Cardiology

The real impact of nutritious menu changes at fast food chains like McDonalds remains to be seen, but these-along with modifying the dosage schedules of patients who appear to be statin-intolerant-may prove to have long-term salubrious effects.

I was taught how to take blood pressures early in medical school. If a few “dos and don’ts” were respected, things seemed to proceed uneventfully (with attention to cuff placement and size, Korotkoff sounds, etc).

Nearly three-quarters of patients who are initially "statin-intolerant" are able to re-start therapy on a graduated-dosing schedule and continue on an intermittent dosing regimen.

Vitamin D supplementation in the VitDISH study did not improve isolated systolic hypertension in elderly patients who were deficient.

Electronic cigarettes may be the next big thing in helping smokers who want to quit. But, they may also be a new "gateway" product for youngsters who have yet to pick up. More, here.

Trimethylamine-N-oxide, TMAO, is a by-product of the metabolic breakdown of certain foods; elevated levels have been correlated with coronary atherosclerosis.

A new study finds that intermittent dosing of a statin can be an effective treatment option for some patients who previously demonstrated intolerance to statins.

A patient no-shows. What's your gut reaction? Be honest. Relief, right? But after the relief is drowned in a flood of walk-ins and emergencies, I wonder about my role in community medicine.

A little bit of knowledge can be a dangerous thing, and I am proof. There is a lot more to the saga and much of the information is essential to decision making in primary care practice on whether or not testosterone replacement is indicated.

Multiple itchy red bumps on a man’s ankles; relative contraindications to lumbar puncture; stroke in an addict. . . 5 more questions for you to test the breadth of your clinical knowledge.

ECG findings that are specific for high-grade stenosis of the proximal left anterior descending (LAD) coronary artery.

Epigastric pain after meals occurs in the absence of physical or laboratory abnormalities in a 66-year-old woman slated for surgery.

Persons with type 2 diabetes are at risk for asymptomatic atrial fibrillation and subsequent cerebrovascular events.

Undiagnosed AF was discovered in 3% of individuals; 2% of individuals with known AF who were not on oral anticoagulation were also identified.

Pulmonary vein ablation has not gained recognition as a "cure" for atrial fibrillation so a new approach would be welcomed.

Heatstroke is a true medical emergency with associated mortality rates close to 12% in adults as high as 80% in untreated patients.

Statins used for primary prevention in elderly patients result in a significant reduction in MI and stroke.

Influenza infection may contribute to increases in cardiovascular hospitalizations and elevated rates of acute myocardial infarction (MI).

Patients with mechanical heart valves are not candidates for dabigatran; excess bleeding curtailed the first study to test it.

Skin eruptions, MS risk, and a pain in the back: 5 new questions-your Dxs?

Reassess rate vs rhythym control, appropriate anticoagulation therapy and potential drug-drug interactions.

Novel oral anticoagulants vary in bioavailability when taken with or without food.

Every physician knows that a “magic pill” that would safely and effectively prevent dementia has eluded the multiple and expensive efforts of the world’s greatest pharmaceutical companies. A new study offers a ray of hope on this front.

Smoking can increase cholesterol, triglycerides, and LDL while decreasing HDL.

Artificial sweeteners are associated with both weight gain and weight loss and a counterintuitive effect on human physiology.

PCI is not recommended for asymptomatic adults who are highly functional and report no exercise-induced symptoms.

Bleeding risk is increased in patients receiving oral anticoagulation and concomitant aspirin.

Feeling cheerful, relaxed, energetic, and satisfied with life can reduce the chances of a myocardial infarction in patients who have early-onset coronary artery disease.

Incidence of CHD was more than double in twins diagnosed with PTSD than those without the disorder.

All-cause mortality was 80% lower among subjects who maintained normal weight, ate moderately, exercised, and did not smoke compared with those who followed none of these habits.