The Role of Fish Oil in Arrhythmia Prevention

July 29, 2015
The Role of Fish Oil in Arrhythmia Prevention

By Steven Bolger

Peer Reviewed

Omega-3 fatty acids were first identified as a potential agent to prevent and treat cardiovascular disease through several epidemiologic studies of the Greenlandic Inuit in the 1970s suggesting that high consumption of fish oil was associated with a decreased risk of cardiovascular disease . Fish oil contains two omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), that have been shown to be beneficial in treating hypertriglyceridemia and in the secondary prevention of cardiac events .

The GISSI-Prevenzione trial, …

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Primecuts – This Week In The Journals

July 28, 2015
Primecuts – This Week In The Journals

By Kevin Ha, MD, PhD

Peer Reviewed 

This week, NASA announced the discovery of Kepler 425b, an exoplanet that is “Earth’s bigger, older cousin” . It takes 385 days to orbit around the habitable zone of its sun, and it “almost certainly” has an atmosphere. Although its sun is brighter than our own, the exoplanet receives about the same amount of sunlight as ours because its orbit is wider. Overall, Kepler 425b is the most Earth-like exoplanet ever found in a habitable zone. With this …

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UV Nail Lamps and Cancer: A Correlation?

July 24, 2015
UV Nail Lamps and Cancer: A Correlation?

By Jennifer Ng, MD

Peer Reviewed 

Beauty and suffering are often thought to be intertwined.  It is hard to have your cake and eat it too.  In the quest for beauty, women (and men) have subjected themselves to toxic and potentially deadly practices, such as applying lead-based cosmetics to whiten their faces historically , or more recently, going to tanning beds and/or laying out in the sun for prolonged periods to get a “healthy glow.”  As we have become increasingly health-conscious and vigilant, more and …

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A Primer on CRP and Cardiovascular Risk

July 22, 2015
A Primer on CRP and Cardiovascular Risk

Cindy Fei, MD

Peer Reviewed

A 63-year-old woman with hypertension presents to your clinic for routine follow-up. She came across an online article regarding C-reactive protein and its purported link to heart disease, and she asks you whether she should be tested for it. She is an otherwise asymptomatic non-smoker without a family history of heart disease. Her only medication is hydrochlorothiazide. Her blood pressure measured in the office is 128/81 mmHg, her low-density lipoprotein is 110 mg/dL, and her high-density lipoprotein is 54 mg/dL. …

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Primecuts – This Week In The Journals

July 21, 2015
Primecuts – This Week In The Journals

By Robin Guo, MD

Peer Reviewed

This week was marked by ground-breaking milestones in the fields of science and engineering, such as the awe-inspiring images of Pluto beamed from several billion miles away and the bioengineering of an organoid human brain to study autism (1, 2). As we sit behind our screens and reminisce about the days when Pluto was still a planet, let us take a look at several news-worthy discoveries from the medical world.

A New Risk-Stratification Index for Pneumonia Patients on Appropriate

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Diagnostic Challenges in Latent Tuberculosis Infection: A Brief Review of Available Tests and their Appropriate Use

July 15, 2015
Diagnostic Challenges in Latent Tuberculosis Infection: A Brief Review of Available Tests and their Appropriate Use

By: Miguel A. Saldivar, MD

Peer Reviewed 

“Indeterminate.” Many clinicians have expressed frustration when reading this word on a Quantiferon-TB Gold test result. The obligate follow-up question is: what is the next best step? Repeat the Quantiferon? Ignore it altogether and perform a Tuberculin Skin Test (TST) instead? Even worse, what happens when both tests are performed with discordant results? In order to answer some of these questions, this article begins with a very brief overview of Mycobacterium tuberculosis (TB) infection epidemiology. This is followed …

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Primecuts – This Week In The Journals

July 13, 2015
Primecuts – This Week In The Journals

By David Valentine, MD

Peer Reviewed

In a busy week, here’s some world news highlights: After a month of dramatic drops in the Chinese markets, finances have begun to stabilize, but at the cost of many families’ savings; Greece offered the EU a new plan for a return to fiscal sustainability; the Syrian refugee crisis continued to worsen, with many fleeing into neighboring countries; and Scott Walker added his name to the list of GOP presidential candidates.

Liraglutide for a bit less weight

With obese …

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Neurologic Complications In Infective Endocarditis: To Anticoagulate Or Not To Anticoagulate

July 10, 2015
Neurologic Complications In Infective Endocarditis: To Anticoagulate Or Not To Anticoagulate

By Shannon Chiu, MD

Peer Reviewed

The annual incidence of infective endocarditis (IE) is estimated to be 3 to 9 cases per 100,000 persons in developed countries . Neurologic complications are the most severe and frequent extracardiac complications of IE, affecting 15-20% of patients . They consist of 1) ischemic infarction secondary to septic emboli from the valvular vegetation, which can eventually undergo hemorrhagic transformation; 2) focal vasculitis/cerebritis from septic emboli obstructing the vascular lumen, which can then develop into brain abscess or meningoencephalitis; 3) …

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