Forty Years of Chest Pain: A Case Report and Contemporary Review of the Diagnostic and Therapeutic Options for Myocardial Bridging.

Forty Years of Chest Pain: A Case Report and Contemporary Review of the Diagnostic and Therapeutic Options for Myocardial Bridging. Rev Cardiovasc Med. 2016;17(1-2):69-75 Authors: Tat E, Cheng R, Helfenstein JS Abstract A 48-year-old woman with 40 years of intermittent squeezing chest pain presented with worsening symptoms. Results of an ambulatory electrocardiogram, echocardiogram, and exercise treadmill were unremarkable. Persistent symptoms prompted a computed tomography coronary angiogram (CTCA) that revealed mid-left anterior descending artery myocardial bridging (MB) that was not physiologically significant by exercise single-photon emission CT. Conservative treatment was pursued. Anatomic MB is prevalent in a large proportion of the general population and are increasingly identified by CTCA. The majority are benign, physiologically significant bridging is uncommon, but accelerated proximal atherosclerosis can occur. b-blockers and nondihydropyridine calcium-channel blockers are the primary treatment options, with surgical myomectomy, coronary artery bypass, and stenting reserved for patients refractory to medical therapy with demonstrable ischemia. Head-to-head evaluation of nonpharmacologic therapies is needed. Intracoronary techniques provide simultaneous anatomical and physiological assessment but CTCA fractional flow reserve and hybrid positron emission tomography with concomitant spatial imaging systems are evolving as noninvasive alternatives...
Source: Reviews in Cardiovascular Medicine - Category: Cardiology Tags: Rev Cardiovasc Med Source Type: research

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CONCLUSIONS: These OSHAs decreased lifting a resident using human power and taking an unsuitable posture, which are the primary risk factors of LBP. Therefore, these OSHAs should be implemented as priority approaches to prevent LBP among caregivers in care facilities for the elderly. PMID: 31004382 [PubMed - as supplied by publisher]
Source: Journal of Occupational Health - Category: Occupational Health Tags: J Occup Health Source Type: research
Publication date: Available online 20 April 2019Source: PeptidesAuthor(s): Victor J. HrubyAbstractThe current opioid crisis has created a tragic problem in medicine and society. Pain is the most ubiquitous and costly disease in society and yet all of our “treatments” have toxicities, especially for prolonged use. However, there are several alternatives that have been discovered in the past fifteen years that have been demonstrated in animals to have none of the toxicities of current drugs. Many of the compounds are multivalent and have novel biological activity profiles. Unfortunately, none of these have been i...
Source: Peptides - Category: Biochemistry Source Type: research
ConclusionsA high proportion of patients in both groups had pain several years after the second repair. None of the analyses favored Lichtenstein-Lichtenstein, but a few of the secondary outcomes favored Lichtenstein-Laparoscopy.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Publication date: Available online 20 April 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): D.A. Safin, D.V. RomanovAbstractLymphatic malformations (LM) are a congenital malformation of lymphatic vessels. There exist large, small and mixed cystic LMs. Up to the present day, the causes of LM remain the subject of scientific research. Special sclerosing agents such as Doxycycline, Bleocyne, Picibanil (OK-432) and other drugs are used for sclerosing of LM. Due to the special characteristics of the impact of each drug on the endothelium, during the early post-surgical period there occur various undesirable effe...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
DEA raids Tempe pain management clinic, 2 arrested Authorities say two employees at a pain management clinic were arrested Thursday in a raid involving federal agents. www.abc15.com "The DEA identified the two suspects Friday as Naturopathic Medical Doctor Jelina Ip and her mother, Alane Ip. The two are accused of over-prescribing controlled substances, including oxycodone and morphine. The Ips face dozens of criminal charges including fraud schemes, illegally conducting an enterprise, illegal administration of a narcotic... DEA Raids Arizona...
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
AbstractPain management in the pediatric population is complex for many reasons. Mild pain is usually managed quite well with oral acetaminophen or ibuprofen. Situations involving more severe pain often require the use of an opioid, which may be administered by many different routes, depending on clinical necessity. Acute and chronic disease states, as well as the constantly changing maturational process, produce unique challenges at every level of pediatrics in dosing and management of all medications, especially with regard to high-risk opioids. Although there has been significant progress in the understanding of opioid ...
Source: European Journal of Drug Metabolism and Pharmacokinetics - Category: Drugs & Pharmacology Source Type: research
CONCLUSIONS: The assessment of pain, sedation and delirium is demonstrated, and low percentages of agitation and delirium achieved. We observed a high percentage of patients with pain, and moderate use of PC. We should generalise the use of protocols to assess, prevent and treat pain and delirium by appropriately managing analgesia, sedation, and individual and well-considered use of PC. (ClinicalTrials.gov Identifier: NCT03773874). PMID: 31003871 [PubMed - as supplied by publisher]
Source: Enfermeria Intensiva - Category: Nursing Tags: Enferm Intensiva Source Type: research
Depression is one of the most difficult conditions to contend with and manage. This is due in part to the fact that it can go undiagnosed for years. Many people suffer with depression not realizing that the problems they are having and the way they are feeling can be addressed and improved with help, time, and effort. And while anyone can suffer with depression, there are some significant differences in the way that it affects men versus women. Although there are several symptoms of depression that are common to both men and women, the way that a man experiences and expresses depression can be very different than the way a...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Depression Men's Issues Women's Issues Gender Difference Source Type: blogs
ConclusionsOur findings indicate that kratom initiation (approximately 214.29 mg of mitragynine) was associated with significant decreases in the prevalence and severity of opioid adverse effects.Graphical abstract
Source: Journal of Ethnopharmacology - Category: Drugs & Pharmacology Source Type: research
by Craig Klugman, Ph.D. Jump to The Resident (Seasons 2; Episode 20): Maternal mortality in black women; Jump to New Amsterdam (Season 1; Episode 18): Gestational surrogacy The Resident (Season 2; Episode 20): Maternal mortality in black women A young black family is in the OB ward for a C-section to deliver their second baby. The OB displays overt racism when he asks Pravesh, “What country are you from”? Pravesh responds, “New Jersey.” Post-surgery the mother has pain and some blood in her urine output.…
Source: blog.bioethics.net - Category: Medical Ethics Authors: Tags: BioethicsTV Featured Posts Reproductive Ethics Social Justice black maternal mortality gestational surrogacy Source Type: blogs
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