As a fellow in cardiology, you sign up to be part of a specialty that can involve emergencies. As a first-year fellow, usually you are running things by other senior fellows and attendings, and typically you are not the first person to make a decision on a plan. At times, though, there can be an exception to that rule, and it is an exception that can make you realize that there ...

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After more than a decade of titrating medications to low density lipoprotein cholesterol targets, family physicians who have transitioned to the 2013 American College of Cardiology / American Heart Association cholesterol treatment guideline now base treatment decisions on a patient's estimated 10-year risk for a cardiovascular event. Although it endorsed the ACC/AHA guideline last year, the American Academy of Family Physicians expressed concern that the guideline's new risk calculator had not been validated ...

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medpagetodayFrom MedPage Today:

  1. Match Day Hits Record High Numbers. I wasn't sure where I was going to open my Match Day envelope on March 20. Sealed inside was information about where I would be completing my internship in internal medicine and residency in physical medicine and rehabilitation.
  2. How Will PROMISE Change Practice ...

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Dwight Frost had all the risk factors, plus he had already had a stroke several years ago. His blood sugars were too high, his lipid profile was near the top of the class, he still smoked a cigar now and then, and his blood pressure hovered around 200. He also seemed a little vague about which medications he actually took and which ones he didn’t. He spoke rapidly with a slight ...

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medpagetodayFrom MedPage Today:

  1. Folate Supplements Cut Strokes in Hypertension. Folic acid supplements significantly decreased risk of first stroke in those with hypertension.
  2. Patients Will Record Encounters, and Docs Must Adjust. Physicians must accept the possibility that every conversation with a patient may be secretly recorded by the patient.
  3. Legalities of ...

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medpagetodayFrom MedPage Today:

  1. Turbulent Future for Oncology. The nation's cancer care system risks slipping into a socioeconomic vortex that threatens the ability to meet a growing demand for care, according to a report from a leading organization of cancer professionals.
  2. Newer Stents Fall Flat in Multivessel Disease. Surgery still beats stents in ...

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medpagetodayFrom MedPage Today:

  1. Helmet Bests Mask for Infant CPAP. Infants with bronchiolitis who were treated with a continuous positive airway pressure (CPAP) helmet did not need to be intubated as often compared with those who used a CPAP facial mask.
  2. Negotiations Heat Up on Permanent SGR Fix. As a deadline looms, Congressional ...

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medpagetodayFrom MedPage Today:

  1. CT No Better than Stress Test as Chest Pain Diagnostic. Anatomic CT as the initial screen for suspected stable coronary artery disease didn't improve clinical outcomes compared with functional testing but did increase overall radiation exposure.
  2. The Primary Care Cliff. Just about everyone in Washington knows that the Medicare ...

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The American Heart Association (AHA) recently proposed new guidelines for all doctors to screen and treat for high cholesterol. For doctors and patients to follow, this would result in a large increase in the number of Americans taking statins. One of the things I like about the new proposal is that there is no more chasing a number. This was frustrating for doctors and patients to keep having lab draws and medication ...

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medpagetodayFrom MedPage Today:

  1. Lupus Nephritis Histology Predicts Long-Term Outcomes. In lupus nephritis (LN), renal histology with World Health Organization (WHO) class IV pathology predicts a decreased long-term remission rate.
  2. Biosimilars Must Be Tightly Regulated. Following the approval of the first biosimilar agent in the United States -- Zarxio, for the prevention of ...

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