Internal Medicine Alert – February 15, 2011
February 15, 2011
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Is Lower BP Always Really Better?
The risk of future cardiovascular events in patients with an acute coronary syndrome (ACS) was lowest when the BP was in the range of approximately 130-140 mmHg systolic and 80-90 mm Hg diastolic and became highest as the blood pressure became lower; in fact, a blood pressure less than 110/70 mm Hg may actually be dangerous. -
Early to Bed? Maybe Not Such a Good Idea
Brief behavioral intervention significantly relieved insomnia in a group of older adults. -
Brief Reports: A Review of Current Clinical Stroke Literature
These reports originally appeared in the February issue of Neurology Alert. At that time it was peer reviewed by M. Flint Beal, MD, Anne Parrish Titzel Professor, Department of Neurology and Neuroscience, Weill Cornell Medical Center, New York, NY. Dr. Beal reports no financial relationship to this field of study. -
Pharmacology Update: Fentanyl Sublingual Tablets (Abstral®) CII
The fda has approved a new formulation of fentanyl for the management of breakthrough pain in cancer patients. -
Clinical Briefs by Louis Kuritzky, MD
It has been recognized for more than a decade that most patients with IBS have abnormal lactulose hydrogen breath tests results, consistent with small bowel bacterial overgrowth. -
ECG Review: History Is Everything
The ECG shows sinus rhythm at 85/minute. The PR interval is normal. The QRS duration is upper normal (half a large box, but not more) and the QT interval is upper normal (about half the R-R interval, with a QTc ≈ 0.44 second).