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Chest Pain, Dyspnea, and a Negative Stress Test in a 46-Year-Old Man
The patient drove himself to the ED after experiencing symptoms while playing basketball. He has a history of anxiety, but is this more than a case of nerves over a missed foul shot?
How to Manage Acute Coronary Syndrome
Be alert for the pitfalls in ECG interpretation of ACS. An initial tracing can be normal in about 10% of cases, even during chest pain. Nonspecific changes occur in another 5% to 15% of cases.
FDA Approves New Anti-Obesity Drug
Contrave, a combination of naltrexone and buproprion, has been approved for long-term weight loss management in overweight and obese adults.
Good Culinary News for Statin-Intolerant Patients
The real impact of nutritious menu changes at fast food chains like McDonalds remains to be seen, but these—along with modifying the dosage schedules of patients who appear to be statin-intolerant—may prove to have long-term salubrious effects.
The VitDISH Study: Vit D Supplementation Does Not Improve ISH in Older Patients
Vitamin D supplementation in the VitDISH study did not improve isolated systolic hypertension in elderly patients who were deficient.
Smoking and HDL: Bad News for the Good Lipid
Smoking can increase cholesterol, triglycerides, and LDL while decreasing HDL.
Diabetes Intervention Trims Weight, Not Cardiovascular Events
Although this study did not show benefits for heart disease, it has shown that weight loss improves many other health problems.
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