From MedPage Today:

  1. Medicare Pays Billions for 'Low-Value Care'. The Medicare system spent at least $1.9 billion in 2009 and probably much more on "low-value" procedures and tests, such as cancer screening in patients with end-stage renal disease in patients 75 and older.
  2. New Antibody Promising in Severe Colitis. Patients with moderate-to-severe ulcerative colitis treated with the monoclonal antibody etrolizumab more often achieved clinical ...

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From MedPage Today:

  1. Botulinum Toxin for Postop Afib? Injecting botulinum toxin into the fat pads around the heart after bypass surgery might stave off postoperative atrial fibrillation.
  2. Leadless Pacing Shows Promise, But Hits Snags. Longer-term results from the first-in-man study of the Nanostim leadless pacemaker showed the device continued to work as expected, but a post-marketing study in Europe has been temporarily halted following ...

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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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