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  • Risk of Early Repolarization ECG Patterns

    ECG early repolarization patterns were long thought to be benign normal variants until recent papers purported to show a relationship between these patterns and the risk of malignant arrhythmias and cardiac death.
  • Prognosis of Ventricular Fibrillation in Acute Myocardial Infarction

    At this time, ventricular fibrillation (VF) early after acute myocardial infarction (MI) is not an indication alone for an implantable cardioverter-defibrillator (ICD) therapy.
  • Management of Severe Ischemic Mitral Regurgitation

    Practice guidelines recommend mitral valve repair or replacement for severe ischemic mitral regurgitation (MR) that is causing symptoms refractory to best available medical therapy.
  • Are Implanted Defibrillator Therapies Deactivated at End of Life?

    This study aimed to determine the incidence of appropriate shocks, inappropriate shocks, and device malfunction prior to death in patients with implantable cardioverter-defibrillators (ICDs).
  • Prognosis of First-Degree AV Block

    Although long believed to be benign, first-degree AV block has recently been shown to be associated with atrial fibrillation development, pacemaker need, and all-cause mortality.
  • Botulinum Toxin for Postherpetic Neuralgia

  • Cancer Survivorship The Marriage Effect?

    Compared to cancer patients who were never married, divorced, widowed, or separated, married patients are significantly more likely to present at an earlier stage, undergo therapy with definitive or curative intent, and live longer among each of the 10 most common cancers killers in the United States.
  • Obesity

    Obesity in the United States is an epidemic affecting approximately 72 million Americans. Individuals with body mass index (BMI) > 30 kg/m2 have nearly a 100% increased risk of premature death as well as increased risk of developing more than 40 obesity-related diseases. With the recent recognition by the American Medical Association that obesity is a disease, it is incumbent upon primary care physicians to address our obese patients in a disease-model.
  • Headaches – A Hidden Disability Associated with Seizures

    Periictal headaches are frequent, severe, and undertreated, and can be predicted by younger age at epilepsy onset, drug polytherapy, and tonic-clonic generalized seizures.
  • Clostridium difficile Transmission: It's Complicated

    The prevailing theory of clostridium difficile transmission is that most cases occur after recent exposure to symptomatic patients in health care settings. Infected patients are known to shed large numbers of C. difficile spores and current infection control recommendations focus on preventing spore transmission from the environment through contact precautions and decontamination of surfaces and equipment. However, the rate of C. difficile infection (CDI) continues to increase, bringing into question the effectiveness of these methods.