Internal Medicine

Weight gain linked to increased atrial fibrillation risk

Weight gain linked to increased atrial fibrillation risk

For every five unit increase in body mass index there were greater excess risks of incident atrial fibrillation in cohort and case-control studies.

Cardiovascular disease-related deaths on the rise

Cardiovascular disease-related deaths on the rise

In 1990, 12.3 million people died worldwide of heart disease. The number grew to 17.3 million by 2013, an increase of 40%.

Immune changes found in patients with chronic fatigue syndrome

Immune changes found in patients with chronic fatigue syndrome

Evidence of immune system changes were only found in first three years of disease.

High whole grain intake may protect against coronary heart disease

High whole grain intake may protect against coronary heart disease

The highest amount of whole grain intake, compared with the lowest amount of whole grain intake, was significantly associated with reduced risk for CHD.

Hypothermia-related deaths on the rise in the United States

Hypothermia-related deaths on the rise in the United States

A statistically significant increase in death rates from hypothermia occurred between 2003 and 2013.

Experts call for new name, criteria for chronic fatigue syndrome

Experts call for new name, criteria for chronic fatigue syndrome

IOM committee proposes name change to 'systemic exertion intolerance disease'.

Does political affiliation affect life span?

Does political affiliation affect life span?

When it came to political ideologies, 30% of conservatives and moderates died compared with 25% of liberals.

Alkaline phosphatase, bilirubin predict outcomes in primary biliary cirrhosis

Alkaline phosphatase, bilirubin predict outcomes in primary biliary cirrhosis

Levels of alkaline phosphatase that were two times the upper limit of normal at one year after study enrollment best predicted patient outcomes.

Indoor tanning-related emergency department visits drop

Indoor tanning-related emergency department visits drop

The decreasing popularity of tanning salons may be a contributing factor to the drop of emergency care visits because of overexposure to UV radiation.

Insufficient evidence for vitamin D deficiency screenings

Insufficient evidence for vitamin D deficiency screenings

There is not enough evidence to support vitamin D deficiency screenings said the USPSTF in a final recommendation statement.

Dabigatran linked to higher bleeding risks compared with warfarin

Dabigatran linked to higher bleeding risks compared with warfarin

In black patients and those with chronic kidney disease, the risk of major bleeding was especially high.

New urinary incontinence guidelines focus on nonsurgical management

New urinary incontinence guidelines focus on nonsurgical management

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Women with urgency UI (the loss of urine for no apparent reason after suddenly feeling the need or urge to urinate) should undergo bladder training.

Probiotics may lower blood pressure

Probiotics may lower blood pressure

Effect appears to be greater when baseline blood pressure is elevated.

Should you advise patients to eat organic?

Should you advise patients to eat organic?

A new study suggests organically grown produce and grains contain less cadmium and more antioxidants.

Subtle signs of a failing heart

Subtle signs of a failing heart

Complaints about lack of sleep and postnasal drip may describe worsening heart failure.

Evaluation and treatment of acute cerebral ischemia

Evaluation and treatment of acute cerebral ischemia

To ensure that therapeutic interventions begin in time, providers must be able to recognize the clinical presentation of an acute ischemic stroke.

Hypertension-related hospitalizations up in U.S. children

Hypertension-related hospitalizations up in U.S. children

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Pediatric hospitalizations due to hypertension were associated with $3.1 billion in charges from 1997 to 2006.

ADA: Glucose control in prediabetes cuts diabetes risk

ADA: Glucose control in prediabetes cuts diabetes risk

Patients with prediabetes who achieve normal glucose regulation, even just one time, have a lower risk for progressing to diabetes.

Plumbing for atherosclerosis

Using plumbing as an analogy for atherosclerosis can help improve treatment adherence.

Daily aspirin ups bleeding risk

Daily aspirin ups bleeding risk

Daily low-dose aspirin use to prevent heart disease is associated with an increased risk of major gastrointestinal (GI) or cerebral bleeding.

Obesity linked to lower-extremity lymphedema

Obesity linked to lower-extremity lymphedema

There may be a BMI-specific threshold above which lymphatic flow is impaired, study findings suggest.

Evaluating heart risk in 
asymptomatic patients

Evaluating heart risk in 
asymptomatic patients

An evidence-based guideline is available to help primary-care clinicians lower the burden of coronary deaths in this adult population

Blood thinner for treatment of ACS

Blood thinner for treatment of ACS

Ticagrelor significantly reduced the rate of cardiovascular death, MI or stroke compared with clopidogrel in a clinical trial.

Abnormal liver tests pose death risk for elderly

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One in six people aged 75 years and older is likely to have at least one abnormal liver test, and those who have two or more are twice as likely to die from cancer and 17 times more likely to die from liver disease.

Addiction redefined to encompass neurologic aspects

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American Society of Addiction Medicine recognizes addiction as a chronic brain disorder and advises clinicians to approach treatment similar to other chronic illnesses such as heart disease or diabetes.

What to do after a positive FOBT

Should a man with a positive fecal occult blood test and a normal colonscopy without GI symptoms be referred to a gastroenterologist?

Is there one pill to treat hypertension and migraine?

A hypertensive patient with migraines experienced undesirable side effects (irritability and weight gain) while taking the nonselective beta-blockers nadolol (Corgard) and propranolol (Inderal).

Early morning smokers at higher risk for cancer

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Identifying this behavior could help clinicians develop targeted smoking cessation interventions for those at greatest risk.

FDA adds bladder cancer warning to pioglitazone label

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Interim findings from an epidemiological study involving 193,099 patients with diabetes showed that using pioglitazone longer than one year increased patients' risk for bladder cancer.

Constipation a simple clue to heart problems

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Constipation, an easy-to-identify condition, may be a marker for cardiovascular risk factors and increased cardiovascular risk in older women, data from a large analysis indicate

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