Category Archives: Medical Journal Briefs

Further Follow-Up On The New Anticoagulants

From the HeartWire there was further follow-up of prior data looking at Pradaxa (dabigatran) versus Coumadin (warfarin) in mechanical heart valve patients. It would appear for now at least that the traditional treatment of warfarin is still in the driver’s … Continue reading

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Study Demonstrates Effectiveness of a New Generation of Anticoagulants

This recent article demonstrates that the new generation anticoagulants are as effective as our old gold standard but with less bleeding risk. The study compared a new Xa inhibitor with our present standard of care — low molecular weight heparin plus … Continue reading

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Gastric Bypass Surgery and Cardiovascular Risk

Medical obesity is defined as a body mass index greater than or equal to 30. This index is calculated based upon a person’s height and weight. In my office this index is listed in the patient’s vital signs section of … Continue reading

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Face Down Positioning is Effective For Acute Respiratory Distress Syndrome

This article from the New England Journal of Medicine demonstrates that placing patients face-down while intubated for a condition known as acute respiratory distress syndrome (ARDS) significantly improves survival. Roughly 230 patients were divided into different treatment groups. In one … Continue reading

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When It Comes To The ICU, Less is Better

A recent New England Journal of Medicine article suggests perhaps less is better in the Intensive Care Unit (ICU). This came from the June 6, 2013  publication. The article analyzes the effectiveness of having a night-time ICU specialist in attendance … Continue reading

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Is Cholesterol the Key to Understanding Alzheimer’s?

This article presents a brief analysis of the following study presented in the Journal of the American Medical Association: Variants in the ATP-Binding Cassette Transporter (ABCA7), Apolipoprotein E ϵ4,and the Risk of Late-Onset Alzheimer Disease in African Americans While this … Continue reading

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We Need To Rethink Hormone Replacement In Women

A recent Danish study shows that 10 years of hormone replacement started early in menopause significantly improved cardiovascular risk (50% reduction).  A few years ago America was floored by the Women’s Health Initiative’s results which suggested no cardiovascular benefit and … Continue reading

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