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Cardiac magnetic resonance stress tests in coronary heart disease

We evaluated the prognostic value of cardiac magnetic resonance (CMR) stress testing with direct comparison of adenosine stress first-pass perfusion and dobutamine stress wall motion imaging among 513 subjects with known or suspected coronary heart disease over a median follow-up period of 2.3 years. Positive results on CMR stress testing identified subjects at high risk for subsequent cardiac events (nonfatal myocardial infarction or cardiac death), whereas normal CMR stress test results were associated with a very low annual cardiac event rate.

Going South: The Toll of Smoking on Kentucky & West Virginia

Tobacco farm region physicians face the challenges of culture, law, and education in improving cessation.

Shifting the Diagnostic Paradigm: A Novel Diagnostic Approach for Evaluating Suspected Coronary Artery Disease

It's time to redirect the initial evaluation of low- to intermediate-risk patients presenting with symptoms suggestive of CAD back to the primary care and internal medicine setting.

The Role of Stigma in Irritable Bowel Syndrome

The stigma attached to chronic diseases such as IBS has been shown to negatively affect patients' self-image and sense of worth, leading to worse outcomes. Being aware of this and working to counteract the psychological effects of stigma can improve the patient-physician relationship and lead to better outcomes.

Prevention of postoperative atrial fibrillation

Atrial fibrillation (AF) is common after cardiac surgery, occurring in 11% to 40% of patients after coronary artery bypass grafting (CABG)1-8 and in more than 50% of patients after valvular heart surgery.

Latest News and Updates on C. Difficile Infection Management and Treatment

We present a round-up of recent news, trial results, and other developments for infectious disease experts and other physicians who treat patients with C. difficile infection.

Get the New Year Off to an Excellent Start

Loss of Sense of Smell Predicts Worse Multiple Sclerosis

Loss of sense of smell predicts more severe multiple sclerosis.

Portfolios Need International Infusions Bernard R. Horn, Jr

The cost of failure

When considering the article by Goldberg and colleagues, it seems reasonable to request a change in the title to "Survival after the diagnosis of  heart failure."

Always Have a Plan B for Retirement

Grand Bahama Island

Build a Secure Bond Ladder Rung by Rung

Board a Trip Through a Sea of Fall Colors

How do cardiac and noncardiac conditions affect survival after ICD implantation?

The benefits of implantable cardioverter-defibrillators (ICDs) have been shown in randomized clinical trials. The factors that affect the risk–benefit ratio in a community setting, however, have not been evaluated.