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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"I've been getting winded lately." He's a middle-aged man with diabetes.  This kind of thing is a "red flag" on certain patients.  He's one of those patients. "When does it happen?" I ask. "Just when I do things.  If I rest for a few minutes, I feel better." Now the red flag is waving vigorously.  It sounds like it could be exertional angina.  In a diabetic, the symptoms of ischemia (the heart not getting ...

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Recently, I had the honor and pleasure of introducing my book, Women and Cardiovascular Disease, in London. During the event, I was able to meet with many of my European colleagues from both the media as well as the health care space. I spoke with countless bright and motivated attendees who are excited to be part of a wave of change in cardiac care for women. We identified many ways ...

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medpagetodayFrom MedPage Today:

  1. Surgery Fails to Show Superiority in Shoulder Fractures. The trend of increased surgery for patients with displaced fractures of the proximal humerus may be inappropriate.
  2. Restricting Fructose Cuts Liver Fat in Kids. In just 10 days, restricting the amount of fructose children consumed through sugary drinks and juices resulted ...

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medpagetodayFrom MedPage Today:

  1. Gout and CVD: Combo Is More Likely in Women. Patients with gout are at significantly high risk for developing cardiovascular disease, with the likelihood being greater for women.
  2. Better Metabolic Profile for Teenagers Who Eat Nuts. Teenagers who ate the equivalent of a small handful of nuts three times ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 21-year-old male student is evaluated for a murmur heard during an athletic preparticipation physical examination. He is asymptomatic. His medical and family history is unremarkable and he takes no medications. On physical examination, the patient is afebrile, blood pressure is 118/76 mm Hg, pulse rate is 68/min, and respiration rate is 14/min. ...

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medpagetodayFrom MedPage Today:

  1. Brain Blood Flow May Tell of Concussion Recovery. Cerebral blood flow may be a useful biomarker for predicting outcomes following concussion.
  2. Does More Coffee Mean Less Arterial Plaque? Moderate coffee consumption was associated with a decreased risk of high coronary artery calcium (CAC) scores in asymptomatic people.

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shutterstock_178235516 I sometimes think doctors forget what it’s like to be patients. But I’ve been there, and I know how frustrating and scary it can be. I remember one night, I was lying in a hospital bed, resting peacefully. I heard a noise and opened my eyes to a room full of chaos. Nurses everywhere. A crash cart. Someone holding paddles. I tried to speak, but couldn’t. ...

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