Americans going to doctor less, buying fewer drugs
Updated: 2010-07-30 21:00:11
Ventricular septal rupture following myocardial infarction is a rare but potentially catastrophic complication. Current ACC and AHA guidelines recommend immediate operative intervention in patients with postinfarction ruptures, regardless of their clinical status, but surgical repair remains very challenging with reported in-hospital mortality being reported in the range of 20-60%.
In this single-centre, retrospective study the authors [...]
Allopurinol is a xanthine oxidase inhbitor which has previously been shown to reduce myocardial oxygen consumption in patients with heart failure. As such, as the authors of this paper decided to investigate the potential benefit of high-dose allopurinol in patients with chronic stable angina.
The double-blinded, randomised, placebo controlled study recruited 65 patients with angiographically documented [...]
When I was a child I had four great-grandparents. Two were from Russia and two were from Poland. My grandparents were actually born in the United States. My last great-grandparent died at the age of 96 when I was 31 and in training after medical school. She was someone I knew as a full person [...]
Chaos models may someday help model cardiac arrhythmias -- abnormal electrical rhythms of the heart, say scientists in the journal CHAOS, which is published by the American Institute of Physics. In recent years, medical research has drawn more attention to chaos in cardiac dynamics. Eventhough chaos marks the disorder of a dynamical system, locating the origin of chaos and watching it develop might allow scientists to predict, and maybe even counteract, certain outcomes........
My blogs over the past week have been concerned about the screening of asymptomatic patients for coronary artery disease and whether we make a difference in their morbidity and mortality if we find it.
That’s really all we are concerned with: Can we, as physicians, change a patient’s outcome by putting in place a medicine or a [...]
Electrophysiology is the subspecialty of cardiology that deals with the electrical problems of the heart. At times the heart develops rhythms that break down into the fast rhythms, the slow rhythms and the lethal rhythms. I have blogged in the past about the development of ICDs or implantable defibrillators and now we are seeing the [...]
I wanted to share something that I received from our local hospice agency. They send out information to grieving family members, and I though this information was appropriate as it can impact all of us…not just those of us who have lost loved ones. So here is their list for First Aid for Your Mental [...]
Scientists at the University of Pittsburgh School of Medicine have identified key players in a little-known biochemical pathway that appears to regulate blood pressure. The findings, published in the early online version of Cardiovascular Research, have evolved from studies conducted by Jeffrey S. Isenberg, M.D., Eileen M. Bauer, Ph.D., and their colleagues at Pitt's Vascular Medicine Institute........
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A simple new rule can help primary care physicians rule out coronary heart disease in patients with chest pain, states a study published in CMAJ (Canadian Medical Association Journal) (pre-embargo link only) http://www.cmaj.ca/embargo/cmaj100212.pdf. Chest pain is common, yet it is challenging for primary care physicians to reliably identify serious cardiac disease while protecting patients from unnecessary interventions........