Meeting Perspectives: American College of Cardiology, Part 2

May 14, 2008
Meeting Perspectives: American College of Cardiology, Part 2

Commentary by Rob Donnino MD, NYU Division of Cardiology

The annual meeting of the ACC was held last month in Chicago. A good number of NYU faculty and fellows either presented at or attended the meetings. The cardiology fellows exhibited an impressive balance between exploring the Chicago nightlife and diligent attendance at the meetings. Several of the cardiology fellows presented some of the highlights of the ACC meeting at a recent journal club conference for the Cardiology Division. They are being summarized in a…

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ShortCuts-This Week in the Journals

May 12, 2008
ShortCuts-This Week in the Journals

Commentary by Cara Litvin MD, Executive Editor, Clinical Correlations

Making headlines this week was a study published in JAMA analyzing prospective data from over 100,000 female participants in the Nurses’ Health Study for 22 years of follow-up. 64% of deaths among current smokers and 28% of deaths among former smokers were attributable to cigarette smoking. However, an encouraging 13% reduction in all cause mortality was seen within the first 5 years of quitting smoking, and after 20 years, the excess risk decreased to…

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Its okay to smoke…we’ll screen you

May 9, 2008
Its okay to smoke…we’ll screen you

Commentary by Shrujal Baxi MD, NYU Chief Resident

One of the first things you learn about critically analyzing a medical journal piece is to go to the end and see who sponsored the study. Corporate financing is known to have subtle effects on research which can lead to an unconscious bias. Disclosure of funding is paramount for a researcher in order to remain above reproach.

In a recent New York Times article, the impact of such relationships is investigated. In 2006, Dr.…

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Meeting Perspectives: American College of Cardiology, Part 1

May 8, 2008
Meeting Perspectives: American College of Cardiology, Part 1

Commentary by Rob Donnino MD, NYU Division of Cardiology

The annual meeting of the ACC was held last month in Chicago. A good number of NYU faculty and fellows either presented at or attended the meetings. The cardiology fellows exhibited an impressive balance between exploring the Chicago nightlife and diligent attendance at the meetings. Several of the cardiology fellows presented some of the highlights of the ACC meeting at a recent journal club conference for the Cardiology Division. They will be summarized in…

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ShortCuts-This Week in the Journals

May 6, 2008
ShortCuts-This Week in the Journals

Commentary by Sean Cavanaugh MD, Associate Editor, Clinical Correlations

More strong evidence is popping up in the journals indicating that genes might actually be important in determining disease. Who knew? Now that we are well into the dawning age of genetically determined diagnosis and therapy, this week features a few interesting articles on recently discovered genetic associations with particular disease. Other than that – it’s all about global hypertension…

The Lancet features a type of research increasingly seen in the major journals:…

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Class Act: The Polypill Panacea

May 1, 2008
Class Act: The Polypill Panacea

Commentary by David Hatcher, MSIII (reviewed by Neil Shapiro, MD Editor-In-Chief, Clinical Correlations)

C.M. is a 68 year-old retired Caucasian male with a past medical history significant for coronary artery disease, hyperlipidemia, HTN, and a 30 pack year history of smoking. His drug regimen consists of a beta-blocker, an ace inhibitor, a statin, and aspirin.

Patients like C.M. are now more common than ever before. He has already had one heart attack, and he has multiple risk factors for…

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Corticosteroids in Sepsis Now Less Stimulating

April 30, 2008
Corticosteroids in Sepsis Now Less Stimulating

Commentary by Joe Philip MD, PGY-2

CORTICUS was the long-awaited trial addressing the use of corticosteroids in sepsis that was published in the NEJM this past January. Months prior to the leading auther Charles Sprung publishing it, the Tisch and Bellevue intensive care units halted corticotropin stimulation testing. Corticosteroids have warranted much publicity since CORTICUS came out—and rightly so as practice across the country has changed because of it. The Survinig Sepsis Campaign has now downgraded the recommendation on the use of…

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ShortCuts-This Week in the Journals

April 28, 2008
ShortCuts-This Week in the Journals

Commentary by Judith Brenner MD, Associate Program Director, NYU Internal Medicine Residency Program

This week’s ShortCuts begins with a follow up of a story first presented in March, 2008, when the recall of potentially contaminated heparin was reported.

Typical case: 73 year old woman with a complex medical history including end-stage renal disease treated with the use of hemodialysis for 7 years routinely receives heparin intravenously during hemodialysis. In January 2008, during a dialysis session, she develops hypotension with associated nausea and…

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