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Differences in treatment and outcomes in women with ACSMore than 1 million percutaneous coronary interventions (PCIs) are performed annually in the United States.
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What Can Your EHR Do for Me?Before purchasing an EHR, physicians need to make sure it will deliver a return on investment, and that means asking some tough questions, says guest blogger Paul Roemer.
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Late diagnosis of a congenital coronary anomalyA 64-year-old woman with a history of atrial fibrillation, hypertension, and sarcoidosis presented to the emergency department with chest pain. After a positive stress test, a coronary angiogram was performed, which showed normal coronary arteries except for an anomalous take-off of the left circumflex artery from the right coronary cusp.
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Medication nonadherence and adverse outcomes in CAD patientsNonadherence to beta blockers, statins, or angiotensin-converting enzyme inhibitors is common (21%-29%) among patients with coronary artery disease (CAD). Patients who do not adhere to their medication regimens are at increased risk of mortality, cardiovascular hospitalizations, and revascularization procedures; thus, medication nonadherence should be a target for quality improvement interventions to maximize the outcomes of CAD patients.
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Upadacitinib Better than Adalimumab in Rheumatoid ArthritisA new study of AbbVie’s original JAK1-selective inhibitor indicates that it outdoes adalimumab without sacrificing safety in rheumatoid arthritis treatment.
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Depression in the ElderlyDepression is a common problem among elderly patients in primary care clinics and inpatient settings.
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Digital Pathology: Enabling Remote Operations During COVID-19 and BeyondIs remote work for pathology here to stay?
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It Can't Happen Here: Examining the Odds of an Ebola Outbreak in the USNews reports on the first case of Ebola diagnosed in the US have stoked fears that we could be facing an outbreak of the disease. However, experts say that characteristics of the disease itself, plus a robust public health infrastructure, make that highly unlikely.
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Painful Buttock Lesion in a Pregnant WomanA 36-year-old pregnant woman at 27 weeks gestation presented to the obstetrical triage for evaluation of possible abscess due to a lesion on her buttock that first appeared 1 week ago. Since that time, it has become increasingly painful and itchy. Although she denies any systemic symptoms, her pregnancy is complicated by gestational diabetes and obesity. However, she is HIV negative and her other prenatal labs were unremarkable.
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Coronary artery disease in asymptomatic diabetic patientsWe evaluated the effectiveness of the current American Diabetes Association guidelines for the detection of coronary artery disease (CAD) in asymptomatic patients with type 2 diabetes and assessed whether a more aggressive diagnostic strategy would permit detection of silent CAD at an earlier stage. The prevalence of myocardial perfusion defects and CAD in asymptomatic diabetic patients was high independent of risk factor profile, and an aggressive diagnostic approach in patients who would normally be excluded from screening permitted identification of CAD at an earlier stage, when coronary anatomy is more likely to respond to treatment.
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Community-acquired MRSA pericarditisOnly 2 cases of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) pericarditis have been reported in the English literature. Over the last 15 years, CA-MRSA has emerged as an increasingly common pathogen that is genetically and epidemiologically different from hospital-acquired MRSA (HA-MRSA).
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Glucose-lowering treatment impacts prognosis in diabetic patients after MI: Post hoc analysis of the DIGAMI 2 trialWe conducted a post hoc analysis of the DIGAMI 2 (Diabetes Mellitus Insulin-Glucose Infusion in Acute Myocardial Infarction 2) trial to assess the impact of glucose-lowering treatment in 1181 diabetic patients who were discharged from the hospital after experiencing a myocardial infarction (MI).
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Transcatheter Valve Replacement - Advancements in Minimally Invasive Cardiac SurgeryDr. Stewart discusses advancements in cardiac surgery & transcatheter valve replacement therapy.
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Late mortality with sirolimus-eluting stents in diseased saphenous vein graftsIn a secondary post-hoc analysis of the Reduction of Restenosis in Saphenous Vein Grafts with Cypher (RRISC) trial, we compared the long-term safety of sirolimus-eluting stents (SES) with bare-metal stents (BMS) in diseased saphenous vein grafts
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The "iPatient" and the Lost Art of the Physical ExamFantastic story from NPR about how some in medicine feel the art of the physical exam is fading in favor of emerging technologies.
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NAPNAP 2012: Taking Control of Online Healthcare InformationBryn Vartabedian, MD, offers valuable tips and advice for health care providers who are interested in using social media to engage with and educate their patients.
