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Merck announced on September 30th that it is voluntarily withdrawing rofecoxib (Vioxx) from the worldwide market.
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Physicians increasingly are aware of the need to provide prophylaxis against venous thrombosis for the medically ill patient in the hospital environment. This article attempts to separate the fact from fiction regarding VTE prophylaxis.
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Folic acid and B vitamins may yet be proven to have a positive role through decreasing HC levels, but enthusiasm for such an approach is no longer appropriate.
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These data should force us to look at factors other than the traditional variables we have used to assess risks among patients with a history of ventricular arrhythmias.
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Mild, perivalvular regurgitation cannot be used as a diagnostic criteria for prosthetic valve endocarditis.
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Reflex tachycardia, during a Valsalva maneuver, is a sign of normal LV filling.
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At this time, BNP seems to be a useful initial test that should not be repeated during short hospital stays.
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Mitral Doppler E/Ea correlates better with PCWP than BNP and is more specific for predicting PCWP > 15 mm Hg.
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The basic conclusion is that we should give the patient just what he or she needs and the devices we implant should be designed to fit the patient.
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This paper carried out a clinical study to use gradient-echo MRI to determine prior evidence of microhemorrhages relating to cerebral amyloid angiopathy after patients had presented initially with lobar intracranial hemorrhage.