Authors

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Glycemic Control and Excess Mortality in Patients with Type 1 Diabetes Mellitus

Mortality in patients with type 1 diabetes mellitus (T1DM) is higher than in the general population, and whether mortality improves or alters with glycemic control is unknown.

Paul van den Heuvel, MD

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Late mortality with sirolimus-eluting stents in diseased saphenous vein grafts

In a secondary post-hoc analysis of the Reduction of Restenosis in Saphenous Vein Grafts with Cypher (RRISC) trial, we compared the long-term safety of sirolimus-eluting stents (SES) with bare-metal stents (BMS) in diseased saphenous vein grafts

Dale Criner, MD, University of Tennessee, Jackson

Laurie Samay

Thomas Stamos, MD2: From the Departments of 1Internal Medicine

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Community-acquired MRSA pericarditis

Only 2 cases of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) pericarditis have been reported in the English literature. Over the last 15 years, CA-MRSA has emerged as an increasingly common pathogen that is genetically and epidemiologically different from hospital-acquired MRSA (HA-MRSA).

Kashaf Sherafgan, MD

Phillip Green, MD

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An Unusual Case of Chylothorax in an HIV-infected Patient with Kaposi's Sarcoma

Tom Orecchio, CFA, CFP, ChFC, CLU, AIF

Bryan Hess, MD, Rebecca Maury, MD

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Human Papillomavirus Infection: Current Approach to Prevention

Preventing HPV infection is tantamount to cervical cancer eradication. New vaccines offer protection against many HPV serotypes, but even vaccinated women should be screened for cervical cancer.

Stephen C. Vlay, MD, is professor of medicine, Cardiology Division, State University of New York Health Sciences Center, Stony Brook, New York.

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Evaluating the lifetime risk of atrial fibrillation

Data from the Framingham study provide yet more valuable prognostic information, this time related to the most common cardiac arrhythmia, atrial fibrillation.

Khang Nguyen, MD

We developed a set of equations to predict the risk or probability of developing coronary artery disease (CAD) in 10 years among American Indians. The equations are based on the significant risk factors identified in the Strong Heart Study, a longitudinal study of cardiovascular disease in American Indians. The equations can be used in patient education and to evaluate the efficacy of CAD prevention and intervention programs.

Sanjoy Paul, PhD2

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Community cardiology clinics for secondary prevention of coronary heart disease and heart failure in primary care

Coronary heart disease (CHD) and chronic heart failure (CHF) are common chronic conditions encountered in primary care. Studies have shown that despite a strong evidence base, these conditions are often poorly diagnosed and inadequately managed in primary care.

Cécile Romeyer-Bouchard, MD

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Should radiofrequency ablation be first-line therapy after a first episode of symptomatic atrial flutter?

Radiofrequency catheter ablation (RFA) is a cost-effective approach that has modified the treatment of patients with supraventricular tachycardia. In the Loire-Ardèche-Drôme-Isère-Puy-de-Dôme (LADIP) study, we compared RFA treatment with amiodarone therapy after the first episode of symptomatic atrial flutter. Results showed that RFA should be considered a first-line treatment, especially in elderly patients, because it has a better long-term success rate, the same risk of subsequent atrial fibrillation as amiodarone, and fewer secondary effects compared with amiodarone. Radiofrequency catheter ablation first-line therapy should be recommended in routine clinical practice, even when the atrial flutter is isolated without a previously documented atrial fibrillation episode.

Ilmo Keskimäki, MD, PhD

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Large-scale clinical epidemiology of stable angina in women and men

We performed a whole-country study using linked health care records in Finland and showed that stable angina as the initial symptomatic manifestation of coronary disease occurs as frequently in women as it does in men. Among easily recognized subgroups, the absolute rates of prognostic outcomes were similarly high in women and men.

Brian Martin, PhD

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Risk Factors, Comorbidities, and Costs of Heart Failure

Of the predominating risk factors or comorbidities that occur with HF, hypertension appears to be the most prevalent.

Even Money from the Tooth Fairy Can Be Saved

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Even Money from the Tooth Fairy Can Be Saved

Esther Chang, Peter R. Leone, Arnold Pamplona, Daniel Melvin, Emily Cook, Jeanna Palmer Gunville, Amy Kearbey, Webb Millsaps

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Proposed Physician Fee Schedule Update Implements Reform Provisions

CMS published its annual regulatory update to the Medicare Physician Fee Schedule, including rules implementing key provisions of the Affordable Care Act.

Steve Gelfand, MD

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The Ongoing Debate Over the Use of Opioids in Treating Chronic Noncancer Pain

Steve Gelfand, MD, secretary of Physicians for Responsible Opioid Prescribing (PROP) responds to recent comments by Drs. Cole and Webster in Pain Management.

Jane M. Orient, MD

Anthony D. Criscuolo, CFP

Andrew W. Menzin, MD, FACOG, North Shore University Hospital, Manhasset, NY

Michele S. Green, MD

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Beach Body: Consider These Non-Surgical Body Contouring Options for the Summer

As the weather warms and spring turns to summer, the layers of clothing come off. Itâ€™s the time of year when people ramp up their diet and exercise regimens to tighten up that beach body.

Mitchell I. Silberman