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The developing world is experiencing an epidemic of CAD which expects to continue to increase in the foreseeable future.
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The use of automatic external defibrillators by trained volunteers is safe and effective, particularly in public locations where there is at least a moderate likelihood that an out-of-hospital cardiac arrest will be witnessed.
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A calcium score < 100 eliminates the need for myocardial perfusion scans (MPS), but patients with a negative MPS often have coronary calcium. These findings imply a potential role for applying coronary artery calcium screening after MPS among patients manifesting normal MPS.
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Issues July, August, and September 2004 were printed as Volume 21. They should read Volume 23.
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A new, and as of yet unpublished study, has raised increased concern about the relationship between rofecoxib (Vioxx), Mercks blockbuster COX-2 inhibitor, and cardiovascular events. The study, which was presented at a meeting in Bordeaux France, was financed by the FDA in collaboration with Californias HMO giant Kaiser Permanente.
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Elevated serum uric acid is a marker for
cardiovascular mortality.
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In patients with symptomatic nonerosive reflux disease, intermittent on-demand therapy with the PPI rabeprazole provided good symptom control with tablets taken on average approximately 1 day out of 4.
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Angiotensin-converting enzyme inhibitors decreased the number of defibrillation attempts needed and reduced hospitalization in patients with atrial fibrillation.
