"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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medpagetodayFrom MedPage Today:

  1. Studies Cement Value of HIV Prophylaxis. re-exposure prophylaxis (PrEP) with a single pill prevented HIV infection among more than 85% of two groups of men who have sex with men.
  2. NSAIDs: A Risky Addition to Post-MI Antithrombotics. Adding a non-steroidal anti-inflammatory drug (NSAID) to antithrombotic therapy after a heart ...

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In anticipation of American Heart Month, an examination of the liability risks faced by cardiologists was recently undertaken by The Doctors Company, the nation’s largest physician-owned medical malpractice insurer. This analysis of 429 closed cardiology claims from 2007 to 2013 revealed that the most common patient allegations against cardiologists and other clinicians were diagnostic errors, followed closely by procedural or surgical mishaps. This data is of particular interest to cardiologists, ...

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american society of anesthesiologistsA guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Before undergoing surgery, you should carefully discuss your medications with your surgeon and physician anesthesiologist. You may fare better during the operation and the early recovery phase if you continue required medications, but you might need to avoid some medications that could interfere with your anesthesia. Three ...

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