Celebratory Excess Drinking Causes Atrial Arrhythmias
It's New Year's Eve and the ball is about to drop. You and your partner respond to a party that's been going for several hours to care for a person who's dizzy. Making your way through the streamers and horns, you're ushered to a back bedroom where you're introduced to Uncle Bill. Uncle Bill is 52 years old and lying on the bed. He looks up at you and says, "Something's not right, boys." You reach to feel his pulse and ask what he means by his statement. You note the smell of alcohol on his breath as he tells you the evening was going great until he suddenly felt faint and his heart began to race. He sat down and had a glass of water but the symptoms remained. His sister helped him to the bedroom and called 9-1-1. He tells you he never actually passed out nor did he fall or injure himself, and, when asked, he tells you nothing like this has ever happened before. His pulse is about 130 and irregular. His skin is cool and clammy and he's "a little short of breath." Uncle Bill reports a past medical history of hypertension controlled with Prinivil (lisinopril) and high cholesterol treated with Zocor (simvastatin). He also says he's a borderline diabetic but isn't medicated for that condition. When asked about alcohol consumption, he says, "Hey, it's New Year's Eve, of course I've been drinking!" but then says he rarely ever drinks alcohol in excess. Uncle Bill's blood pressure is 100/68 and a dextrose stick reveals a blood glucose level of 200 mg/dL...
HIGH blood pressure affects more than one in four adults in the UK, but many people may not realise they have it. Diet can have a huge impact on a person ’s blood pressure reading - in particular, three foods should be avoided.
The price of insulin keeps going up. For people with Type 1 diabetes, high prices can be a life and death issue. Now a grassroots movement is pushing for change.(Image credit: Maddie McGarvey for NPR)
Nurse specialists and nurse generalists are both common within the nursing profession and 21st-century healthcare, and both serve important purposes in patient care as well as non-clinical settings. What does it mean to choose to be a specialist or generalist? What are the repercussions for your nursing career? And how can one accomplish both?Note: pleaseclick here to listen to this blog post's companion podcast episode.Photo by wang dongxu on Unsplash.comNurse Specialists MatterIn both medicine and nursing, generalists and specialists both serve many important purposes. Choosing which one to be can be difficult but ...
Conclusion In our cohort of consecutive patients with clinical ISR, one-sixth showed underlying cNA as the predominant substrate of restenosis. This unique underlying substrate is related to the time elapsed from stent implantation and the absence of previous treatment with statins or ACEi/ARB and is associated with poorer acute results after reintervention.
Conclusion The routine use of BITA versus SITA in PVD patients does not improve long-term survival. Selective use of BITA in lower risk patients might unmask the benefits of BITA.
TYPE 2 diabetes symptoms tend to develop slowly, which can make spotting them difficult. Left untreated, the condition can lead to serious complications, so recognising signs as early as possible is very important. One sign that can indicate the cognition is in the armpit.
What do we know about the inter-relationships of these components in the pathophysiology of PCOS?Clinical Endocrinology
This study explores the prevalence of clonal hematopoiesis related to radioactive iodine exposure and how it impacts overall survival in patients with thyroid cancer.Journal of Clinical Endocrinology &Metabolism
This study examined the relationship between total serum testosterone levels and non-alcoholic fatty liver disease. Might low levels be a risk factor for NAFLD?Liver International
Harry Karmouty-Quintana, Christophe Guignabert, Grazyna Kwapiszewska, Mark L. Ormiston