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There is little disagreement about the merit of treating frank hypothyroidism. Because of conflicting data, much less consensus exists about whether subclinical hypothyroidism (ie, elevated TSH levels with normal T4) should be treated. Since thyroid disorders increase with age, a population of advanced years is an appropriate group in which to evaluate this issue further.
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The rhythm strip shown in the figure was obtained from an elderly woman with a history of cardiomyopathy. She has a known history of bundle branch block (ie, RBBB). How would you interpret the rhythm?
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O'Mathuna DP. Low-fat diets and weight loss. Altern Med Alert 2005;8(1):1-3.
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Hardy ML. Magnesium and riboflavin for migraine: A review. Altern Med Alert 2005;8(1):3-8.
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Brown DJ. Extract of Pelargonium sidoides for treatment of acute bronchitis and tonsillopharyngitis. Altern Med Alert 2005;1(8):8-11.
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Greenfield RH. Vitamin E and increased mortality. Altern Med Alert. 2005;8(1):11-12.
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Strategies for cold and flu season: Stopping the spread of germs. Altern Med Alert 2005;8(suppl 1):S1-S2.
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The Defibrillator in Acute Myocardial Infarction Trial examined the question whether prophylactic implantable cardioverter defibrillator (ICD) therapy begun soon after myocardial infarction would reduce long-term mortality.
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The addition of antiplatelet therapy to reduced intensity anticoagulation in atrial fibrillation patients reduces death and embolic events without increasing bleeding.
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The substantial differences in opinion concerning the need for revascularization prior to elective vascular surgery are present among cardiologists.
