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What Role Do Muscle Building Supplements Play in Testicular CancerWith muscle supplements being a popular addition to exercise regiments their potential health risks also remain a concern.
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Taking Steps to Reduce Cardiovascular Outcomes in a High-risk PopulationFamily physicians should place as great an emphasis on walking as they do on monitoring medication and laboratory data, and strongly recommend increased ambulatory activity to their patients.
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Survival after heart failureWe conducted a multi-hospital population-based study of 2445 residents of a large New England metropolitan area hospitalized with acute heart failure and found that the long-term prognosis for these patients remains poor. More than one third of patients died in the first year after hospital discharge,and nearly 4 of 5 patients died over the 5-year follow-up period. Several demographic and clinical factors were associated with an adverse prognosis. It is important to know the factors that negatively affect long-term survival after hospital discharge for decompensated heart failure so that treatment can be directed toward specific high-risk groups.
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Contemporary cardiac imaging in hypertrophic obstructive cardiomyopathyFeatures of hypertrophic obstructive cardiomyopathy (HOCM) include obstruction at the left ventricular outflow tract (caused by a markedly thickened proximal interventricular septum) and systolic anterior motion of the mitral valve. The case discussed here illustrates several classic features of this disease including clinical presentation, diagnostic workup, and noninvasive and invasive management.
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Atrial fibrillation after cardiac surgeryWe assessed preoperative cardiac physiology using echocardiography in patients undergoing cardiac surgery to identify predictors of postoperative atrial fibrillation. Subjects with enlarged left atrial volume had a 5-fold greater risk of postoperative atrial fibrillation, independent of age and other risk factors, than those without enlarged left atrial volume. Left atrial volume appears to be a powerful tool to stratify patients according to risk before surgery and to effectively target preventive therapy.
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A Caregiver's Perspective: Light Chain (AL) Amyloidosis TreatmentSusan Weisman, a light chain (AL) amyloidosis caregiver for her husband since 2009, touches on a few of her husband's treatments in an approximate timeline.
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AHA 2010: Prescription Omega-3 Useless in Atrial FibrillationResearchers find no benefit from prescription omega-3 in patients with paroxysmal atrial fibrillation who do not have significant heart disease.
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Effect of Inadequate Response to Treatment in Patients With DepressionThis study sought to assess the effects of inadequate response to antidepressant treatment on healthcare resource utilization and on work productivity in patients diagnosed as having major depressive disorder.
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Meckel's Diverticulum in Adults: More Common Than You ThinkMeckel's diverticulum is among the most common congenital defects of the gastrointestinal tract. Although often considered a disorder of childhood, it can also be diagnosed in adults. Meckel's diverticulum is often asymptomatic. When patients present with symptoms, diagnosis is complicated because the features are similar to those of many other gastrointestinal conditions, and traditional imaging studies often do not demonstrate an obvious abnormality. Management is evolving, and there is no consensus on the appropriate approach to treatment. This article discusses the pathophysiology, associated complications, and management options for this often-overlooked condition.
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Medication adherence and meaningful clinical markers in diabetes mellitusDiabetes mellitus is a chronic disease for which nonadherence to therapy is frequent.
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Detection of anomalous origin of the coronary arteries-role of CT coronary angiographyIn this issue, Schubert and Helenowski present a very dramatic instance of an increasingly common application of computed tomography (CT) coronary angiography—detection of an anomalous origin of the coronaries (page 40).
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A Comparison of Fractional Flow Reserve by Coronary Angiography Vs. Atherosclerotic Plaque Characteristics by Coronary CTAIn the era of progressive technology, the diagnostic modalities for stable coronary artery disease are various. The original cardiac stress test has been used in the past for many purposes, including diagnosis of obstructive coronary artery disease in a patient with chest pain as well as risk stratification for ischemia. More recently, coronary computed tomographic angiography (CCTA) has emerged as a great tool to diagnose anatomically obstructive coronary lesions. However, for the past few years, obtaining functional and physiologic data such as comparative fractional flow reserve (FFR) has become the gold standard for evidence of ischemia on CCTA similar to invasive angiography.
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Predicting Prognosis and Addressing Goals of CareAs many of you are aware, a growing number of hospitalized patients are elderly patients with increasing numbers of comorbidities.
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The Latest Data for Ruxolitinib Cream in Vitiligo: Finding Context from the OutcomesDermatologists Raj Chovatiya, MD, PhD, and David Rosmarin, MD, discuss new research outcomes for the topical JAK inhibitor live from the Revolutionizing Atopic Dermatiti 2023 Annual Meeting in Washington, DC.
