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Cardiac-Related Syndromes that Mimic Ischemia in the Pediatric ECG

The vegetarian paradox: Low HDL cholesterol levels and low cardiovascular risk

Ever since the observation in the 1950s that high-density lipoprotein (HDL) cholesterol was inversely correlated with coronary artery disease, there have been confounding data that have not been reconciled.

Antihypertensive Combination Drugs: Effectiveness, Adherence, and Pleiotropic Effects

The decreasing age of onset of hypertension in the general population paired with increasing life expectancy has resulted in an increased incidence of this disorder, which will likely culminate in higher rates of morbidity and mortality in the future.

Private Practice Is Fighting for Survival

A variety of forces are threatening the sustainability of private practice in today's medical environment. In the face of these and other trends, can physicians survive in private practice?

COVID-19 Webinar: Debating the Road Back to School

Join us tomorrow for an informative discussion on CDC guidance and insights from medical experts on navigating a way back to in-school learning.

Managing Opioid-induced Constipation

The key to managing opioid-induced constipation is early recognition of the problem.

What to Tell the Kids about Caitlyn Jenner: the Transgender Talk

Bruce Jenner's transformation into Caitlyn Jenner is global news. It's a good time to discuss gender issues--but how?

Unusual appearance of a left ventricular mural thrombus

Postpartum cardiomyopathy is a serious disorder that can present from the third trimester to up to 5 months after pregnancy. Although spontaneous resolution of cardiac function occurs in more than half of patients (over a period of 6-12 months), the balance is left with persistent cardiac dysfunction. Cardiac dysfunction results in signs and symptoms of left heart failure, formation of apical or left ventricular thrombi, and arrhythmias and requires management similar to that in patients with nonischemic dilated cardiomyopathy.

Literature Review of Aquagenic Urticaria: How One Becomes “Allergic to Water”

Researchers compiled best practices for clinicians diagnosing and treating aquagenic urticaria (AU), a rare, but debilitating form of the skin disorder that leaves patients unable to bathe, sweat, or cry without breaking out in painful wheals.

Warfarin-associated intracranial hemorrhage risk in ethnic/racial groups: Is the devil in the details?

One of the great advances in medical practice arose from studies on atrial fibrillation in the 1990s.

The Evolving Profession of Oncology Nurse Navigators

Some of the best news that a patient can receive after being informed that they have cancer is that they have been assigned to an oncology nurse navigator (ONN).

High clopidogrel maintenance dosage in patients with diabetes mellitus and coronary artery disease

Patients with type 2 diabetes mellitus have decreased platelet inhibition and decreased responsiveness to standard doses of clopidogrel compared with patients without diabetes. In this pilot study, we showed that increasing the maintenance dose of clopidogrel to 150 mg leads to enhanced platelet inhibition compared with the standard dose of 75 mg in patients with type 2 diabetes with suboptimal responsiveness. The clinical implications of these findings are unknown, however, and need to be evaluated in large-scale clinical trials.