expert opinion.
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Infectious Disease Alert Updates
“A New Wave of World-wide Gastroenteritis?”; Who Wants a Stoma if You Don’t Need One?; A Side of Hep E with Your Pork Roast?
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Healthcare Workers and Tuberculosis Prevention
Healthcare workers in high-burden countries in particular remain at high risk of tuberculosis.