Internal Medicine
RSSArticles
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Can Mitral Regurgitation Prevent Atrial Thrombosis Caused by Atrial Fibrillation?
A study of nonrheumatic patients with atrial fibrillation who were inadequately or not anticoagulated undergoing transesophageal echocardiography before cardioversion showed moderate-to-severe mitral valve regurgitation attenuates the risk of finding left atrial thrombi or spontaneous echo contrast and could be considered a thromboembolic risk modifier.
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Using His Bundle Pacing for Cardiac Resynchronization: Does It Hold Up to the Standard?
In a randomized trial of patients with heart failure and left bundle branch block, cardiac resynchronization therapy via permanent His bundle pacing produced similar short-term outcomes to traditional biventricular pacing, albeit with higher pacing thresholds.
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STEMI in Post-Transcatheter Aortic Valve Replacement Patients
This large series of post-transcatheter aortic valve replacement patients with ST-elevation myocardial infarction demonstrates elevated rates of percutaneous coronary intervention failure and high short- and intermediate-term mortality rates.
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Another Way Antibiotic Therapy Can Kill You
An analysis revealed fluoroquinolone antibiotic use was associated with later aortic diseases and mortality in patients without known aortic disease.
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What Is the Rhythm? What Is the Culprit Artery?
The ECG in the figure was obtained from a middle-aged man with chest pain. What can one say about the cardiac rhythm? How can one determine the “culprit” artery?
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Viloxazine Extended-Release Capsules (Qelbree)
Viloxazine should be prescribed to treat ADHD in patients age 6 to 17 years.
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Exercise Intervention for Improving Metabolic-Associated Fatty Liver Disease
Researchers assessed the histological appearance of liver biopsies from patients with metabolic-associated fatty liver disease (MAFLD) who completed 12 weeks of structured and supported aerobic exercise. Compared to biopsies from a nonexercising control group, the intervention arm demonstrated some reversal of histopathologic changes caused by MAFLD.
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Intracranial Plaque Rupture and Stroke
An MRI study of cerebral circulation in patients with embolic stroke of undetermined etiology showed evidence of atherosclerotic plaque in most patients.
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Ketogenic Diet Improves Cognition, Daily Function in Alzheimer’s Disease Patients
In a randomized, crossover trial, patients with Alzheimer’s disease on a ketogenic diet for 12 weeks demonstrated improved cognition, daily function, and quality of life.
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Pitfalls in the Diagnosis of CIDP
Chronic inflammatory demyelinating polyradiculoneuropathy is commonly misdiagnosed. It is important to adhere to established diagnostic criteria and to regularly re-evaluate all patients given this diagnosis.