Internal Medicine
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The Happy Heart Syndrome
Stress cardiomyopathy can be triggered by positive as well as negative emotions; the midventricular pattern of wall motion abnormality was more prevalent among happy hearts.
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White-coat Hypertension:Does It Predict Cardiovascular Disease?
The risk of cardiovascular events in white-coat hypertension subjects is comparable to age and risk-adjusted normotensive controls.
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Clinical Briefs
In this section: prostate cancer outcomes, stroke prevention, and a connection between vascular health and psoriasis.
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Prasterone Vaginal Insert (Intrarosa)
Prasterone is indicated for the treatment of moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy, due to menopause.
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Benefits of TB Screening Confirmed
Make it your job — and the job of your primary care colleagues — to screen persons at risk for latent TB.
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How Safe Is Your Honey?
The FDA reports finding small amounts of the weed killer glyphosate in samples of U.S. honey.
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Cranberry Capsules Are Not Effective in Preventing Bacteriuria with Pyuria in Elderly Women in Nursing Homes
A randomized, double-blind, placebo-controlled trial found that giving cranberry capsules to elderly women residing in nursing homes did not result in any significant benefits, including no reduction in symptomatic urinary tract infections.
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Diastolic Blood Pressure Goals
An analysis of the community-based ARIC study showed that low diastolic blood pressures were associated with higher baseline and subsequent troponin T levels and adverse cardiac events, but not stroke.
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Male Hypogonadism
Testosterone replacement therapy is a growing industry that deserves discussion between patients and their healthcare providers. Recently, many insights into new formulations, advertising, and potential risks have heightened the controversy surrounding low testosterone syndrome, appropriate diagnosis, and risks and benefits of testosterone supplementation. A plethora of non-regulated supplements termed “testosterone boosters” are being marketed directly to the public without adequate assessment. Therefore, it is important for healthcare providers to be familiar with how to conduct and interpret diagnostic tests as well as with appropriate use of TRT as established by various medical organizations, including the Endocrine Society. This review will discuss the definitions, pathophysiology, causes, clinical manifestations, appropriate diagnostic testing procedures, and the role of testosterone supplementation with currently available formulations, with special attention to efficacy and adverse effects in hypogonadism in men.
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An Alternating QRS with AV Block?
There is no 12-lead ECG on this patient, which means that our assessment of QRS morphology is limited to this single right-sided MCL-1 monitoring lead.