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Managing cardiac arrhythmias is a unique and complex challenge in the primary care setting. The clinician must balance proper initial assessment, long-term management schemes and effective acute and chronic treatment approaches with appropriate triage to a cardiac specialist and/or an electrophysiologist. The treating clinician must be able to diagnose the arrhythmia (if possible), understand the risks to the patients, and plan an acceptable therapeutic strategy. Available treatment options are evolving rapidly.
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ICDs implanted by higher volume physicians are associated with lower rates of mechanical complications and infection.
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In this paper, Malouf and colleagues from the Mayo Clinic looked at the significance of C-reactive protein (CRP) levels on the recurrence of atrial fibrillation or atrial flutter after a successful cardioversion.
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Medical advances in recent years have resulted in an increased frequency of invasive fungal infections.1 Patients undergoing solid organ transplantation, HIV/AIDS treatment, and invasive surgical procedures are especially susceptible to fungal pathogens, and are more likely to experience recurrent fungal infections.
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This paper from the Gladstone Institute at the University of California, San Francisco represents a substudy of intensively studied patients who were enrolled in the Options Project.
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As part of the California Encephalitis Project (CEP), more than 250 serum samples from selected patients were screened for antibodies to amebic pathogens, particularly Balamuthia mandrillaris. Overall, the CEP has tested samples for > 1800 cases submitted for extensive testing in attempts to determine the etiology of encephalitis in patients without severe immunocompromise.
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Can Plavix Add to the Efficacy of Aspirin?; Prevention of Hypertension?; Estrogen Alternatives; FDA Actions
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On my first walk through a redwood forest after moving to California, I came across numerous slimy yellow creatures along the trail that looked like snails without shells. These were banana slugs, creatures that are currently the official mascots of the University of Califonia, Santa Cruz.
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Synopsis: After a province-wide educational campaign advocating salpingectomy at the time of benign gynecologic surgery for ovarian cancer risk reduction, the incidence of salpingectomy rose sharply in British Columbia. This was associated with a modest increase in operative time but no increase in overall surgical morbidity.
