Internal Medicine Alert – July 15, 2014
July 15, 2014
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Perioperative Use of Aspirin in Patients Undergoing Noncardiac Surgery
Administration of aspirin before surgery and throughout the early postsurgical period had no significant effect on the rate of composite of death or nonfatal myocardial infarction but did increase the risk of major bleeding. -
Obstructive Sleep Apnea and Incident Diabetes
Severe obstructive sleep apnea is associated with a 30% increase in risk of incident diabetes, controlling for multiple relevant confounders. -
For Seniors, Regular Exercise Provides Disability Benefits
In a study of vulnerable elderly population at risk for disability, a structured, moderate-intensity physical activity program compared with a health education program significantly reduced major mobility disability. -
Omega-3-Carboxylic Acid Capsules (Epanova®)
The FDA has approved the first free fatty acid form of omega-3. Previous formulations have been ethyl esters of omega-3-acids. The omega-3-carboxylic acid is a fish oil-derived mixture of 50-60% eicosapentaenoic acid (EPA) and 15-25% docosahexaenoic acid (DHA) along with other potentially active omega-3 fatty acids. It is marketed by AstraZeneca as Epanova. -
Clinical Briefs
Pain and Fall Risk Assessment in Cognitively Impaired Nursing Home Residents; PSA Screening: Maybe You Saw the Movie NeverEnding Story?; Screening for Lung Cancer in Asbestos Workers -
What is the ‘Culprit’ Artery?
Interpret the ECG in the Figure obtained from a patient with new-onset chest pain. Localize the area(s) of acute infarction. Which coronary artery is likely to be acutely occluded?