Primary prevention of CVD with Aspirin : The confusion need to stop here . . . but it may not !
Aspirin for primary prevention of CVD is an ongoing controversy for more than 2 decades. Please note, the controversy is not in the competence of Aspirin to prevent cardiovascular event, but in the potential risk of GI bleed and whether that risk is worth taking. Secondary prevention has no such issues as the benefits easily outweigh the potential bleeding risk .
Male vs female
There is a “gender” and “age” difference in the ability of Aspirin to prevent vascular events.Aspirin primarily prevents MI in men(>45) and stroke in women(>55) (Funny it may look, that’s what data says!...
Source: Dr.S.Venkatesan MD - August 2, 2016 Category: Cardiology Authors: dr s venkatesan Tags: cardiology -Preventive Primary prevention of CAD primary prevention of cad with aspirin Source Type: blogs
Fight Aging! Newsletter, July 25th 2016
This study builds on preliminary findings from the first phase of the INTERSTROKE study, which identified ten modifiable risk factors for stroke in 6,000 participants from 22 countries. The full-scale INTERSTROKE study included an additional 20,000 individuals from 32 countries in Europe, Asia, America, Africa and Australia, and sought to identify the main causes of stroke in diverse populations, young and old, men and women, and within subtypes of stroke.
To estimate the proportion of strokes caused by specific risk factors, the investigators calculated the population attributable risk for each factor (PAR; an esti...
Source: Fight Aging! - July 24, 2016 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
A 60-year-old man presents with acute confusion, aggressive behavior, and aphasia
T2-weighted FLAIR MRI A 60-year-old man presents with acute confusion, aggressive behavior, and aphasia. Imaging reveals a heterogeneously enhancing mass (5 x 2 x 2 cm) in the left medial temporal lobe with extensive peripheral edema (image above), but no significant contrast enhancement. A subtotal temporal lobectomy was performed on suspicion of a low-grade glioma.High-power view of biopsy from left temporal lobeThe diagnosis is herpes simplex encephalitis. PCR amplification of DNA from the specimen more specifically identified the causative agent as herpes simplex virus, type 1 (HSV1). The most common identifiable ...
Source: neuropathology blog - July 18, 2016 Category: Radiology Tags: infectious disease Source Type: blogs
Claiming Stroke Incidence to be Largely Preventable
This study builds on preliminary findings from the first phase of the INTERSTROKE study, which identified ten modifiable risk factors for stroke in 6,000 participants from 22 countries. The full-scale INTERSTROKE study included an additional 20,000 individuals from 32 countries in Europe, Asia, America, Africa and Australia, and sought to identify the main causes of stroke in diverse populations, young and old, men and women, and within subtypes of stroke.
To estimate the proportion of strokes caused by specific risk factors, the investigators calculated the population attributable risk for each factor (PAR; an esti...
Source: Fight Aging! - July 18, 2016 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
Research and Reviews in the Fastlane 141
This study showed that while it’s feasible to acutely lower systolic blood pressure < 140 mm Hg, there’s no benefit to death or disability. Additionally, patients in the aggressive blood pressure treatment arm were more likely to have adverse renal events at 7 days. These results mirror those seen in the INTERACT-2 trial (prior to the statistical shenanigans used to spin the results positively). Based on the best available evidence, we can confidently say that it should not be standard care to aggressively drop blood pressure in these patients.
Recommended by Anand Swaminathan
Further reading The case of ...
Source: Life in the Fast Lane - July 7, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Airway Clinical Research Emergency Medicine Neurology Neurosurgery Pediatrics R&R in the FASTLANE Resuscitation critical care EBM Education literature recommendations research and reviews Source Type: blogs
Let Food Be Thy Medicine: 20 Superfoods to Improve Your Health
Conclusion
Based on extensive medical and scientific studies, health professionals have identified different types of superfoods that are greatly beneficial in promoting a healthy lifestyle. To help health enthusiasts get a better idea of the superfood concept, the comprehensive list above will serve as an important source of information. At the same time, they are given the liberty of incorporating these foods into their daily diets based on their personal preferences.
References
About the Author
Katleen Brown is a health, beauty and fitness writer. She loves to publish her articles on various health related websites...
Source: Life Learning Today - June 30, 2016 Category: Consumer Health News Authors: AgentSully Tags: Green Living Healthy Living Recipes food be thy medicine natural healing nutrition superfoods Source Type: blogs
Let Food Be Thy Medicine: 20 Superfoods to Improve Your Health
Conclusion
Based on extensive medical and scientific studies, health professionals have identified different types of superfoods that are greatly beneficial in promoting a healthy lifestyle. To help health enthusiasts get a better idea of the superfood concept, the comprehensive list above will serve as an important source of information. At the same time, they are given the liberty of incorporating these foods into their daily diets based on their personal preferences.
References
http://www.besthealthmag.ca/best-eats/nutrition/nutrition-tips-spirulina-helps-cleanse-and-detox/
https://www.glozine.com/lifestyle/health/affo...
Source: Life Learning Today - June 30, 2016 Category: Consumer Health News Authors: AgentSully Tags: Green Living Healthy Living Recipes food be thy medicine natural healing nutrition superfoods Source Type: blogs
When it rains, it pours…
Stefano and I returned to Italy a couple of days ago. Those ten days we spent in the U.S.A. might well have been the worst days of my life thus far…worse even than when I received my cancer diagnosis…I mean, it was simply awful awful awful, every day, every minute of every day…
The “good” thing is that Stefano and I did get to Cape Cod in time to say goodbye to Mom, and in fact she is still alive. But I don’t think she will last very much longer. She is amazingly weak…The nurse practitioner, whom Stefano and I went to see shortly after we arrived, told us that “there is no...
Source: Margaret's Corner - May 19, 2016 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll Source Type: blogs
When it rains, it pours …
Stefano and I returned to Italy a couple of days ago. Those ten days we spent in the U.S.A. might well have been the worst days of my life thus far…worse even than when I received my cancer diagnosis…I mean, it was simply awful awful awful, every day, every minute of every day…
The “good” thing is that Stefano and I did get to Cape Cod in time to say goodbye to Mom, and in fact she is still alive. But I don’t think she will last very much longer. She is amazingly weak…The nurse practitioner, whom Stefano and I went to see shortly after we arrived, told us that “there is no...
Source: Margaret's Corner - May 19, 2016 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll Source Type: blogs
Foreign policy through the lens of an emergency physician
These seem unrelated, but give me a chance. I was eating outside at a restaurant with my 5 month old, Max, and a car with a modified muffler hit the gas right in front of us. In Australia, you’d call the driver a “hoon.” The noise terrified my boy, and I felt something I’m not used to: protective rage. When Max stopped crying my mind went to struggling families, kids, bombs, drones and suicide bombers, naturally. So I thought I’d type on medicine and foreign affairs.
When you arrive in an ER with one-sided leg/arm/face paralysis, you’ll probably be whisked to a CT scanner to see whether...
Source: Kevin, M.D. - Medical Weblog - May 15, 2016 Category: Journals (General) Authors: Sam Slishman, MD Tags: Physician Emergency Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 26
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Source: Cardiophile MD - May 10, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
Giant wide T inversion – Cardiology MCQ
Giant wide T inversion may be seen in all except:
a) After a cardiac arrest
b) Subarachnoid hemorrhage
c) Hyperkalemia
d) Takotsubo cardiomyopathy
Correct answer: c) Hyperkalemia
Giant T wave inversion can be broad and deep or just deep T inversions. A depth of T wave of 10 mm or above is generally considered as deep T inversion [1]. Giant T wave inversions with depth of 35 mm have also been described in literature [2]. Deep T inversions without gross increase in width can occur in ischemia and hypertrophic cardiomyopathy. In a study involving 864 patients with hypertrophic cardiomyopathy, 15% had giant T wave inversion ...
Source: Cardiophile MD - May 10, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance ECG / Electrophysiology Source Type: blogs
A death that feels good to a surgeon’s soul
He had loved her with all his being for more than six decades. In the last two years of their 61-year marriage, he had watched helplessly as dementia wrapped its noose around her, slowly tightening its grip on her mind and pulling her away from him.
When I met him, I knew the injury was irrecoverable. Her brain was consumed by hemorrhage that had filled the space (cerebral atrophy) left behind by progressive dementia and then some, deflecting the midline between the two hemispheres nearly 12 mm.
I asked him what had happened. She had tripped and fallen. For all her mind’s frailty, her body was still strong and agile ...
Source: Kevin, M.D. - Medical Weblog - April 21, 2016 Category: Journals (General) Authors: Jamie Jones, MD Tags: Physician Emergency Source Type: blogs
Fight Aging! Newsletter, April 18th 2016
This study confirms that having an apple-shaped body - or a high waist circumference - can lead to heart disease, and that reducing your waist size can reduce your risks."
The results of the new research expands on the results of a previously published study called FaCTor-64, which showed that the greater a person's body mass index, the greater their risk of heart disease. FaCTor-64 enrolled patients with diabetes who were considered to be at high risk for heart attacks, strokes, or death but had no evidence of heart disease as of yet. Study participants completed randomized screening for coronary artery disease by ...
Source: Fight Aging! - April 17, 2016 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
