Internal Medicine
RSSArticles
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ECG Review: Chest Pain, Dyspnea, and Anterior T Wave Inversion
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Clinical Briefs
In this section: natural alternative could cause unwanted side effects; new relief for those with intestinal maladies; and more data on seated postural hypotension.
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Patiromer for Oral Suspension (Veltassa)
Patiromer is indicated for the treatment of hyperkalemia.
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Optimal Antiplatelet Therapy for Secondary Prevention of Ischemic Stroke
Compared with maintaining patients on aspirin alone, switching to a different antiplatelet agent, or adding a second antiplatelet agent to aspirin may be better in preventing subsequent vascular events in patients who experienced a new ischemic stroke while taking aspirin.
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Spironolactone for Resistant Hypertension
Recent studies suggest spironolactone is the most efficacious fourth drug for patients with drug-resistant hypertension.
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Is Sodium Restriction Detrimental in Chronic Heart Failure?
Dietary sodium restriction may have a detrimental effect on outcome in patients with symptomatic chronic heart failure.
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Strategies for Prescribing Opioids Appropriately
Prescription opiate abuse and misuse has become a growing epidemic recently, and the problem seems to be propagating without an immediate end in sight. It is known that prescription opiate abuse has clear links to heroin abuse (which also has become increasingly more prevalent), and, in some instances, primary care physicians may be adding fuel to the proverbial fire.
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Is Sodium Restriction Detrimental in Chronic Heart Failure?
In an observational study of outpatients with NYHA class II or III heart failure, dietary sodium restriction (< 2500 mg/day) was associated with increased risk of death or heart failure hospitalization.
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Fecal Microbiota Transplantation: Patients Need No Convincing
Relapsing and refractory Clostridium difficile infection has become a real challenge for clinicians and affected patients alike. Some patients wind up in a seemingly never-ending cycle of illness, gradual improvement, followed by a prolonged vancomycin taper, and eventual relapse.
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Intracerebral Hemorrhages Associated with Non-vitamin K Oral Anticoagulants Appear to Be Smaller than Those Associated with Warfarin
This small prospective observational study suggests that warfarin-associated intracerebral hemorrhages may be larger and have worse clinical outcomes then hemorrhages associated with the newer anticoagulant agents.