Internal Medicine
RSSArticles
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Could High-flow Oxygen Therapy Impact Acute Respiratory Failure Management?
SYNOPSIS: Managing acute hypoxemic respiratory failure with high-flow nasal cannula (HFNC) significantly reduced intubation rates compared to standard oxygen (O2) mask delivery and non-invasive ventilation among patients whose arterial O2 tension to inspired O2 fraction ratio (PaO2/FiO2) was < 200. Among all study patients, hospital mortality was lower in the HFNC group.
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Role of Transthoracic Echo in Staph Bacteremia
In patients without community-acquired Staph bacteremia, a high-risk cardiac condition, or IV drug use, a negative transthoracic echo excluded infective endocarditis.
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The Pros and Cons of Central Venous Catheterization Sites
ABSTRACT AND COMMENTARY: Improper placement can lead to a deep vein thrombosis or a blood stream infection. Here's guidance on doing it right.
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Blood Pressure Targets in Flux Again
Trial could be a game changer if the results are robust.
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Finally, a Positive Outcomes Study for Platelet Function Testing
Platelet function testing-defined clopidogrel nonresponsiveness can be overcome by prasugrel treatment, and that this is a modifiable risk factor whose treatment can improve outcomes.
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Slow Down, Save Lives? Rate Control in Atrial Fibrillation
Atrial fibrillation patients receiving beta-blockers or calcium channel blockers had lower risk of mortality compared to those not taking rate-control drugs, with the lowest mortality rate in the beta-blocker group, while digoxin use was associated with a higher risk of mortality.
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Beta-blocker Dose More Important Than Heart Rate in Systolic Heart Failure
In chronic heart failure with reduced ejection fraction, titrating beta-blocker doses may confer a greater benefit than reducing heart rate.
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Reduced Leaflet Motion in Bioprosthetic Valves
ABSTRACT & COMMENTARY: It's in a significant proportion of surgical and transcatheter bioprosthetic aortic valves by volume-rendered CT scans.
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ECG Review: A 43-Year-Old Man with Atypical Chest Pain
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Clinical Briefs
In this section: reversing the anticoagulant effect of dabigatran; considering the likelihood of occult cancer causing unprovoked deep venous thrombosis; and cardiovascular autonomic neuropathy occurs earlier in type 2 diabetes.