Internal Medicine
RSSArticles
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Two Studies Weaken the Case for Drug-Eluting Balloon Treatment of Coronary In-stent Restenosis
Repeat stenting with drug-eluting stents should, for now, be considered the default treatment for in-stent restenosis.
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Refining Stroke Risk Prediction in Heart Failure Without Atrial Fibrillation
ABSTRACT & COMMENTARY: A high-risk subgroup of heart failure patients without atrial fibrillation can be identified using simple clinical variables.
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Are Beta-blockers Post-CABG Indicated?
In post-coronary artery bypass graft surgery patients, long-term beta-blocker use was associated with lower rates of death and major adverse cardiac and cerebrovascular events.
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Time to Shelve Warfarin for Atrial Fibrillation Patients?
Patients with atrial fibrillation taking oral anticoagulants exhibited a decline in renal function that was greatest with warfarin use vs dabigatran use.
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Cryptogenic Stroke and Atrial Fibrillation
In large prospective databases of ischemic stroke, cryptogenic stroke occurs in as many as 30% of all ischemic stroke patients. Many of these patients have the characteristics of cardioembolic stroke, and there has always been a strong suspicion that some of these patients have atrial fibrillation.
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Antibiotics for Intra-abdominal Infections: Less Is More
Complicated intra-abdominal infections cause significant morbidity and mortality, especially in the elderly. Often these infections are treated with antibiotics until all the signs and symptoms of the systemic inflammatory response syndrome resolve, typically for 7 to 14 days.
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Duration of Antibiotic Treatment for Vertebral Osteomyelitis
Three hundred fifty-nine patients with pyogenic vertebral osteomyelitis were randomized to 6 weeks vs. 12 weeks of antibiotic treatment in an open-label controlled trial. Six weeks of antibiotics was found to be not inferior to 12 weeks of treatment.
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VTE Occurs Frequently in Patients with Sepsis
The purpose of this multicenter study was to prospectively determine the incidence of VTE among ICU patients with sepsis and septic shock, and to identify independent risk factors for VTE in these patients.
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Inferior Vena Cava Filters and Recurrent Pulmonary Embolism
Placement of retrievable inferior vena cava filters in individuals with concurrent DVT does not reduce the risk of recurrent pulmonary embolism.
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Clinical Briefs
Distinguishing the major differences within the class of beta-blockers; delay in the diagnosis of hepatocellular carcinoma; and a closer look at an under-recognized form of orthostatic hypotension.