From MedPage Today:

  1. No Benefit for Testing ICD at Implant. Even though testing at the time of implantation of an implantable cardioverter-defibrillator (ICD) is safe, it doesn't add any benefits.
  2. Nephrologists Take Fistulas Into Their Own Hands. Every year, Rick Mishler creates about 250 fistulas in patients' arms, stitching artery to vein so they can have a chance at successful dialysis.
  3. Lack ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 63-year-old man is evaluated for pleuritic left-sided anterior chest pain, which has persisted intermittently for 1 week. The pain lasts for hours at a time and is not provoked by exertion or relieved by rest but is worse when supine. He reports transient relief with acetaminophen and codeine and occasionally when ...

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From MedPage Today:

  1. 'Healthy Obese' Have More Arterial Plaque. The notion that people can be "fat but fit" is being challenged by a study showing a high prevalence of subclinical coronary atherosclerosis -- as measured by CT coronary artery calcium (CAC) scores -- in obese subjects with no evidence of metabolic syndrome.
  2. Lung Docs Stunned by Coverage Decision. When low-dose CT screening for lung ...

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From MedPage Today:

  1. B-Cell Targeting Has Benefit in Severe Lupus. Although an inhibitor of B-cell activating factor failed to meet the primary endpoint in a phase II trial for lupus, beneficial effects were seen in patients with severe disease at baseline.
  2. Birth Weight, Breastfeeding Flag CVD Risk. Low birth weight (2.8 kg or smaller) and being breastfed for less than 3 months may increase ...

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From MedPage Today:

  1. Benzos Equal for Kids With Status Epilepticus. A randomized trial showed diazepam to be as safe and effective as lorazepam in treating children with status epilepticus (SE) -- a result likely to surprise many in the field.
  2. Hypoglycemia at Night Tied to Arrhythmias. Nocturnal hypoglycemia was a major risk factor for cardiac arrhythmias in type 2 diabetes patients who were already ...

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“Can you hear it?” she asked with a smile. The thin, pleasant lady seemed as struck by her murmur as I was. She was calm, perhaps amused by the clumsy second-year medical student listening to her heart. “Yes, yes I can,” I replied, barely concealing my excitement. We had just learned about the heart sounds in class. This was my first time hearing anything abnormal on a patient, though it was ...

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In November of last year the American Heart Association released to recommendations on who should be taking statins (drugs like Lipitor/atorvastatin), the most common medicines we use to control cholesterol levels. High cholesterol levels are associated with higher risk of heart attacks and strokes, and taking statins, which lower cholesterol, can reduce those risks. The drugs have pretty significant side effects, though, and not everyone with high cholesterol or ...

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From MedPage Today:

  1. Sudden Cardiac Death Robs Many Years of Life. The burden of sudden cardiac death in terms of years of potential life lost is high compared with other leading causes of death in the U.S.
  2. HTN Guidance Takes Center Stage at NKF. Guidelines on hypertension management, particularly the JNC8 recommendations released last December, will be a major talking point at this year's ...

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Barron Lerner thinks he understands doctor's motives.  In his recent article in the Atlantic he laments that physicians act on tradition and emotion over adopting new science.  In defense of his position, he sites the example of how cardiologists use angioplasty and coronary artery bypass to treat coronary disease. He states,

... cardiologists have been remarkably slow to abandon the old hypothesis, continuing to perform hundreds of thousands of bypass operations and ...

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From MedPage Today:

  1. Simple, Short HCV Regimen Has High Cure Rate. A single pill once a day for 8 weeks is enough to cure more than 90% of hepatitis C virus (HCV) patients with relatively uncomplicated disease.
  2. Substance Abuse Tx Problematic Despite ACA. The nation's health law has promised sweeping changes to help millions of people with drug or alcohol addiction get treatment. Many ...

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