Internal Medicine
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A Probiotic May Cause Sepsis and Death
Saccharomyces boulardii is a probiotic yeast that may cause fungemia and other fungal infections. -
Common Herbal and Dietary Supplements for Patients with Type 2 Diabetes: Part 2
The authors review chromium, cinnamon, fenugreek, garlic, and Gymnema sylvestre as complementary and alternative medicine supplements for managing type 2 diabetes. -
Value of Optimal Medical Therapy After Revascularization
Patients with three-vessel or left main coronary artery disease randomized to coronary bypass surgery vs. percutaneous therapy on optimal medical therapy at five years with three or four of the recommended drugs recorded a lower 10-year all-cause mortality rate vs. those on ≤ 2 drugs. -
Early Physical Rehabilitation in Acutely Hospitalized Heart Failure Patients
A tailored, progressive physical rehabilitation program started in the hospital and continued for three months in older, relatively frail acute heart failure admissions resulted in significantly improved physical function vs. usual care but did not reduce six-month readmission rates. -
The Difficulty of Showing Benefit of Cerebral Protection Devices During TAVR
In this trial of cerebral protection in transcatheter aortic valve replacement, the TriGUARD device was safe vs. historical controls, but failed to meet its primary efficacy endpoint. -
Coffee Consumption and Tachyarrhythmias
An analysis demonstrated an inverse association of coffee consumption and cardiac arrhythmias, which was not altered by genetic variations in caffeine metabolism, age, or sex. -
Alcohol Consumption and Atrial Fibrillation
An analysis of the UK Biobank database revealed low levels of alcohol consumption, especially with wine and spirits, is associated with the lowest incidence of atrial fibrillation. -
National Orgs Back COVID-19 Vaccine Mandates for Healthcare Workers
Groups call for action as cases and hospitalizations surge again. -
Is AV Block Complete?
The dual lead rhythm strip in the figure was obtained from an elderly patient with syncope. Is there AV dissociation? Is there complete AV block? This is a challenging tracing because a different diagnosis is suggested by the first five beats in the rhythm strip, compared to the last four beats. -
Ibrexafungerp Tablets (Brexafemme)
Ibrexafungerp can be prescribed to treat adults and post-menarchal pediatric females with vulvovaginal candidiasis.