Internal Medicine Alert – March 15, 2016

March 15, 2016

• Is Sodium Restriction Detrimental in Chronic Heart Failure?

  Dietary sodium restriction may have a detrimental effect on outcome in patients with symptomatic chronic heart failure.

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• Spironolactone for Resistant Hypertension

  Recent studies suggest spironolactone is the most efficacious fourth drug for patients with drug-resistant hypertension.

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• Optimal Antiplatelet Therapy for Secondary Prevention of Ischemic Stroke

  Compared with maintaining patients on aspirin alone, switching to a different antiplatelet agent, or adding a second antiplatelet agent to aspirin may be better in preventing subsequent vascular events in patients who experienced a new ischemic stroke while taking aspirin.

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• Patiromer for Oral Suspension (Veltassa)

  Patiromer is indicated for the treatment of hyperkalemia.

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• Clinical Briefs

  In this section: natural alternative could cause unwanted side effects; new relief for those with intestinal maladies; and more data on seated postural hypotension.

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• ECG Review: Chest Pain, Dyspnea, and Anterior T Wave Inversion

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