December 4th 2024
Your daily dose of the clinical news you may have missed.
December 2nd 2024
November 27th 2024
A woman in her early 50s presents with 6 hours of right sided pleuritic chest pain. What do the history and ECG suggest? What's yoru Dx?
November 26th 2024
The patient shows no signs of trauma but is a poor historian so no further details are available. Do her vitals or ECG provide any clues to a Dx?
November 25th 2024
Friday's 5 Quotes for Primary Care - 4-7-2023
High salt intake linked to coronary atherosclerosis; daily ETOH, even in small doses, is dangerous; statins don't increase muscle injury; and 2 more studies of note.
Daily Alcohol Intake Appears More Dangerous than Not, Even in Small Doses and Particularly for Women
Results of previous studies supporting health benefits of low-dose, moderate drinking were likely skewed by bias and confounding, say authors of a new meta-analysis.
Sodium Intake Shows Strong Linear Relationship with Risk of Both Carotid and Coronary Atherosclerosis: Population-based Study
Each 1000 mg rise in Na excretion saw a corresponding 3%, 4%, and 4% higher risk of worsening carotid plaque, CAC score, and coronary artery stenosis, respectively.
Moderate Exercise Does Not Increase Muscle Injury Markers in Statin Users who Are Symptomatic, Asymptomatic
Statin therapy did not exacerbate muscle injury, pain, or fatigue in persons engaging in moderate-intensity exercise, according to a new study.
Daily Dose: Pediatric Primary Hypertension
Your daily dose of clinical news you may have missed.
Mediterranean, Low-fat Diets May Reduce Death, CV Events in Patients at Increased Risk
The Mediterranean and low-fat dietary patterns were the only 2 out of 7 "structured, named" programs shown to reduce risk of mortality, CV events in persons at risk.
Primary Hypertension in Children and Adolescents “Underrecognized,” According to New AHA Scientific Statement
Pediatric hypertension and the need for appropriate diagnosis, treatment, and reduction of lifestyle risk factors outlined in new scientific statement.
Daily Dose: Reversion from Prediabetes to Normoglycemia & Mortality Risk
Daily Dose: Apple Watch for Detection of Atrial Fibrillation
Reversing Prediabetes Without Lifestyle Change May Not Reduce Mortality Risk: Study
Among persons with prediabetes who reverted to normoglycemia, only those who remained physically active saw a reduced risk of all-cause death, study authors report.
New Data Suggest Apple Watch Algorithm is Accurate in Atrial Fibrillation Detection
An Apple Watch feature designed to detect atrial fibrillation was associated with a low rate of false-positive detections and high specificity in persons with AF.
Weight Regain May Not Fully Diminish Benefits of Weight Loss on Cardiometabolic Health
A new study examines the legacy effects of weight loss on cardiometabolic disease risk factors, finding benefits persist up to 5 years, despite weight regain.
Daily Dose: Prevalence of Statin Use for ASCVD Prevention
Daily Dose: Statin-Eligible Minority Patients Sorely Undertreated
A daily dose of clinical news you may have missed.
FDA Proposed Rule Change Expands Use of Salt Substitutes to Lower NaCl Intake, Reduce Chronic Disease
The rule change would provide flexibility in standards that govern specific ingredients used in food production, permitting replacement of regular sodium with less toxic substitutes.
Friday's 5 Quotes for Primary Care: 3-24-2023
Statin-eligible patients in minority groups significantly undertreated; metabolically healthy obesity on the rise; menstruation irregularities suggest later CVD risk; and 2 more studies of note.
Rate of Statin Use for Primary ASCVD Prevention Substantially Lower in Black, Hispanic Persons
Analysis of NHANES data between 2013-2020 found statin use low across racial/ethnic groups and significantly lower among Black and Hispanic participants.
AHA/ACC Release Scientific Statement on Benefits of Exercise Training in Persons with HFpEF
Studies on supervised exercise training in patients with chronic, stable HFpEF suggest substantial improvements in exercise capacity and QoL that may surpass those seen with medication.
Daily Dose: Menstrual Cycle Irregularities & Cardiometabolic Events in Later Life
Menstrual Cycle Irregularities May Increase Risk for Cardiometabolic Events in Later Life
Women whose menstrual cycle varied in frequency had a significant 24% greater risk of a composite cardiovascular event during a 26-year follow-up, a new study reports.
Friday's 5 Quotes for Primary Care 3-17-2023
Each of the quotes is taken from a study reviewed on Patient Care during the week and was chosen for the research team’s passion about the implications of their findings.
Daily Dose: High Normal Body Weight in Youths & Hypertension
ACC 2023: 10 Clinical Highlights for Primary Care
Ketogenic diet comes with cautions, new benefits of bempedoic acid, how to increase GDMT for type 2 diabetes, and CV consequences of cannabis lead findings from ACC 2023.
Children, Adolescents with Higher BMI at Increased Risk for Hypertension, According to New Research
Youth at the upper range of normal weight had a 26% higher risk of developing hypertension than those in the lower range of normal weight, according to a new study.
Perceived Racism Linked to Significantly Increased Risk for Heart Disease in Black Women
Black women who reported perceived interpersonal racism in employment, housing, and interactions with police had a nearly 30% higher risk of CHD than those reporting none.
Seen in the ED: An Elderly Man Feels Dizzy Doing Dishes
Standing at the kitchen sink, the patient experienced vertigo and near syncope. His vital signs are normal save a discrepancy in SBP between arms. What's your diagnosis?
Friday's 5 Quotes for Primary Care 3-10-2023
Each of the quotes is taken from a study reviewed on Patient Care during the week and was chosen for the research team’s passion about the clinical implications of their findings.
Daily Dose: Keto Diet and Cardiovascular Health
Daily Dose: Coordinated Care to Optimize CV Preventive Therapies in T2D
Residual Inflammation in Statin-treated Patients Linked to Greater Risk for MACE, Mortality vs Residual Cholesterol
Among patients in the highest quartile of hsCRP, the risks of CV-related and all-cause death were more than 2 times higher than in those in the highest quartile of LDL-C.